CPT code 00902: Anorectal anesthesia, anorectal procedures2026 Medicare rate & RVUs in Guam
Anesthesia for operations involving the anus and rectum, including surgery for hemorrhoids, anal fistulas, fissures, and other anorectal conditions.
CMS doesn’t publish an office rate for 00902 in Guam.
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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On this page 8 sections
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.
00902 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | Unavailable |
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.
How the rate is built · 00902
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 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.
Place of service · 00902
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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00902 isn’t priced in this setting.
00902 compared with similar codes
Compare codes · National
4 codes, side by side
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.
00902 billing questions
When should I choose 00902 instead of 00904?
Use 00902 for anesthesia for anorectal surgery, such as procedures involving the anus or rectum. Code 00904 is for anesthesia for radical perineal procedures.
Does 00902 cover transurethral surgery?
No. Use the applicable transurethral anesthesia code for transurethral surgery. Code 00910 is for transurethral procedures not otherwise specified.
How are anesthesia units calculated for 00902?
The code has 5 base units. Medicare adds time units to the base units and multiplies the total by the anesthesia conversion factor for the payment locality.
What times should the anesthesia record support?
Record anesthesia time in minutes, beginning when the practitioner starts preparing the patient for anesthesia and ending when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.
What should the operative and anesthesia records identify?
The operative report should support that the operation involved the anus or rectum and identify the procedure and site. The anesthesia record should support the practitioner’s care and anesthesia time.
How does Medicare handle medically directed anesthesia?
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
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