CPT code 00908: Prostatectomy anesthesia, perineal approach2026 Medicare rate & RVUs

Anesthesia for prostate removal through a perineal approach, reported when the operative procedure is a perineal prostatectomy rather than a transurethral procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities169 Medicare services in 2024

Medicare rate · 00908

Prostatectomy anesthesia, perineal approach

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 00908 →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 00908 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 00908 covers

This service is anesthesia for a prostatectomy performed through the perineum. An anesthesiologist or CRNA provides the anesthetic while the surgeon operates, typically in a hospital or other surgical facility. The perineal approach, rather than a transurethral route, places the case in this code’s prostatectomy category.

Choose 00908 for a perineal prostatectomy; a radical perineal procedure is distinguished under 00904, while transurethral prostate resection is reported with 00914 and other transurethral procedures not otherwise specified with 00910. The operative report should identify the approach and procedure, and the anesthesia record should document the service and start and end times. This code has 6 base units, and Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. Anesthesia time runs from preparation for anesthesia until the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; minutes convert to 15-minute time units computed to one decimal place.

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 00908 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

00908 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

00908 rates by state

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

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
00908 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 00908 rate is calculated

Each of 00908’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 · 00908

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 00908

00908 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 · 00908

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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00908 isn’t priced in this setting.

00908 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00908

    Prostatectomy anesthesia, perineal approach0 wRVU

    Not priced

  • 00904

    Perineal anesthesia, radical procedures0 wRVU

    Not priced

  • 00914

    Prostate resection anesthesia, transurethral approach0 wRVU

    Not priced

  • 00910

    Transurethral anesthesia, other transurethral procedures0 wRVU

    Not priced

How to choose

00904Perineal anesthesiaRadical procedures
00904 is for the radical perineal procedure category; 00908 is for perineal prostatectomy.
00914Prostate resection anesthesiaTransurethral approach
00914 applies to transurethral prostate resection. The perineal approach belongs under 00908.
00910Transurethral anesthesiaOther transurethral procedures
00910 covers other transurethral procedures not otherwise specified. It is not the code for a perineal prostatectomy.

00908 billing questions

When should 00908 be chosen instead of 00904?

Use 00908 for a perineal prostatectomy. Use 00904 for a procedure in the radical perineal category.

How does 00908 differ from anesthesia for transurethral prostate surgery?

00908 is for a perineal approach. Anesthesia for transurethral prostate resection is reported with 00914; 00910 is for other transurethral procedures not otherwise specified.

What should the records establish?

The operative report should identify the approach and procedure performed. The anesthesia record should support the anesthesia service and its start and end times.

How are anesthesia time units calculated for 00908?

Report anesthesia time in minutes; CMS converts it to 15-minute time units computed to one decimal place. For example, 38 minutes equals 2.5 time units.

What are the Medicare base units and payment calculation?

00908 has 6 base units. Medicare calculates payment as (base units + time units) multiplied by the anesthesia conversion factor for the payment locality.

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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