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CPT code 00862: Renal surgery anesthesia, extraperitoneal, lower abdomen2026 Medicare rate & RVUs

Anesthesia for extraperitoneal renal surgery in the lower abdomen, including donor nephrectomy and procedures involving the upper third of the ureter.

CMS RVU26DEffective Oct 1, 2026109 payment localities49.9K Medicare services in 2024

Medicare rate · 00862

Renal surgery anesthesia, extraperitoneal, lower abdomen

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 00862 →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 00862 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 00862 covers

This code covers anesthesia for extraperitoneal operations on the kidney and the upper third of the ureter in the lower abdomen, including donor nephrectomy. Anesthesiologists and CRNAs report it for anesthesia services in hospital and other surgical facility settings. The operative approach and the anatomy treated help distinguish this service from anesthesia for other lower abdominal procedures.

Use this code for a qualifying renal procedure rather than the general extraperitoneal lower abdominal category or separate anesthesia codes for renal transplant, cystectomy, prostatectomy, or adrenalectomy. The operative report should identify the kidney or ureter site, the procedure, and the approach; the anesthesia record should support the service and its start and end times. Medicare assigns 7 base units, and payment is (base units + time units) × the locality’s anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units to one decimal place, from preparation for anesthesia until 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 00862 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

00862 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

00862 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
00862 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 00862 rate is calculated

Each of 00862’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 · 00862

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 00862

00862 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 · 00862

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00862 isn’t priced in this setting.

00862 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 00862

    Renal surgery anesthesia, extraperitoneal, lower abdomen0 wRVU

    Not priced

  • 00860

    Lower abdominal anesthesia, extraperitoneal, unspecified procedure0 wRVU

    Not priced

  • 00868

    Renal transplant anesthesia, extraperitoneal procedure0 wRVU

    Not priced

  • 00864

    Cystectomy anesthesia, extraperitoneal lower abdomen0 wRVU

    Not priced

  • 00840

    Intraperitoneal anesthesia, lower abdomen, other procedures0 wRVU

    Not priced

How to choose

00860Lower abdominal anesthesiaExtraperitoneal, unspecified procedure
Choose 00862 for an extraperitoneal renal procedure, including donor nephrectomy or surgery involving the upper third of the ureter. Use 00860 for other extraperitoneal lower abdominal procedures.
00868Renal transplant anesthesiaExtraperitoneal procedure
00868 identifies anesthesia for renal transplantation. 00862 covers other qualifying extraperitoneal renal operations, including donor nephrectomy.
00864Cystectomy anesthesiaExtraperitoneal lower abdomen
00864 is for anesthesia for total cystectomy. 00862 is for extraperitoneal renal procedures in the lower abdomen.
00840Intraperitoneal anesthesiaLower abdomen, other procedures
00840 is for intraperitoneal lower abdominal procedures. 00862 applies to specified extraperitoneal renal procedures.

Codes related to 00862

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

Codes related to 00862
CodeHow it relatesNational office range
Used instead
00860Lower abdominal anesthesia, extraperitoneal, unspecified procedureGeneral extraperitoneal lower abdominal anesthesia category for procedures outside the specified renal category.No office rate
Same family
00868Renal transplant anesthesia, extraperitoneal procedureSeparate anesthesia code for renal transplant procedures.No office rate
00864Cystectomy anesthesia, extraperitoneal lower abdomenAnesthesia for total cystectomy, a distinct extraperitoneal lower abdominal procedure.No office rate
00865Prostatectomy anesthesia, extraperitoneal lower abdomenAnesthesia for radical prostatectomy, a distinct lower abdominal procedure.No office rate

00862 billing questions

When should 00862 be chosen over 00860?

Use 00862 when the extraperitoneal lower abdominal operation is a renal procedure, including donor nephrectomy or surgery involving the upper third of the ureter. Code 00860 is the general category for other extraperitoneal lower abdominal procedures.

Does 00862 cover anesthesia for a kidney transplant?

No. Anesthesia for a renal transplant is reported with 00868; 00862 is for other qualifying extraperitoneal renal procedures.

What should the records show?

The operative report should establish the renal or upper-ureter site, the procedure performed, and the extraperitoneal approach. The anesthesia record should support the anesthesia service and document its start and end times.

How are time units calculated for 00862?

Report anesthesia time in minutes; Medicare converts it to units of 15 minutes, computed to one decimal place. Time begins when the anesthesia practitioner starts preparing the patient and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.

How is Medicare payment calculated?

The code has 7 base units. Medicare calculates anesthesia payment as (base units + time units) multiplied by the anesthesia conversion factor for the payment locality.

How does Medicare pay when an anesthesiologist medically directs a CRNA?

Medicare pays each practitioner 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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