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

CMS doesn’t publish an office rate for 00862 in Illinois.

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

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 in Illinois

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

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.

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.

00862 compared with similar codes

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.

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