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CPT code 00836: Infant hernia anesthesia, born before 37 weeks; under 50 weeks2026 Medicare rate & RVUs

Anesthesia for hernia repair in an infant born before 37 weeks’ gestation who is younger than 50 weeks postconceptual age at surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities14 Medicare services in 2024

Medicare rate · 00836

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

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 00836 →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 00836 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 00836 covers

This code covers anesthesia for hernia repair in an infant born before 37 weeks of gestation who is younger than 50 weeks postconceptual age at surgery. An anesthesia practitioner provides and reports the anesthesia service separately from the surgeon’s hernia repair, typically for an operation in a hospital setting.

Choose 00836 when both age criteria are met. Code 00834 is for hernia repair anesthesia in infants younger than 1 year; 00830 describes general lower-abdominal hernia repair, and 00832 is associated with ventral or incisional repairs. The anesthesia and operative records should identify the repair and document gestational age at birth and age at surgery; the anesthesia record should support the service and its start and end times. Medicare assigns 6 base units, and payment is (base units + time units) multiplied by the locality’s anesthesia conversion factor. Time runs from when the practitioner begins preparing the patient for anesthesia until personal attendance ends and the patient can safely be placed under postoperative care; minutes convert 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 00836 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

00836 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

00836 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
00836 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 00836 rate is calculated

Each of 00836’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 · 00836

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 00836

00836 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 · 00836

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00836 isn’t priced in this setting.

00836 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00836

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

    Not priced

  • 00834

    Infant hernia anesthesia, younger than 1 year0 wRVU

    Not priced

  • 00830

    Hernia anesthesia, lower abdomen, unspecified0 wRVU

    Not priced

  • 00832

    Ventral hernia anesthesia, lower abdomen, ventral or incisional0 wRVU

    Not priced

How to choose

00834Infant hernia anesthesiaYounger than 1 year
00834 applies to hernia repair anesthesia in an infant younger than 1 year. Use 00836 when the infant was born before 37 weeks and is younger than 50 weeks postconceptual age.
00830Hernia anesthesiaLower abdomen, unspecified
00830 is the general lower-abdominal hernia anesthesia code. 00836 is specific to the qualifying premature infant age criteria.
00832Ventral hernia anesthesiaLower abdomen, ventral or incisional
00832 is associated with ventral or incisional hernia repairs. 00836 is distinguished by the infant’s prematurity and postconceptual age.

Codes related to 00836

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

Codes related to 00836
CodeHow it relatesNational office range
Same family
00834Infant hernia anesthesia, younger than 1 yearInfant hernia anesthesia code for patients younger than 1 year.No office rate
00830Hernia anesthesia, lower abdomen, unspecifiedGeneral lower-abdominal hernia anesthesia code.No office rate
00832Ventral hernia anesthesia, lower abdomen, ventral or incisionalLower-abdominal hernia anesthesia associated with ventral or incisional repairs.No office rate

00836 billing questions

What age criteria distinguish 00836?

The infant must have been born before 37 weeks of gestation and be younger than 50 weeks postconceptual age at the time of hernia repair.

How does 00836 differ from 00834?

Code 00834 describes anesthesia for hernia repair in an infant younger than 1 year. Code 00836 is specific to an infant born before 37 weeks who is younger than 50 weeks postconceptual age.

What documentation supports reporting 00836?

Document the hernia repair, gestational age at birth, and age at surgery. The anesthesia record should support the anesthesia service and its start and end times.

How are Medicare anesthesia units calculated?

This code has 6 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.

Does 00836 describe the hernia operation?

No. It describes anesthesia for the qualifying infant’s hernia repair; the operating provider reports the hernia procedure.

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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