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CPT code 00754: Omphalocele anesthesia, congenital abdominal wall repair2026 Medicare rate & RVUs

Anesthesia for operative repair of an omphalocele, a congenital abdominal wall defect at the umbilical ring, commonly repaired in newborns.

CMS RVU26DEffective Oct 1, 2026109 payment localities29 Medicare services in 2024

Medicare rate · 00754

Omphalocele anesthesia, congenital abdominal wall repair

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 00754 →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 00754 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 00754 covers

Anesthesia for omphalocele repair supports operative closure or staged reduction of abdominal organs protruding through a congenital defect at the umbilical ring. The organs are contained in a covering sac and may include bowel or liver. Anesthesiologists and CRNAs typically provide and report the service in an operating room, often for newborns undergoing repair by a pediatric or general surgeon.

Report 00754 for anesthesia for omphalocele repair, not for an ordinary upper abdominal hernia repair or a diaphragmatic hernia repair. The anesthesia and operative records should identify the omphalocele and document the repair performed, along with the anesthesia practitioner’s time. Medicare assigns 7 base units; payment is (base units + time units) × the locality’s anesthesia conversion factor, which varies by location. Anesthesia time starts when the practitioner begins preparing the patient for anesthesia and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; minutes are converted to 15-minute units to one decimal place.

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 00754 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

00754 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

00754 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
00754 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 00754 rate is calculated

Each of 00754’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 · 00754

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 00754

00754 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 · 00754

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00754 isn’t priced in this setting.

00754 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00754

    Omphalocele anesthesia, congenital abdominal wall repair0 wRVU

    Not priced

  • 00750

    Hernia repair anesthesia, upper abdomen, other0 wRVU

    Not priced

  • 00752

    Hernia repair anesthesia, lumbar, ventral, incisional0 wRVU

    Not priced

  • 00756

    Diaphragmatic hernia, including hiatal hernia0 wRVU

    Not priced

How to choose

00750Hernia repair anesthesiaUpper abdomen, other
Choose 00754 for omphalocele repair. 00750 is for upper abdominal hernia repair not otherwise specified.
00752Hernia repair anesthesiaLumbar, ventral, incisional
00752 applies to lumbar, ventral, or dehiscent hernia repair; 00754 is specific to omphalocele repair.
00756Diaphragmatic herniaIncluding hiatal hernia
00756 is for diaphragmatic hernia repair. Use 00754 when the repaired defect is an omphalocele at the umbilical ring.

Codes related to 00754

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

Codes related to 00754
CodeHow it relatesNational office range
Used instead
00750Hernia repair anesthesia, upper abdomen, otherUsed instead for anesthesia for upper abdominal hernia repair when the hernia type is not otherwise specified.No office rate
00752Hernia repair anesthesia, lumbar, ventral, incisionalUsed instead for anesthesia for lumbar, ventral, or dehiscent hernia repair.No office rate
00756Diaphragmatic hernia, including hiatal herniaUsed instead for anesthesia for diaphragmatic hernia repair.No office rate

00754 billing questions

Is 00754 used for any umbilical hernia repair?

No. It is for anesthesia for repair of an omphalocele, a congenital abdominal wall defect at the umbilical ring, rather than an ordinary umbilical hernia.

How does 00754 differ from 00750?

00754 identifies anesthesia for omphalocele repair. 00750 is for repair of an upper abdominal hernia not otherwise specified.

What should the records show?

The operative record should establish that the procedure repairs an omphalocele, and the anesthesia record should document the service and anesthesia time.

How are Medicare anesthesia units calculated?

This code has 7 base units. Medicare payment uses base units plus time units, multiplied by the locality’s anesthesia conversion factor; anesthesia time is converted from minutes into 15-minute units to one decimal place.

How does Medicare pay when an anesthesiologist medically directs a CRNA?

Medicare pays the anesthesiologist and CRNA 50% each of the allowance for the personally performed service when medical direction applies.

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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