CPT code 00836: Infant hernia anesthesia, born before 37 weeks; under 50 weeks2026 Medicare rate & RVUs in Maine
Anesthesia for hernia repair in an infant born before 37 weeks’ gestation who is younger than 50 weeks postconceptual age at surgery.
CMS doesn’t publish an office rate for 00836 in Maine.
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 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 in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | Unavailable | Unavailable |
| Southern Maine, ME | Unavailable | Unavailable |
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
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
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00836 isn’t priced in this setting.
00836 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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