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CPT code 00940: Vaginal procedure anesthesia, other vaginal procedures2026 Medicare rate & RVUs

Anesthesia for vaginal procedures without a more specific anesthesia code, including procedures such as vaginal biopsy.

CMS RVU26DEffective Oct 1, 2026109 payment localities21.1K Medicare services in 2024

Medicare rate · 00940

Vaginal procedure anesthesia, other vaginal procedures

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 00940 →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 00940 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 00940 covers

Anesthesia professionals report 00940 for anesthesia during vaginal procedures that are not assigned a more specific anesthesia code, including vaginal biopsy. An anesthesiologists or CRNA provides anesthesia in settings such as an operating room or ambulatory surgery center, while the surgeon reports the operative procedure. The operative record should identify the procedure and site so the anesthesia service can be matched to the work performed.

Choose a more specific anesthesia code for vaginal hysterectomy, cervical cerclage, culdoscopy, or hysteroscopy or hysterosalpingography rather than 00940. The anesthesia record should identify the anesthesia service and document start and end times. Code 00940 has 3 base units. Medicare payment is (base units + time units) multiplied by the locality's anesthesia conversion factor, which varies by locality. Time is reported in minutes and converted to 15-minute units 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 00940 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

00940 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

00940 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
00940 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 00940 rate is calculated

Each of 00940’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 · 00940

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 00940

00940 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 · 00940

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00940 isn’t priced in this setting.

00940 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00940

    Vaginal procedure anesthesia, other vaginal procedures0 wRVU

    Not priced

  • 00944

    Vaginal hysterectomy, vaginal surgical route0 wRVU

    Not priced

  • 00948

    Cerclage anesthesia, vaginal cervical procedure0 wRVU

    Not priced

  • 00952

    Hysteroscopy anesthesia, hysteroscopy or tubal imaging0 wRVU

    Not priced

How to choose

00944Vaginal hysterectomyVaginal surgical route
00944 is for anesthesia during vaginal hysterectomy. Use 00940 for other vaginal procedures that lack a more specific anesthesia code.
00948Cerclage anesthesiaVaginal cervical procedure
00948 identifies anesthesia for cervical cerclage; 00940 is not the selection for that specifically classified procedure.
00952Hysteroscopy anesthesiaHysteroscopy or tubal imaging
00952 applies to hysteroscopy or hysterosalpingography. A vaginal procedure outside those services may fall under 00940 when no more specific code applies.

Codes related to 00940

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

Codes related to 00940
CodeHow it relatesNational office range
Same family
00942Vaginal and urethral anesthesia, colpotomy, repair, or open urethralA distinct anesthesia code for specified vaginal procedures.No office rate
00944Vaginal hysterectomy, vaginal surgical routeUse for anesthesia during vaginal hysterectomy.No office rate
00948Cerclage anesthesia, vaginal cervical procedureUse for anesthesia during cervical cerclage.No office rate
00950Culdoscopy anesthesia, vaginal route to pelvisSeparately identifies anesthesia for culdoscopy.No office rate
00952Hysteroscopy anesthesia, hysteroscopy or tubal imagingSeparately identifies anesthesia for hysteroscopy or hysterosalpingography.No office rate

00940 billing questions

When should 00940 be chosen instead of a neighboring vaginal anesthesia code?

Use 00940 for vaginal procedures without a more specific anesthesia code. Vaginal hysterectomy, cervical cerclage, culdoscopy, and hysteroscopy or hysterosalpingography have distinct neighboring codes.

Does 00940 cover the surgeon’s vaginal procedure?

No. The surgeon reports the operative procedure separately; 00940 represents the anesthesia service for that procedure.

How are anesthesia time units calculated for 00940?

Report anesthesia time in minutes. CMS converts it to 15-minute units, computed to one decimal place, and adds those units to the code’s 3 base units for payment.

What should the record support when 00940 is reported?

The operative record should identify the vaginal procedure and site. The anesthesia record should identify the anesthesia service and document its start and end times.

How does Medicare calculate payment for 00940?

Medicare multiplies the sum of the 3 base units and the time units 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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