CPT code 00756: Diaphragmatic hernia, including hiatal hernia2026 Medicare rate & RVUs in Missouri
Anesthesia for surgical repair of diaphragmatic hernias, including hiatal hernias, is reported for operations addressing the diaphragm defect.
CMS doesn’t publish an office rate for 00756 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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On this page 9 sections
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 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 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
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
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00756 isn’t priced in this setting.
00756 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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.
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