FeeBase
Log inGet started
Menu

CPT code 00864: Cystectomy anesthesia, extraperitoneal lower abdomen2026 Medicare rate & RVUs

Anesthesia for total cystectomy through an extraperitoneal lower-abdominal approach is reported when the anesthetized operation includes total bladder removal.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.1K Medicare services in 2024

Medicare rate · 00864

Cystectomy anesthesia, extraperitoneal lower abdomen

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 00864 →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 00864 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 00864 covers

This service covers anesthesia for total removal of the urinary bladder through an extraperitoneal lower-abdominal approach. An anesthesiologist or CRNA typically provides and reports it in a hospital operating room for cystectomy. Urinary diversion may form part of the operative plan.

Choose this code for total cystectomy rather than anesthesia for renal procedures, prostatectomy, or an unspecified extraperitoneal lower-abdominal procedure. The operative report should establish total cystectomy and document the approach; the anesthesia record supports the anesthesia service and reported time. Medicare payment is (8 base units + time units) × the locality’s anesthesia conversion factor. Time is reported in minutes, beginning when the anesthesia practitioner starts preparing the patient and ending when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; CMS converts minutes to 15-minute units to one decimal place, and the conversion factor varies 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 00864 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

00864 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

00864 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
00864 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 00864 rate is calculated

Each of 00864’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 · 00864

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 00864

00864 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 · 00864

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00864 isn’t priced in this setting.

00864 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 00864

    Cystectomy anesthesia, extraperitoneal lower abdomen0 wRVU

    Not priced

  • 00860

    Lower abdominal anesthesia, extraperitoneal, unspecified procedure0 wRVU

    Not priced

  • 00862

    Renal surgery anesthesia, extraperitoneal, lower abdomen0 wRVU

    Not priced

  • 00865

    Prostatectomy anesthesia, extraperitoneal lower abdomen0 wRVU

    Not priced

  • 00870

    Cystolithotomy anesthesia, extraperitoneal approach0 wRVU

    Not priced

How to choose

00860Lower abdominal anesthesiaExtraperitoneal, unspecified procedure
00864 identifies anesthesia for total cystectomy. Use 00860 for an extraperitoneal lower-abdominal procedure that is not otherwise specified.
00862Renal surgery anesthesiaExtraperitoneal, lower abdomen
00862 is for extraperitoneal lower-abdominal renal procedures; 00864 is the specific choice for total cystectomy.
00865Prostatectomy anesthesiaExtraperitoneal lower abdomen
00865 is for prostatectomy, while 00864 is for total bladder removal.
00870Cystolithotomy anesthesiaExtraperitoneal approach
00870 is for bladder-stone surgery; 00864 is for total cystectomy, not stone removal.

Codes related to 00864

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

Codes related to 00864
CodeHow it relatesNational office range
Same family
00860Lower abdominal anesthesia, extraperitoneal, unspecified procedureGeneral extraperitoneal lower-abdominal procedure category when no more specific procedure applies.No office rate
00862Renal surgery anesthesia, extraperitoneal, lower abdomenSame lower-abdominal extraperitoneal family, specified for renal procedures.No office rate
00865Prostatectomy anesthesia, extraperitoneal lower abdomenSame family, specified for prostatectomy.No office rate
00866Adrenalectomy anesthesia, extraperitoneal lower abdomenSame family, specified for adrenalectomy.No office rate
00868Renal transplant anesthesia, extraperitoneal procedureSame family, specified for renal transplantation.No office rate
00870Cystolithotomy anesthesia, extraperitoneal approachExtraperitoneal cystolithotomy, rather than total cystectomy.No office rate

00864 billing questions

When should this code be chosen instead of 00860?

Use 00864 when the anesthetized procedure is total cystectomy. Code 00860 is for an extraperitoneal lower-abdominal procedure not otherwise specified.

Does an associated urinary diversion change the code selection?

The defining procedure for 00864 is total cystectomy. Document any urinary diversion performed as part of the operative plan.

What should the operative and anesthesia records show?

The operative report should identify total bladder removal and the surgical approach. The anesthesia record should support the anesthesia service and the minutes reported.

How are anesthesia units calculated for 00864?

The code has 8 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute increments to one decimal place, then applies the locality’s anesthesia conversion factor.

Is 00864 for partial bladder removal or bladder-stone surgery?

No. It is for total cystectomy; anesthesia for bladder-stone removal is represented by 00870.

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

Did this answer your question about what 00864 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 00864 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist