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CPT code 00950: Culdoscopy anesthesia, vaginal route to pelvis2026 Medicare rate & RVUs

Anesthesia for culdoscopy covers endoscopic access to the pelvic cavity through the posterior vaginal fornix for pelvic evaluation or intervention.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 00950

Culdoscopy anesthesia, vaginal route to pelvis

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 00950 →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 00950 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 00950 covers

Culdoscopy is an endoscopic approach into the pelvic cavity through the posterior vaginal fornix, used to inspect or access the cul-de-sac. An anesthesiologist or CRNA reports anesthesia for this procedure; the procedural clinician reports the operative service separately.

Select 00950 when the operative record documents culdoscopy, rather than a nonspecific vaginal procedure (00940) or hysteroscopy or hysterosalpingography (00952). The operative report should identify culdoscopy and its route, and the anesthesia record should support anesthesia time. This code has 5 base units; Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. Time is counted in minutes and converted to 15-minute units to one decimal place, from preparation until the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; conversion factors vary by locality.

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 00950 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

00950 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

00950 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
00950 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 00950 rate is calculated

Each of 00950’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 · 00950

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 00950

00950 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 · 00950

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00950 isn’t priced in this setting.

00950 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 00950

    Culdoscopy anesthesia, vaginal route to pelvis0 wRVU

    Not priced

  • 00940

    Vaginal procedure anesthesia, other vaginal procedures0 wRVU

    Not priced

  • 00942

    Vaginal and urethral anesthesia, colpotomy, repair, or open urethral0 wRVU

    Not priced

  • 00944

    Vaginal hysterectomy, vaginal surgical route0 wRVU

    Not priced

  • 00952

    Hysteroscopy anesthesia, hysteroscopy or tubal imaging0 wRVU

    Not priced

How to choose

00940Vaginal procedure anesthesiaOther vaginal procedures
00950 identifies culdoscopy through the vaginal fornix. Use 00940 for a vaginal procedure that does not fit a more specific anesthesia category.
00942Vaginal and urethral anesthesiaColpotomy, repair, or open urethral
00942 applies to a different specified vaginal procedure. Choose 00950 when the operative documentation identifies culdoscopy.
00944Vaginal hysterectomyVaginal surgical route
00944 is for vaginal hysterectomy. Choose 00950 for culdoscopy, not removal of the uterus through the vagina.
00952Hysteroscopy anesthesiaHysteroscopy or tubal imaging
00952 covers hysteroscopy or hysterosalpingography, which access the uterine cavity through the cervix; 00950 is for culdoscopic access through the vaginal fornix.

Codes related to 00950

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

Codes related to 00950
CodeHow it relatesNational office range
Used instead
00940Vaginal procedure anesthesia, other vaginal proceduresFor vaginal procedures without a more specifically identified anesthesia category.No office rate
Same family
00942Vaginal and urethral anesthesia, colpotomy, repair, or open urethralA sibling code for specified vaginal procedures other than culdoscopy.No office rate
00944Vaginal hysterectomy, vaginal surgical routeAnesthesia for vaginal hysterectomy, rather than culdoscopic access.No office rate
00948Cerclage anesthesia, vaginal cervical procedureAnesthesia for cervical cerclage, a distinct vaginal procedure.No office rate
00952Hysteroscopy anesthesia, hysteroscopy or tubal imagingAnesthesia for hysteroscopy or hysterosalpingography through the cervix.No office rate

00950 billing questions

When should I choose 00950 instead of 00940?

Use 00950 when the operative documentation identifies culdoscopy through the vaginal fornix. Code 00940 is for vaginal procedures without a more specific anesthesia category.

How is 00950 different from anesthesia for hysteroscopy?

Culdoscopy accesses the pelvic cavity through the vaginal fornix. Hysteroscopy or hysterosalpingography accesses the uterine cavity through the cervix and is represented by 00952.

What should the records show?

The operative report should identify culdoscopy and its vaginal route. The anesthesia record should document the anesthesia service and support the reported time.

How are Medicare anesthesia units calculated for 00950?

The code has 5 base units. Medicare adds time units, calculated from minutes in 15-minute units to one decimal place, then applies the anesthesia conversion factor for the payment locality.

Is the surgeon's culdoscopy included in the anesthesia claim?

No. The procedural clinician reports the culdoscopy separately; 00950 represents the anesthesia service for that procedure.

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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