CPT code 00754: Omphalocele anesthesia, congenital abdominal wall repair2026 Medicare rate & RVUs in Missouri
Anesthesia for operative repair of an omphalocele, a congenital abdominal wall defect at the umbilical ring, commonly repaired in newborns.
CMS doesn’t publish an office rate for 00754 in Missouri.
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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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
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00754 isn’t priced in this setting.
00754 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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