CPT code 00862: Renal surgery anesthesia, extraperitoneal, lower abdomen2026 Medicare rate & RVUs in Oregon
Anesthesia for extraperitoneal renal surgery in the lower abdomen, including donor nephrectomy and procedures involving the upper third of the ureter.
CMS doesn’t publish an office rate for 00862 in Oregon.
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
On this page 9 sections
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 Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
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
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
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.
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
Fee sheets · Coming soon
Put 00862 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist