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CPT code 00906: Vulvectomy anesthesia, vulvar excision2026 Medicare rate & RVUs

Anesthesia practitioners report 00906 for anesthesia during partial or complete removal of vulvar tissue, including operations for vulvar lesions or malignancy.

CMS RVU26DEffective Oct 1, 2026109 payment localities4K Medicare services in 2024

Medicare rate · 00906

Vulvectomy anesthesia, vulvar excision

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 00906 →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 00906 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 00906 covers

00906 covers anesthesia for surgery that removes part or all of the vulva, commonly to treat a vulvar lesion or malignancy. A gynecologic surgeon typically performs the operation in an operating room; the anesthesiologist or CRNA reports the anesthesia service, separately from the surgeon’s procedure.

Choose 00906 for a vulvectomy rather than an operation on the vagina, anorectal region, or another perineal site. The operative report should identify the vulvar resection and its extent, and document any accompanying groin-node or adjacent-tissue work; the anesthesia record should support the anesthetic service and its timing. The code has 4 base units, and Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. CMS counts anesthesia time in minutes from preparation for anesthesia until the practitioner is no longer personally attending and the patient can safely be placed under postoperative care, converting minutes to 15-minute units to one decimal place; the conversion factor varies by locality.

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 00906 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

00906 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

00906 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
00906 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 00906 rate is calculated

Each of 00906’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 · 00906

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 00906

00906 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 · 00906

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00906 isn’t priced in this setting.

00906 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00906

    Vulvectomy anesthesia, vulvar excision0 wRVU

    Not priced

  • 00904

    Perineal anesthesia, radical procedures0 wRVU

    Not priced

  • 00940

    Vaginal procedure anesthesia, other vaginal procedures0 wRVU

    Not priced

  • 00902

    Anorectal anesthesia, anorectal procedures0 wRVU

    Not priced

How to choose

00904Perineal anesthesiaRadical procedures
00906 specifically covers anesthesia for vulvectomy. Use 00904 for a radical perineal procedure that is not a vulvectomy.
00940Vaginal procedure anesthesiaOther vaginal procedures
00940 is for vaginal procedures; 00906 is for removal of vulvar tissue.
00902Anorectal anesthesiaAnorectal procedures
00902 is for anorectal procedures. A vulvar operation belongs under 00906, not the anorectal anesthesia code.

Codes related to 00906

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

Codes related to 00906
CodeHow it relatesNational office range
Often billed with
56620Vulvectomy, simple, partial excisionSurgical code for partial simple vulvectomy; the anesthesia service may be reported with the operation.No office rate
56625Vulvectomy, complete, simple excisionSurgical code for complete simple vulvectomy; the anesthesia service may be reported with the operation.No office rate
56630Vulvectomy, partial, without lymphadenectomySurgical code for partial radical vulvectomy; the anesthesia service may be reported with the operation.No office rate
56631Radical vulvectomy, unilateral inguinofemoral nodesSurgical code for radical vulvectomy with bilateral inguinofemoral lymphadenectomy.No office rate

00906 billing questions

When should I choose 00906 instead of 00904?

Use 00906 when the operation is a vulvectomy. Code 00904 is for a radical perineal procedure other than a vulvectomy.

Is the vulvectomy itself reported with 00906?

The surgeon reports the vulvectomy procedure, while the anesthesia practitioner reports 00906 for the anesthesia service. The operative record should support the surgical service, and the anesthesia record should support the anesthesia service.

How are anesthesia time units calculated for 00906?

CMS counts anesthesia time in minutes and converts it to units of 15 minutes, calculated to one decimal place. The count begins when the practitioner starts preparing the patient for anesthesia and ends when personal attendance ends and the patient can safely be placed under postoperative care.

What documentation supports reporting 00906?

The operative report should identify the vulvectomy and describe its extent, including any accompanying groin-node or adjacent-tissue work. The anesthesia record should support the service and the start and end of anesthesia time.

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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