CPT code 00800: Abdominal wall anesthesia, other lower anterior wall procedures2026 Medicare rate & RVUs in Illinois

CMS doesn’t publish an office rate for 00800 in Illinois.

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

What 00800 covers

This code represents anesthesia for surgery involving the lower front abdominal wall when no more specific anesthesia category identifies the operation. An anesthesiologist or CRNA provides the anesthesia service and reports it separately from the surgeon’s procedure, commonly in a hospital or ambulatory surgical setting.

Select a specific anesthesia code for panniculectomy, lower abdominal hernia repair, posterior abdominal wall work, or procedures within the lower abdomen rather than this general anterior-wall category. The operative report should identify the operation and site; the anesthesia record should document the service and anesthesia start and end times. Code 00800 has 4 base units, and Medicare payment is base units plus time units, multiplied by the locality’s anesthesia conversion factor. Anesthesia time is counted in minutes and converted to 15-minute units to one decimal place, from when the practitioner begins preparing the patient for anesthesia until the practitioner is no longer personally attending and the patient can safely enter postoperative care; the conversion factor varies by locality.

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 00800 pays more and less in Illinois

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

How the 00800 rate is calculated

Each of 00800’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.

Payment rules and modifiers for 00800

00800 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.

00800 compared with similar codes

How to choose

00802Panniculectomy anesthesiaLower abdominal wall

00802 applies to panniculectomy. Use 00800 for other lower anterior abdominal wall procedures without a more specific anesthesia category.

00820Posterior abdominal anesthesiaLower posterior wall

00820 applies to lower posterior abdominal wall procedures; 00800 is for the lower anterior wall.

00830Hernia anesthesiaLower abdomen, unspecified

00830 applies to lower abdominal hernia repair not otherwise specified. Use 00800 for other lower anterior abdominal wall operations.

00840Intraperitoneal anesthesiaLower abdomen, other procedures

00840 applies to intraperitoneal procedures on the lower abdomen, rather than procedures involving the lower anterior abdominal wall.

Codes related to 00800

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

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