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CPT code 00756: Diaphragmatic hernia, including hiatal hernia2026 Medicare rate & RVUs in Washington, DC area

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

CMS RVU26DEffective Oct 1, 2026One payment locality241 Medicare services in 2024

CMS doesn’t publish a rate for 00756 in Washington, DC area.

UnavailableOffice (non-facility)
UnavailableHospital or facility

Check a contract rate as a % of Medicare · 00756 nationwide

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

We’ll open 00756 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 00756 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Washington, DC area compares for 00756

00756 in Washington, DC area vs other payment areas
  1. Washington, DC area · this pageUnavailable
  2. Los Angeles, CA · CaliforniaUnavailable
  3. Miami, FL · FloridaUnavailable
  4. Chicago, IL · IllinoisUnavailable
  5. Manhattan, NY · New YorkUnavailable
  6. Alaska · AlaskaUnavailable
  7. Alabama · AlabamaUnavailable

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

00756 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas——
ArizonaArizona——
Bakersfield, CACalifornia——
Chico, CACalifornia——
El Centro, CACalifornia——
Fresno, CACalifornia——
Hanford, CACalifornia——
Madera, CACalifornia——

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

See 00756 in every payment locality

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.

Codes related to 00756

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

Codes related to 00756
CodeHow it relatesOffice range, Washington, DC area
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

How 00756 has changed in Washington, DC area

00756 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01UnavailableUnavailableRVU26D
2026-07-01UnavailableUnavailableRVU26C
2026-04-01UnavailableUnavailableRVU26B
2026-01-01UnavailableUnavailableRVU26A
2025-10-01UnavailableUnavailableRVU25D
2025-07-01UnavailableUnavailableRVU25C
2025-04-01UnavailableUnavailableRVU25B
2025-01-01UnavailableUnavailableRVU25A
2024-10-01UnavailableUnavailableRVU24D
2024-07-01UnavailableUnavailableRVU24C
2024-04-01UnavailableUnavailableRVU24B
2024-03-09UnavailableUnavailableRVU24AR
2024-01-01UnavailableUnavailableRVU24A
2023-10-01UnavailableUnavailableRVU23D
2023-07-01UnavailableUnavailableRVU23C
2023-04-01UnavailableUnavailableRVU23B
2023-01-01UnavailableUnavailableRVU23A
2022-10-01UnavailableUnavailableRVU22D
2022-07-01UnavailableUnavailableRVU22C
2022-04-01UnavailableUnavailableRVU22B
2022-01-01UnavailableUnavailableRVU22A
2021-10-01UnavailableUnavailableRVU21D
2021-07-01UnavailableUnavailableRVU21C
2021-04-01UnavailableUnavailableRVU21B
2021-01-01UnavailableUnavailableRVU21A
2020-10-01UnavailableUnavailableRVU20D
2020-07-01UnavailableUnavailableRVU20C
2020-04-01UnavailableUnavailableRVU20B
2020-01-01UnavailableUnavailableRVU20A
2019-10-01UnavailableUnavailableRVU19D
2019-07-01UnavailableUnavailableRVU19C
2019-04-01UnavailableUnavailableRVU19B
2019-01-01UnavailableUnavailableRVU19A
2018-10-01UnavailableUnavailableRVU18D
2018-07-01UnavailableUnavailableRVU18C
2018-04-01UnavailableUnavailableRVU18B
2018-01-01UnavailableUnavailableRVU18AR1
2017-10-01UnavailableUnavailableRVU17D
2017-07-01UnavailableUnavailableRVU17C
2017-04-01UnavailableUnavailableRVU17B
2017-01-01UnavailableUnavailableRVU17A
2016-10-01UnavailableUnavailableRVU16D
2016-07-01UnavailableUnavailableRVU16C
2016-04-01UnavailableUnavailableRVU16B
2016-01-01UnavailableUnavailableRVU16A
2015-10-01UnavailableUnavailableRVU15D
2015-07-01UnavailableUnavailableRVU15C
2015-04-01UnavailableUnavailableRVU15B
2015-01-01UnavailableUnavailableRVU15A
2014-10-01UnavailableUnavailableRVU14D
2014-07-01UnavailableUnavailableRVU14C
2014-04-01UnavailableUnavailableRVU14B
2014-01-01UnavailableUnavailableRVU14A
2013-10-01UnavailableUnavailableRVU13D
2013-07-01UnavailableUnavailableRVU13C
2013-04-01UnavailableUnavailableRVU13B
2013-01-01UnavailableUnavailableRVU13AR

Price 00756 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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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