CPT code 00916: Bleeding-control anesthesia, after transurethral resection2026 Medicare rate & RVUs in Michigan
Anesthesia for a transurethral procedure to control bleeding after resection, such as endoscopic treatment of a bleeding resection bed.
CMS doesn’t publish an office rate for 00916 in Michigan.
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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What 00916 covers
This service accompanies an endoscopic return through the urethra to manage bleeding after a transurethral resection. The urologist may inspect the bladder or resection bed, clear clots, and control bleeding endoscopically. An anesthesia practitioner provides the anesthetic for this hemostatic procedure, typically in a hospital or ambulatory surgery facility; the service is distinct from anesthesia for the original resection.
Choose 00916 when the procedure is performed to control bleeding after transurethral resection; 00912 and 00914 describe anesthesia for transurethral bladder tumor and prostate resections, respectively. The operative and anesthesia records should support the post-resection bleeding indication, the endoscopic intervention, and the anesthesia practitioner’s care and times. This code has 5 base units; Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. Time is reported in minutes and converted to units per 15 minutes to one decimal place, from preparation for anesthesia until 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 00916 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | Unavailable |
| Rest of Michigan | Unavailable | Unavailable |
How the 00916 rate is calculated
Each of 00916’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 · 00916
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 00916
00916 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 · 00916
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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00916 isn’t priced in this setting.
00916 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 00910Transurethral anesthesiaOther transurethral procedures
- 00910 is the general choice for a transurethral procedure not otherwise specified. Choose 00916 when the procedure specifically treats bleeding after transurethral resection.
- 00912Bladder tumor anesthesiaTransurethral resection
- 00912 applies when the transurethral procedure resects a bladder tumor. 00916 applies when the procedure is performed to control bleeding after a transurethral resection.
- 00914Prostate resection anesthesiaTransurethral approach
- 00914 applies to transurethral prostate resection. Use 00916 for a procedure whose purpose is controlling bleeding after a transurethral resection.
00916 billing questions
When should 00916 be chosen instead of 00912 or 00914?
Use 00916 for anesthesia during a transurethral procedure to control bleeding after a prior transurethral resection. Use 00912 for bladder tumor resection and 00914 for prostate resection when those are the procedures being performed.
What should the operative record show?
It should support that bleeding after a transurethral resection prompted the procedure and describe the endoscopic treatment performed, such as clot clearance or control of the bleeding site. The anesthesia record should show the practitioner’s care and anesthesia times.
How are anesthesia time units calculated for 00916?
Report anesthesia time in minutes; Medicare converts it to units per 15 minutes, computed to one decimal place. The interval begins with anesthesia preparation and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.
How is 00916 paid under Medicare?
The code has 5 base units. Medicare calculates payment as base units plus time units, multiplied by the anesthesia conversion factor for the payment locality.
How does Medicare handle medical direction for this service?
When an anesthesiologist medically directs a CRNA, Medicare pays each 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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