CPT code 00868: Renal transplant anesthesia, extraperitoneal procedure2026 Medicare rate & RVUs in Missouri
Anesthesia for kidney transplantation when the donor kidney is implanted in the recipient’s lower abdomen using an extraperitoneal approach.
CMS doesn’t publish an office rate for 00868 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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.
How the rate is built · 00868
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 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.
Place of service · 00868
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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00868 isn’t priced in this setting.
00868 compared with similar codes
Compare codes · National
4 codes, side by side
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.
00868 billing questions
When should 00868 be chosen instead of 00862?
Use 00868 for anesthesia for renal transplantation. Code 00862 is for other extraperitoneal renal procedures.
How does 00868 differ from 00860?
00868 identifies anesthesia for renal transplantation. Code 00860 is the broader choice for other extraperitoneal lower-abdominal procedures.
What should the anesthesia record show?
Document the transplant anesthesia service and the time from preparation for anesthesia through the point when the patient can safely be placed under postoperative care. The operative record should support that the procedure was a renal transplant and establish its approach.
How are units calculated for 00868?
The code has 10 base units. Medicare adds time units, calculated from reported anesthesia minutes in 15-minute units to one decimal place, then applies the locality’s anesthesia conversion factor.
Is 00868 the code for donor kidney removal?
No. It describes anesthesia for the recipient’s renal transplant procedure, not anesthesia for removing a kidney from a donor.
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
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