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

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

CMS RVU26DEffective Oct 1, 2026One payment locality156 Medicare services in 2024

CMS doesn’t publish a rate for 00851 in Fresno, CA.

UnavailableOffice (non-facility)
UnavailableHospital or facility

Check a contract rate as a % of Medicare · 00851 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 00851 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fresno, CA
  2. What 00851 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Fresno, CA compares for 00851

00851 in Fresno, CA vs other payment areas
  1. Fresno, CA · this pageUnavailable
  2. Bakersfield, CA · CaliforniaUnavailable
  3. Chico, CA · CaliforniaUnavailable
  4. El Centro, CA · CaliforniaUnavailable
  5. Hanford, CA · CaliforniaUnavailable
  6. Los Angeles, CA · CaliforniaUnavailable
  7. Madera, CA · CaliforniaUnavailable

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

00851 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia——
Modesto, CACalifornia——
Napa, CACalifornia——
Oxnard, CACalifornia——
Redding, CACalifornia——
Rest of CaliforniaCalifornia——
Riverside, CACalifornia——
Sacramento, CACalifornia——

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

See 00851 in every payment locality

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.

Codes related to 00851

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

Codes related to 00851
CodeHow it relatesOffice range, Fresno, CA
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

How 00851 has changed in Fresno, CA

00851 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2017

    RVU17A

    No ratechanged toNo rate

    Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01UnavailableUnavailableRVU26D
2026-07-01UnavailableUnavailableRVU26C
2026-04-01UnavailableUnavailableRVU26B
2026-01-01UnavailableUnavailableRVU26A
2025-10-01UnavailableUnavailableRVU25D
2025-07-01UnavailableUnavailableRVU25C
2025-04-01UnavailableUnavailableRVU25B
2025-01-01UnavailableUnavailableRVU25A
2024-10-01UnavailableUnavailableRVU24D
2024-07-01UnavailableUnavailableRVU24C
2024-04-01UnavailableUnavailableRVU24B
2024-03-09UnavailableUnavailableRVU24AR
2024-01-01UnavailableUnavailableRVU24A
2023-10-01UnavailableUnavailableRVU23D
2023-07-01UnavailableUnavailableRVU23C
2023-04-01UnavailableUnavailableRVU23B
2023-01-01UnavailableUnavailableRVU23A
2022-10-01UnavailableUnavailableRVU22D
2022-07-01UnavailableUnavailableRVU22C
2022-04-01UnavailableUnavailableRVU22B
2022-01-01UnavailableUnavailableRVU22A
2021-10-01UnavailableUnavailableRVU21D
2021-07-01UnavailableUnavailableRVU21C
2021-04-01UnavailableUnavailableRVU21B
2021-01-01UnavailableUnavailableRVU21A
2020-10-01UnavailableUnavailableRVU20D
2020-07-01UnavailableUnavailableRVU20C
2020-04-01UnavailableUnavailableRVU20B
2020-01-01UnavailableUnavailableRVU20A
2019-10-01UnavailableUnavailableRVU19D
2019-07-01UnavailableUnavailableRVU19C
2019-04-01UnavailableUnavailableRVU19B
2019-01-01UnavailableUnavailableRVU19A
2018-10-01UnavailableUnavailableRVU18D
2018-07-01UnavailableUnavailableRVU18C
2018-04-01UnavailableUnavailableRVU18B
2018-01-01UnavailableUnavailableRVU18AR1
2017-10-01UnavailableUnavailableRVU17D
2017-07-01UnavailableUnavailableRVU17C
2017-04-01UnavailableUnavailableRVU17B
2017-01-01UnavailableUnavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 00851 for an earlier date of service

Where the Fresno, CA rate applies

Fresno, CA is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Fresno
  • Auberry
  • Big Creek
  • Biola
  • Bowles
  • Calwa
  • Cantua Creek
  • Caruthers

Browse all communities in California

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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