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CPT code 00756: Diaphragmatic hernia, including hiatal hernia2026 Medicare rate & RVUs

Anesthesia for surgical repair of diaphragmatic hernias, including hiatal hernias, is reported for operations addressing the diaphragm defect.

CMS RVU26DEffective Oct 1, 2026109 payment localities241 Medicare services in 2024

Medicare rate · 00756

Diaphragmatic hernia, including hiatal hernia

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 00756 →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 00756 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 00756 covers

This service covers anesthesia for operative repair of a diaphragmatic hernia, including hiatal hernia repair. An anesthesiologist or CRNA reports the anesthesia service; the surgeon reports the hernia operation.

Choose 00756 rather than 00750 when the repair is for a diaphragmatic hernia; 00750 is for other upper-abdominal hernia repairs not otherwise specified. Codes 00752 and 00754 identify lumbar, ventral, or incisional hernia and omphalocele repairs, respectively. The anesthesia record should identify the anesthesia service and its actual start and end times, and the operative report should establish the diaphragmatic hernia and repair performed. Medicare payment is (7 base units + time units) × the locality's anesthesia conversion factor. Time is reported in minutes, beginning when the anesthesia practitioner starts preparing the patient and ending when personal attendance stops and the patient can safely be placed under postoperative care; minutes convert to 15-minute time units rounded 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 00756 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

00756 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

00756 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
00756 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 00756 rate is calculated

Each of 00756’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 · 00756

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 00756

00756 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 · 00756

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00756 isn’t priced in this setting.

00756 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00756

    Diaphragmatic hernia, including hiatal hernia0 wRVU

    Not priced

  • 00750

    Hernia repair anesthesia, upper abdomen, other0 wRVU

    Not priced

  • 00752

    Hernia repair anesthesia, lumbar, ventral, incisional0 wRVU

    Not priced

  • 00754

    Omphalocele anesthesia, congenital abdominal wall repair0 wRVU

    Not priced

How to choose

00750Hernia repair anesthesiaUpper abdomen, other
00750 is for upper-abdominal hernia repairs not otherwise specified. Use 00756 when the repair is for a diaphragmatic hernia.
00752Hernia repair anesthesiaLumbar, ventral, incisional
00752 applies to lumbar, ventral, or incisional hernia repairs; 00756 applies to diaphragmatic hernia repair.
00754Omphalocele anesthesiaCongenital abdominal wall repair
00754 is for omphalocele repair. A diaphragmatic hernia repair is reported with 00756.

Codes related to 00756

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

Codes related to 00756
CodeHow it relatesNational office range
Same family
00750Hernia repair anesthesia, upper abdomen, otherAnesthesia for other upper-abdominal hernia repairs not otherwise specified.No office rate
00752Hernia repair anesthesia, lumbar, ventral, incisionalAnesthesia for lumbar, ventral, or incisional hernia repair.No office rate
00754Omphalocele anesthesia, congenital abdominal wall repairAnesthesia for omphalocele repair.No office rate

00756 billing questions

When should 00756 be chosen over 00750?

Use 00756 for repair of a diaphragmatic hernia, including a hiatal hernia. Code 00750 is for other upper-abdominal hernia repairs not otherwise specified.

How does 00756 differ from 00752 or 00754?

00752 identifies anesthesia for lumbar, ventral, or incisional hernia repair; 00754 is for omphalocele repair. Code 00756 is for diaphragmatic hernia repair.

What should the records show?

The anesthesia record should document the service and its actual start and end times. The operative report should identify the diaphragmatic hernia and the repair performed.

How are anesthesia time units calculated?

Time is recorded in minutes and converted to units for each 15-minute interval, to one decimal place. For example, 38 minutes converts to 2.5 time units.

Does 00756 describe the hernia operation too?

No. It describes the anesthesia service; the surgeon reports the diaphragmatic hernia repair.

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

Medicare pays each practitioner 50% of the allowance for the personally performed service.

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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