CPT 00750
Priced using anesthesia methodology
00750 · PFS Q4 2026
Illustrative example
~$163.52
Formula (base_units + time_units) × anesthesia_cf Localis calculated this from CMS’s published inputs. Select an underlined value to see where it comes from. time_units = time_minutes / 15, rounded to one decimal place. The anesthesia conversion factor is CMS's published locality-adjusted value. Citations Supplies the RVUs and PFS status for this code and component. Q4 2026 · revision 2 Latest revision of this release Release period: October 1 – December 31, 2026 SHA-256: 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626 Supplies the geographic adjustment factors for this locality. Q4 2026 · revision 2 Latest revision of this release Release period: October 1 – December 31, 2026 SHA-256: 7850e2987d12e46930e49033f96829b5ae11f60dd1f19965329b38cf08b05264 Supplies the dollar conversion factor used in the formula. Q4 2026 · revision 2 Latest revision of this release Release period: October 1 – December 31, 2026 SHA-256: 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626 Q4 2026 · revision 2 Latest revision of this release Release period: October 1 – December 31, 2026 SHA-256: c4d61aa42106998615db595414cebb13f48d68484edf5fa339de9cb0f8abf8a8 Q1 2022 · revision 1 Latest revision of this release Release period: January 1 – March 31, 2022 SHA-256: ebbf7d42ecaf759c280f0b9fced5ea71dd16505a0563bb7c942cee068c797fde
Source
Record details
PPRRVU2026_Oct_nonQPP.csv
in
rvu26d-updated-08-26-2026.zip
(row 106)
Record details
GPCI2026.csv
in
rvu26d-updated-08-26-2026.zip
(row 99)
Record details
PPRRVU2026_Oct_nonQPP.csv
in
rvu26d-updated-08-26-2026.zip
(row 11)
Record details
ANES2026.csv
in
rvu26d-updated-08-26-2026.zip
(row 97)
Record details
Section 508 compliant version of CY_2022_Anesthesia_Base_Units_110921.txt
in
2022-anesthesia-base-units-cpt-code.zip
(row 90)
60-minute example case in Dallas, TX
Anesthesia has no single national rate—payment is (base units + time units) × the locality's anesthesia conversion factor. This example is before sequestration. Enter the service-location ZIP and case length for a local estimate.
Base units 4—set by CMS for this code and the same in every locality. One time unit is 15 minutes, rounded to one decimal, so a 60-minute case adds 4 time units.
CPT 00750 is an anesthesia code, so Medicare has no single national rate: payment is (base units + time units) × the locality's anesthesia conversion factor—for example, about $163.52 for a 60-minute case in Dallas, TX under the Q4 2026 release, before sequestration.
Amount evidence: base units, time units, and the locality conversion factor, shown in the estimate. The PFS row shows this code is priced as anesthesia.
Inspect PFS status evidence
- Code
- 00750
- Release
- Q4 2026, revision 2
- Result
- Priced using anesthesia methodology
Citations
-
Shows this code’s PFS status (J). Result: Priced using anesthesia methodology.
Physician relative value file (PPRRVU)Q4 2026 · revision 2
Latest revision of this release
Release period: October 1 – December 31, 2026
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
Record details
PPRRVU2026_Oct_nonQPP.csv in rvu26d-updated-08-26-2026.zip (row 106)- hcpcs (col 1)
- 00750
- modifier (col 2)
- blank
- status_code (col 4)
- J
SHA-256: 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626
Why is there no national PFS amount for 00750?
Its status indicator is J (anesthesia). Medicare prices this under the anesthesia formula—(base units + time units) × the locality anesthesia conversion factor—not the standard RVU formula. Choose a locality to see that factor.
Payment considerations Copy link
Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.
Other payment indicators (9)
Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.
Why would a Medicare claim for 00750 be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- 143 codes form NCCI pairs with 00750 carrying modifier indicator 0—no NCCI-associated modifier bypasses the edit, so billed together on the same date of service, a line of the pair denies. See billing together
- 162 codes pair with 00750 under modifier indicator 1—separately payable only when an NCCI-associated modifier (59, or a more specific XE, XS, XP, or XU) is clinically appropriate and the documentation supports a distinct service; without one, a line of the pair denies. See billing together
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
Can you bill it with another code? Copy link
Check a pair of codes Copy link
Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.
Billing together (NCCI edits) Copy link
NCCI Q4 2026Based on CMS's National Correct Coding Initiative (NCCI). A few examples appear here; use the complete edit page to check a specific pair.
Not separately payable with 00750 on the same date of service—no modifier bypasses the edit (modifier indicator 0)
Showing 3 of 143.
Separately payable with 00750 only when an NCCI-associated modifier is appropriate and documented (modifier indicator 1)
Showing 3 of 162.
Modifier 59 and the X modifiers are not a universal bypass—CMS expects the most specific applicable modifier, and which one that is depends on the pair and the documented circumstances.
How has it changed? Copy link
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Usage and related codes Copy link
How often 00750 is billed Copy link
Across Original Medicare in CY2024, 00750 ranked #2,623 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.
2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q4 2026 fee schedule above.
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Source & method
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The anesthesia estimate uses the base units, case length, and locality conversion factor shown beside it. The PFS file shows this code is priced as anesthesia. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
The citation names the release, so anyone can check it even after CMS publishes a newer one.
CPT 00750 National PFS baseline: No national PFS rate (Q4 2026; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/00750/2026/D