CPT code 00942: Vaginal and urethral anesthesia, colpotomy, repair, or open urethral2026 Medicare rate & RVUs in Maryland
Anesthesia for vaginal operations such as colpotomy, vaginectomy, colporrhaphy, and open urethral procedures, rather than separately classified vaginal procedures.
CMS doesn’t publish an office rate for 00942 in Maryland.
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
On this page 9 sections
What 00942 covers
This code covers anesthesia for vaginal operations involving an incision into the vagina, removal of vaginal tissue, repair of the vaginal wall, or an open urethral approach. Gynecologists perform vaginal repairs and excisions, while urologists may perform covered open urethral procedures; an anesthesia practitioner reports the anesthesia service.
Use a more specific neighboring anesthesia code for vaginal hysterectomy, cervical cerclage, culdoscopy, or hysteroscopy and hysterosalpingography; 00940 is for vaginal procedures not otherwise classified. The operative report should establish the procedure and approach, and the anesthesia record should support the anesthesia service and its start and end times. This code has 4 base units. Medicare payment is (base units + time units) × the anesthesia conversion factor, which varies by locality. Anesthesia time is reported in minutes and converted to 15-minute units to one decimal place; it starts when the practitioner begins preparing the patient and ends when 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 00942 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | Unavailable |
| Rest of Maryland | Unavailable | Unavailable |
| Washington, DC area | Unavailable | Unavailable |
How the 00942 rate is calculated
Each of 00942’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 · 00942
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 00942
00942 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 · 00942
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
00942 isn’t priced in this setting.
00942 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 00940Vaginal procedure anesthesiaOther vaginal procedures
- 00940 is the general category for vaginal procedures not otherwise classified. Choose 00942 when the operation involves colpotomy, vaginectomy, colporrhaphy, or an open urethral approach.
- 00944Vaginal hysterectomyVaginal surgical route
- 00944 is for anesthesia during vaginal hysterectomy. Other covered vaginal operations, such as vaginal wall repair or excision, fall under 00942.
- 00948Cerclage anesthesiaVaginal cervical procedure
- 00948 is specific to cervical cerclage. It is not the general code for vaginal surgery covered by 00942.
- 00952Hysteroscopy anesthesiaHysteroscopy or tubal imaging
- 00952 applies to hysteroscopy and hysterosalpingography; 00942 applies to the specified vaginal operations and open urethral procedures.
00942 billing questions
When should 00942 be chosen over 00940?
Use 00942 for the specified vaginal operations, including colpotomy, vaginectomy, colporrhaphy, and open urethral procedures. Use 00940 when the vaginal procedure is not otherwise classified.
Does vaginal hysterectomy belong under 00942?
No. Anesthesia for vaginal hysterectomy is reported with 00944.
What should the records show?
The operative report should identify the procedure and surgical approach. The anesthesia record should support the anesthesia service and document the start and end times used to calculate time units.
How are time units calculated for 00942?
Report anesthesia time in minutes; Medicare converts it to 15-minute units, calculated to one decimal place. The recorded time runs from preparation for anesthesia through the point when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.
How many base units does 00942 have?
00942 has 4 base units. Medicare payment combines base units and time units and applies 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
Fee sheets · Coming soon
Put 00942 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist