CPT code 00812: Colonoscopy anesthesia, screening colonoscopy2026 Medicare rate & RVUs

Anesthesia for screening colonoscopy supports lower-intestinal endoscopic screening and is reported separately from anesthesia for diagnostic or therapeutic lower endoscopy.

CMS RVU26DEffective Oct 1, 2026109 payment localities713.5K Medicare services in 2024

Medicare rate · 00812

Colonoscopy anesthesia, screening colonoscopy

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

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Not priced in the facility setting.

See every locality for 00812 →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 00812 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 00812 covers

Code 00812 represents anesthesia care for a screening colonoscopy, an endoscopic examination of the colon performed to screen for colorectal disease. An anesthesiologist or CRNA may provide the service in an endoscopy unit, ambulatory surgery center, or hospital; the anesthesia professional reports the anesthesia, while the endoscopist reports the examination. Average-risk and high-risk screening colonoscopies are commonly represented by G0121 and G0105, respectively.

Choose 00812 for a screening colonoscopy; use 00811 for lower-intestinal endoscopy performed for a diagnostic or therapeutic indication, and 00813 when upper and lower GI endoscopic procedures are performed in the same anesthesia encounter. The anesthesia record should support the screening indication, procedure performed, practitioner attendance, and anesthesia start and stop times. This code has 3 base units. Medicare payment is (3 base units + time units) × the locality’s anesthesia conversion factor; time is counted in minutes from preparation for anesthesia until personal attendance ends and the patient can safely be placed under postoperative care, then 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 00812 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

00812 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

00812 rates by state

Office rate range in each state. Select a state to see its payment localities.

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
00812 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 00812 rate is calculated

Each of 00812’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 · 00812

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 00812

00812 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 · 00812

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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00812 isn’t priced in this setting.

00812 compared with similar codes

Compare codes · National

00812 vs 00811 vs 00813: Medicare rates

Office or facility?

  • 00812

    Colonoscopy anesthesia, screening colonoscopy0 wRVU

    Not priced

  • 00811

    Lower GI endoscopy, diagnostic or therapeutic0 wRVU

    Not priced

  • 00813

    Combined GI anesthesia, upper and lower endoscopy0 wRVU

    Not priced

How to choose

00811Lower GI endoscopyDiagnostic or therapeutic
Use 00812 for screening colonoscopy anesthesia. Use 00811 when the lower-intestinal endoscopy is for a diagnostic or therapeutic indication.
00813Combined GI anesthesiaUpper and lower endoscopy
Use 00813 when upper and lower GI endoscopic procedures are performed during the same anesthesia encounter; 00812 is for screening colonoscopy anesthesia.

00812 billing questions

How is 00812 distinguished from 00811?

00812 is for anesthesia for a screening colonoscopy. Use 00811 for lower-intestinal endoscopy performed for a diagnostic or therapeutic indication rather than screening.

What if an upper endoscopy is performed during the same anesthesia encounter?

When both upper and lower GI endoscopic procedures are performed in the same anesthesia encounter, consider 00813 rather than 00812.

Does the endoscopist’s procedure include the anesthesia service?

The endoscopist reports the colonoscopy, and the anesthesia professional reports the anesthesia service on the anesthesia claim.

How are anesthesia units calculated for 00812?

The code has 3 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute units to one decimal place, and multiplies the total by the locality’s anesthesia conversion factor.

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

Medicare pays each professional 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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