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

CMS doesn’t publish an office rate for 00908 in Texas.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

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 in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

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.

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.

00908 compared with similar codes

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.

Codes related to 00908

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

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