CPT code 00902: Anorectal anesthesia, anorectal procedures2026 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 00902 covers

Typical cases include operative treatment of hemorrhoids, anal fissures, and anal fistulas. An anesthesiologist or CRNA reports the anesthesia service for surgery involving the anus or rectum.

Select 00902 for anorectal operations rather than radical perineal procedures (00904) or transurethral procedures (the applicable code in that group). The operative report should identify the anorectal procedure and site; the anesthesia record should support the practitioner’s care and anesthesia start and end times. The code has 5 base units. Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. Anesthesia time is reported in minutes and converted to 15-minute units to one decimal place. Time starts when the practitioner begins preparing the patient for anesthesia and ends 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 00902 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

00902 rates by state

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

How the 00902 rate is calculated

Each of 00902’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 00902

00902 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.

00902 compared with similar codes

How to choose

00904Perineal anesthesiaRadical procedures

00902 applies to anorectal operations. Use 00904 for anesthesia for a radical perineal procedure.

00908Prostatectomy anesthesiaPerineal approach

00902 covers surgery on the anus or rectum; 00908 applies to perineal prostatectomy.

00910Transurethral anesthesiaOther transurethral procedures

00910 is for transurethral procedures not otherwise specified. It is not the code for an operation on the anus or rectum.

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