CPT code 00848: Pelvic exenteration, intraperitoneal pelvic procedure2026 Medicare rate & RVUs in Michigan
Anesthesia for extensive intraperitoneal pelvic surgery involving removal of multiple pelvic organs, such as a pelvic exenteration.
CMS doesn’t publish an office rate for 00848 in Michigan.
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 00848 covers
This service supports extensive intraperitoneal pelvic surgery involving removal of multiple pelvic organs, often for advanced or recurrent pelvic cancer. Depending on the disease and operative plan, the resection may involve gynecologic, urinary, and colorectal structures. An anesthesiologist or CRNA provides and reports the anesthesia service in an operating-room setting; the surgical team may include gynecologic oncology, urology, and colorectal specialists.
Select 00848 when the operation is a pelvic exenteration, rather than another lower abdominal intraperitoneal procedure or a radical hysterectomy alone. The operative report should identify the exenteration and intraperitoneal approach, while the anesthesia record supports the service and its start and end times. Medicare payment uses 8 base units plus time units, multiplied by the locality’s anesthesia conversion factor. Anesthesia time runs from when the practitioner begins preparing the patient until personal attendance ends and the patient can safely be placed under postoperative care; CMS converts reported minutes into 15-minute units to one decimal place, and 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 00848 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | Unavailable |
| Rest of Michigan | Unavailable | Unavailable |
How the 00848 rate is calculated
Each of 00848’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 · 00848
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 00848
00848 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 · 00848
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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00848 isn’t priced in this setting.
00848 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 00840Intraperitoneal anesthesiaLower abdomen, other procedures
- 00840 is the general category for lower abdominal intraperitoneal procedures. Use 00848 when the operation is a pelvic exenteration.
- 00844Abdominoperineal anesthesiaCombined abdominal and perineal approach
- 00844 applies to anesthesia for an abdominoperineal resection; 00848 is for pelvic exenteration involving broader removal of pelvic organs.
- 00846Radical hysterectomy anesthesiaIntraperitoneal lower abdominal procedure
- 00846 is for anesthesia for radical hysterectomy. Use 00848 when the documented operation is pelvic exenteration, not radical hysterectomy alone.
- 00864Cystectomy anesthesiaExtraperitoneal lower abdomen
- 00864 describes anesthesia for an extraperitoneal total cystectomy. Code 00848 is for intraperitoneal pelvic exenteration.
00848 billing questions
When should I choose this code instead of 00840?
Use 00848 for anesthesia for an intraperitoneal pelvic exenteration. Code 00840 is for other lower abdominal intraperitoneal procedures that do not fit a more specific procedure category.
How is this different from 00846?
Code 00846 is for anesthesia for radical hysterectomy. Choose 00848 when the operation is a pelvic exenteration rather than a radical hysterectomy alone.
What documentation supports reporting 00848?
The operative report should identify the pelvic exenteration and its intraperitoneal approach. The anesthesia record should support the service and document the practitioner’s start and end times.
How are anesthesia time units calculated?
Report anesthesia time in minutes; CMS converts it to 15-minute units, computed to one decimal place. For example, 38 minutes equals 2.5 time units.
What is the Medicare payment basis for 00848?
This code has 8 base units. Medicare calculates anesthesia payment as base units plus time units, multiplied by the anesthesia conversion factor for the payment locality.
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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