CPT code 00830: Hernia anesthesia, lower abdomen, unspecified2026 Medicare rate & RVUs in New Jersey

Anesthesia for lower abdominal hernia repair, commonly a groin hernia, when the repair does not fit a ventral, incisional, or infant-specific category.

CMS RVU26DEffective Oct 1, 20262 payment localities65.7K Medicare services in 2024

CMS doesn’t publish an office rate for 00830 in New Jersey.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in New Jersey
  2. What 00830 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 00830 covers

This anesthesia service supports surgical repair of a hernia in the lower abdominal region, commonly a groin hernia such as an inguinal hernia. An anesthesiologist or CRNA reports it for anesthesia care in a hospital or ambulatory surgical setting; the surgeon’s repair is a separate service. Code selection follows the hernia site and the patient’s age-related anesthesia category, rather than treating every abdominal operation as a hernia repair.

Use 00830 for a lower abdominal hernia repair that does not fit the ventral or incisional category or a specified infant category. The operative report should identify the hernia site and type and the repair performed; the anesthesia record should support the service and its start and end times. Medicare payment is (4 base units + time units) × the locality anesthesia conversion factor. Time is counted in minutes and converted to 15-minute units to one decimal place, from preparation for anesthesia through release from personal attendance when safe postoperative care can begin; 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 00830 pays more and less in New Jersey

00830 office and facility rates by payment locality
Payment localityOfficeFacility
Northern New JerseyUnavailableUnavailable
Rest of New JerseyUnavailableUnavailable

How the 00830 rate is calculated

Each of 00830’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 · 00830

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 00830

00830 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 · 00830

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00830 isn’t priced in this setting.

00830 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 00830

    Hernia anesthesia, lower abdomen, unspecified0 wRVU

    Not priced

  • 00832

    Ventral hernia anesthesia, lower abdomen, ventral or incisional0 wRVU

    Not priced

  • 00834

    Infant hernia anesthesia, younger than 1 year0 wRVU

    Not priced

  • 00836

    Infant hernia anesthesia, born before 37 weeks; under 50 weeks0 wRVU

    Not priced

  • 00800

    Abdominal wall anesthesia, other lower anterior wall procedures0 wRVU

    Not priced

How to choose

00832Ventral hernia anesthesiaLower abdomen, ventral or incisional
Choose 00832 for ventral or incisional hernia repair; 00830 is for lower abdominal hernia repairs outside that category.
00834Infant hernia anesthesiaYounger than 1 year
Choose 00834 when the patient is younger than one year and the case fits that age-specific hernia anesthesia category.
00836Infant hernia anesthesiaBorn before 37 weeks; under 50 weeks
Choose 00836 for the specified premature-infant hernia repair category rather than the general lower abdominal hernia category.
00800Abdominal wall anesthesiaOther lower anterior wall procedures
00800 covers anesthesia for lower anterior abdominal wall procedures not otherwise specified; 00830 is the hernia-repair category.

00830 billing questions

When should 00830 be used instead of 00832?

Use 00830 for a lower abdominal hernia repair outside the ventral or incisional category. Code 00832 identifies anesthesia for ventral or incisional hernia repair.

Which infant hernia repairs use a different anesthesia code?

Code 00834 is for hernia repair in a patient younger than one year. Code 00836 identifies the specified premature-infant category; 00830 is not the age-specific choice for those cases.

How are anesthesia time units calculated for 00830?

Medicare converts reported anesthesia minutes into 15-minute time units, calculated to one decimal place. The code has 4 base units, and time units are added under the anesthesia payment formula.

What should the records show for 00830?

The operative report should establish the hernia’s site and type and the repair performed. The anesthesia record should support the anesthesia service and its start and end times.

Is the surgeon’s hernia repair included in 00830?

No. Code 00830 reports anesthesia care; the surgeon reports the hernia repair separately.

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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