CPT code 00868: Renal transplant anesthesia, extraperitoneal procedure2026 Medicare rate & RVUs

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

What 00868 covers

This code covers anesthesia for renal transplantation, typically when a donor kidney is placed in the recipient’s lower abdomen, often in the iliac fossa, outside the peritoneal cavity. An anesthesiologist or CRNA reports the anesthesia service for the transplant operation, generally performed in a hospital operating room.

Choose 00868 for the transplant procedure rather than 00862 for other extraperitoneal renal procedures or 00860 for other extraperitoneal lower-abdominal operations. The anesthesia record should identify the transplant case and document the anesthesia start and end times; the operative report establishes the procedure and approach. Medicare uses 10 base units plus time units, multiplied by the locality’s anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units to one decimal place; it begins with anesthesia preparation and ends when personal attendance is no longer needed 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 00868 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

00868 rates by state

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

How the 00868 rate is calculated

Each of 00868’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 00868

00868 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.

00868 compared with similar codes

How to choose

00862Renal surgery anesthesiaExtraperitoneal, lower abdomen

Choose 00868 for anesthesia for a renal transplant. Use 00862 for other extraperitoneal renal procedures.

00860Lower abdominal anesthesiaExtraperitoneal, unspecified procedure

00868 is specific to renal transplantation; 00860 covers other extraperitoneal lower-abdominal procedures.

00840Intraperitoneal anesthesiaLower abdomen, other procedures

00868 is for an extraperitoneal renal transplant. Code 00840 applies to intraperitoneal procedures in the lower abdomen.

Codes related to 00868

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