CPT code 00752: Hernia repair anesthesia, lumbar, ventral, incisional2026 Medicare rate & RVUs in Massachusetts
Anesthesia for lumbar, ventral, and incisional hernia repair, reported for abdominal wall operations in these locations rather than other hernia procedures.
CMS doesn’t publish an office rate for 00752 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
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
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
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00752 isn’t priced in this setting.
00752 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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