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

CMS doesn’t publish an office rate for 00752 in California.

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

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 in California

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

29 of 29 payment localities

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.

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.

00752 compared with similar codes

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.

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