CPT code 00834: Infant hernia anesthesia, younger than 1 year2026 Medicare rate & RVUs in Illinois
Professional anesthesia for lower abdominal hernia repair in a patient younger than 1 year, including typical infant groin hernia operations.
CMS doesn’t publish an office rate for 00834 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.
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What 00834 covers
An anesthesiologist or CRNA reports this service when providing anesthesia for a lower abdominal hernia repair in a patient younger than 1 year. Typical cases include infant groin or inguinal hernia repair. The anesthesia record documents the patient’s age, the operation supported, the anesthesia practitioner’s care, and the start and end of anesthesia time.
Choose this code for the age-defined infant hernia service, not the general lower abdominal hernia category or the category for ventral and incisional repairs. The code has 5 base units; Medicare payment is (base units plus time units) multiplied by the anesthesia conversion factor for the locality. Time is measured in minutes, converted to 15-minute units to one decimal place, starting when the practitioner begins preparing the patient for anesthesia and ending when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.
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 00834 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.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | Unavailable |
| East St. Louis, IL | Unavailable | Unavailable |
| Rest of Illinois | Unavailable | Unavailable |
| Suburban Chicago, IL | Unavailable | Unavailable |
How the 00834 rate is calculated
Each of 00834’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 · 00834
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 00834
00834 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 · 00834
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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00834 isn’t priced in this setting.
00834 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 00830Hernia anesthesiaLower abdomen, unspecified
- Choose 00834 when the patient is younger than 1 year; 00830 is the general lower abdominal hernia repair category.
- 00832Ventral hernia anesthesiaLower abdomen, ventral or incisional
- 00832 identifies ventral or incisional hernia repair; 00834 identifies the infant age group for lower abdominal hernia repair.
- 00836Infant hernia anesthesiaBorn before 37 weeks; under 50 weeks
- 00836 identifies a premature-infant age group. Use it when that designation fits the case rather than relying only on the patient being younger than 1 year.
00834 billing questions
When should I choose this code instead of 00830?
Use 00834 for a lower abdominal hernia repair in a patient younger than 1 year. Code 00830 is the general category for lower abdominal hernia repair.
How does 00834 differ from 00832?
00834 identifies the infant age group for lower abdominal hernia repair. Code 00832 is for ventral or incisional hernia repair.
When is 00836 the closer choice?
Use 00836 when the case meets that code’s premature-infant age designation, rather than selecting 00834 solely because the patient is younger than 1 year.
What should the anesthesia record support?
Document the patient’s age, the hernia repair performed, the anesthesia practitioner’s involvement, and anesthesia start and end times.
How are units calculated for Medicare?
This code has 5 base units. Anesthesia time is reported in minutes and converted to 15-minute units to one decimal place; the base and time units are multiplied by the locality’s anesthesia conversion factor.
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
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