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CPT code 00851: Tubal ligation anesthesia, intraperitoneal procedure2026 Medicare rate & RVUs

This code reports anesthesia for intraperitoneal tubal ligation, including laparoscopic sterilization, rather than other lower-abdominal procedures.

CMS RVU26DEffective Oct 1, 2026109 payment localities156 Medicare services in 2024

Medicare rate · 00851

Tubal ligation anesthesia, intraperitoneal procedure

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 00851 →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 00851 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 00851 covers

This code covers anesthesia for intraperitoneal tubal sterilization. Laparoscopic approaches may occlude or destroy the fallopian tubes; the surgeon reports the sterilization procedure separately. An anesthesiologist or other qualified anesthesia practitioner reports the anesthesia service.

Select 00851 for intraperitoneal tubal ligation rather than other lower-abdominal operations. Code 00840 is used for other intraperitoneal lower-abdominal procedures, while 00860 applies to extraperitoneal lower-abdominal procedures. The operative report should identify the sterilization procedure and approach; the anesthesia record should support the service and its start and end times. Medicare payment is the 6 base units plus time units, multiplied by the anesthesia conversion factor, which varies by locality. Anesthesia time is reported in minutes and converted to 15-minute units to one decimal place, starting with preparation 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 00851 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

00851 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

00851 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
00851 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 00851 rate is calculated

Each of 00851’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 · 00851

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 00851

00851 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 · 00851

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00851 isn’t priced in this setting.

00851 compared with similar codes

Compare codes · National

00851 vs 00840 vs 00860: Medicare rates

Office or facility?

  • 00851

    Tubal ligation anesthesia, intraperitoneal procedure0 wRVU

    Not priced

  • 00840

    Intraperitoneal anesthesia, lower abdomen, other procedures0 wRVU

    Not priced

  • 00860

    Lower abdominal anesthesia, extraperitoneal, unspecified procedure0 wRVU

    Not priced

How to choose

00840Intraperitoneal anesthesiaLower abdomen, other procedures
Use 00851 when the anesthetized intraperitoneal procedure is tubal ligation; 00840 covers other intraperitoneal lower-abdominal procedures.
00860Lower abdominal anesthesiaExtraperitoneal, unspecified procedure
00851 is for intraperitoneal tubal ligation. 00860 is for extraperitoneal lower-abdominal procedures.

Codes related to 00851

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

Codes related to 00851
CodeHow it relatesNational office range
Used instead
00840Intraperitoneal anesthesia, lower abdomen, other proceduresBroader anesthesia code for other intraperitoneal lower-abdominal procedures.No office rate
Often billed with
58670Tubal sterilization, laparoscopic cauteryThe surgeon may report laparoscopic tubal sterilization by destruction of the oviducts.No office rate
58671Tubal occlusion, laparoscopic device methodThe surgeon may report laparoscopic tubal occlusion using a device.No office rate

00851 billing questions

When should I choose 00851 instead of 00840?

Choose 00851 for anesthesia for intraperitoneal tubal ligation. Use 00840 for other intraperitoneal lower-abdominal procedures that do not fall under a more specific anesthesia code.

Does 00851 include the surgeon’s tubal procedure?

No. 00851 represents the anesthesia service; the surgeon reports the tubal ligation or occlusion separately.

How are units calculated for 00851?

The code has 6 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute units to one decimal place, then multiplies the total by the locality’s anesthesia conversion factor.

What should the operative and anesthesia records show?

The operative report should identify the intraperitoneal tubal sterilization procedure and its approach. The anesthesia record should support the anesthetic service and the start and end times used for time units.

How does Medicare handle medical direction of a CRNA?

When an anesthesiologist medically directs a CRNA, Medicare pays each 50% of the allowance for the personally performed service.

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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