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CPT code 00865: Prostatectomy anesthesia, extraperitoneal lower abdomen2026 Medicare rate & RVUs

Anesthesia for prostatectomy through an extraperitoneal lower-abdominal approach, reported by the anesthesia professional for the operative anesthetic.

CMS RVU26DEffective Oct 1, 2026109 payment localities33.3K Medicare services in 2024

Medicare rate · 00865

Prostatectomy 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 00865 →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 00865 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 00865 covers

This service covers anesthesia for prostate removal through an extraperitoneal approach in the lower abdomen. A urologist typically performs the operation, often to treat prostate cancer, while an anesthesiologist or CRNA provides and reports the anesthetic in an operating room.

Choose this code for prostatectomy rather than the broader extraperitoneal lower-abdominal category or codes specific to renal surgery, total cystectomy, adrenalectomy, or renal transplantation. The operative report should identify the prostatectomy and extraperitoneal approach; the anesthesia record should support the service and document its start and end times. This code has 7 base units. Medicare 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, starting when the anesthesia practitioner begins preparing the patient 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 00865 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

00865 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

00865 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
00865 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 00865 rate is calculated

Each of 00865’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 · 00865

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 00865

00865 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 · 00865

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00865 isn’t priced in this setting.

00865 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00865

    Prostatectomy anesthesia, extraperitoneal lower abdomen0 wRVU

    Not priced

  • 00860

    Lower abdominal anesthesia, extraperitoneal, unspecified procedure0 wRVU

    Not priced

  • 00862

    Renal surgery anesthesia, extraperitoneal, lower abdomen0 wRVU

    Not priced

  • 00864

    Cystectomy anesthesia, extraperitoneal lower abdomen0 wRVU

    Not priced

How to choose

00860Lower abdominal anesthesiaExtraperitoneal, unspecified procedure
Choose 00865 when the operation is a prostatectomy. Code 00860 covers other extraperitoneal lower-abdominal procedures.
00862Renal surgery anesthesiaExtraperitoneal, lower abdomen
Code 00862 is for renal procedures in the extraperitoneal lower abdomen; 00865 is for prostatectomy.
00864Cystectomy anesthesiaExtraperitoneal lower abdomen
Code 00864 applies to total cystectomy, not prostatectomy.

Codes related to 00865

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

Codes related to 00865
CodeHow it relatesNational office range
Same family
00860Lower abdominal anesthesia, extraperitoneal, unspecified procedureBroader anesthesia category for other extraperitoneal lower-abdominal procedures.No office rate
00862Renal surgery anesthesia, extraperitoneal, lower abdomenSpecific to extraperitoneal lower-abdominal renal procedures.No office rate
00864Cystectomy anesthesia, extraperitoneal lower abdomenSpecific to extraperitoneal total cystectomy.No office rate
00866Adrenalectomy anesthesia, extraperitoneal lower abdomenSpecific to extraperitoneal lower-abdominal adrenalectomy.No office rate
00868Renal transplant anesthesia, extraperitoneal procedureSpecific to extraperitoneal renal transplantation.No office rate

00865 billing questions

When should this code be chosen instead of 00860?

Use 00865 for an extraperitoneal lower-abdominal prostatectomy. Code 00860 is the broader category for other extraperitoneal lower-abdominal procedures.

How does this differ from 00862 or 00864?

Code 00862 is for extraperitoneal lower-abdominal renal procedures, while 00864 is for total cystectomy. The operation documented in the operative report determines which procedure-specific anesthesia code fits.

What should the records establish?

The operative report should identify the prostatectomy and its extraperitoneal lower-abdominal approach. The anesthesia record should support the anesthesia service and document its start and end times.

How are Medicare anesthesia units calculated?

This code has 7 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute units to one decimal place, and applies the conversion factor for the payment locality.

How is medically directed anesthesia reported when a CRNA participates?

When an anesthesiologist medically directs a CRNA, Medicare pays each professional 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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