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CPT code 00752: Hernia repair anesthesia, lumbar, ventral, incisional2026 Medicare rate & RVUs

Anesthesia for lumbar, ventral, and incisional hernia repair, reported for abdominal wall operations in these locations rather than other hernia procedures.

CMS RVU26DEffective Oct 1, 2026109 payment localities30K Medicare services in 2024

Medicare rate · 00752

Hernia repair anesthesia, lumbar, ventral, incisional

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 00752 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 00752 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 00752 covers

This service covers anesthesia for operative repair of lumbar hernias and ventral or incisional abdominal wall hernias. These repairs may address a primary defect or one through a prior incision. An anesthesiologist or CRNA furnishes the anesthesia in a hospital or ambulatory surgical setting; the anesthesia claim represents that service, not the surgeon’s repair work.

Choose 00752 for the lumbar, ventral, or incisional hernia group. Code 00750 describes other upper-abdominal hernia repairs not otherwise specified here, while omphalocele and diaphragmatic hernia repairs have separate anesthesia codes. The anesthesia record should identify the operation and support anesthesia start and end times; the operative report should establish the hernia’s site and type and the repair performed. This code has 6 base units. Medicare payment is (6 base units plus time units) multiplied by the locality-specific anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units, computed to one decimal place; it starts when the anesthesia practitioner begins preparing the patient and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 00752 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

00752 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

00752 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
00752 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 00752 rate is calculated

Each of 00752’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 00752

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 00752

00752 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 00752

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

00752 isn’t priced in this setting.

00752 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00752

    Hernia repair anesthesia, lumbar, ventral, incisional0 wRVU

    Not priced

  • 00750

    Hernia repair anesthesia, upper abdomen, other0 wRVU

    Not priced

  • 00754

    Omphalocele anesthesia, congenital abdominal wall repair0 wRVU

    Not priced

  • 00756

    Diaphragmatic hernia, including hiatal hernia0 wRVU

    Not priced

How to choose

00750Hernia repair anesthesiaUpper abdomen, other
00752 covers lumbar, ventral, and incisional hernia repairs. Use 00750 for upper-abdominal hernia repairs not otherwise specified in the more specific categories.
00754Omphalocele anesthesiaCongenital abdominal wall repair
00754 is for anesthesia during omphalocele repair; 00752 is for lumbar, ventral, and incisional hernia repairs.
00756Diaphragmatic herniaIncluding hiatal hernia
00756 is for anesthesia during diaphragmatic hernia repair. Use 00752 for lumbar, ventral, or incisional hernia repair.

Codes related to 00752

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 00752
CodeHow it relatesNational office range
Same family
00750Hernia repair anesthesia, upper abdomen, otherAnesthesia for upper-abdominal hernia repairs not otherwise specified in the more specific hernia categories.No office rate
00754Omphalocele anesthesia, congenital abdominal wall repairSeparate anesthesia code for omphalocele repair.No office rate
00756Diaphragmatic hernia, including hiatal herniaSeparate anesthesia code for diaphragmatic hernia repair.No office rate

00752 billing questions

Which hernias belong under 00752 rather than 00750?

Use 00752 for lumbar, ventral, and incisional hernia repairs. Code 00750 is for upper-abdominal hernia repairs not otherwise specified in the more specific hernia categories.

Does 00752 include omphalocele or diaphragmatic hernia repair?

No. Those repairs have separate anesthesia codes: 00754 for omphalocele and 00756 for diaphragmatic hernia.

What should the operative and anesthesia records establish?

The operative report should show the hernia site and type and the repair performed. The anesthesia record should support the service and its start and end times.

How are time units calculated for 00752?

Report anesthesia time in minutes; CMS converts it to 15-minute units, computed to one decimal place. For example, 38 minutes equals 2.5 time units.

Is the surgeon’s hernia repair included in this anesthesia code?

No. This code represents the anesthesia service; the surgeon reports the hernia repair under the applicable surgical code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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