CPT code 49013: Pelvic packing, preperitoneal, traumatic hemorrhage2026 Medicare rate & RVUs in Arkansas
Reports preperitoneal pelvic packing to control traumatic hemorrhage, typically during operative management of a hemodynamically unstable pelvic fracture.
In Arkansas, Medicare pays $365.73 for 49013 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 49013 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 49013 covers
This code describes operative packing through a preperitoneal approach to tamponade bleeding in the pelvis after trauma. A trauma or acute care surgeon typically performs it in the operating room for a patient with severe pelvic bleeding, often associated with an unstable pelvic fracture. The approach targets pelvic hemorrhage; it is distinct from opening the abdomen to investigate intra-abdominal injuries or from angiographic embolization.
Report the code when the documented procedure includes preperitoneal pelvic packing for traumatic hemorrhage. The operative report should support the traumatic indication, approach, and packing performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
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.
How Arkansas compares for 49013
Across 109 of 109 payment localities, the facility rate for 49013 runs from $357.24 in Wisconsin to $523.68 in Miami, FL. Arkansas pays $365.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$365.73
- Los Angeles, CA · California$409.00+$43.27
- Washington, DC area · District of Columbia$444.75+$79.02
- Miami, FL · Florida$523.68+$157.95
- Chicago, IL · Illinois$506.26+$140.53
- Manhattan, NY · New York$480.70+$114.97
- Alaska · Alaska$517.84+$152.11
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $370.48 |
| ArizonaArizona | — | $397.69 |
| Bakersfield, CACalifornia | — | $393.31 |
| Chico, CACalifornia | — | $387.47 |
| El Centro, CACalifornia | — | $387.83 |
| Fresno, CACalifornia | — | $387.47 |
| Hanford, CACalifornia | — | $387.47 |
| Madera, CACalifornia | — | $387.47 |
| Merced, CACalifornia | — | $387.47 |
| Modesto, CACalifornia | — | $387.47 |
| Napa, CACalifornia | — | $412.56 |
| Oxnard, CACalifornia | — | $402.43 |
| Redding, CACalifornia | — | $387.47 |
| Rest of CaliforniaCalifornia | — | $387.47 |
| Riverside, CACalifornia | — | $410.72 |
| Sacramento, CACalifornia | — | $397.05 |
| Salinas, CACalifornia | — | $395.42 |
| San Diego, CACalifornia | — | $398.02 |
| Marin County, CACalifornia | — | $423.76 |
| San Francisco, CACalifornia | — | $421.29 |
| San Benito County, CACalifornia | — | $435.52 |
| Santa Clara County, CACalifornia | — | $425.45 |
| San Luis Obispo, CACalifornia | — | $390.30 |
| Santa Cruz, CACalifornia | — | $396.39 |
| Santa Maria, CACalifornia | — | $395.07 |
| Santa Rosa, CACalifornia | — | $399.69 |
| Stockton, CACalifornia | — | $387.47 |
| Vallejo, CACalifornia | — | $409.00 |
| Visalia, CACalifornia | — | $387.47 |
| Yuba City, CACalifornia | — | $387.47 |
| ColoradoColorado | — | $401.76 |
| ConnecticutConnecticut | — | $435.89 |
| DelawareDelaware | — | $403.41 |
| Fort Lauderdale, FLFlorida | — | $469.58 |
| Rest of FloridaFlorida | — | $443.73 |
| Atlanta, GAGeorgia | — | $426.60 |
| Rest of GeorgiaGeorgia | — | $416.97 |
| Hawaii, Guam, HIHawaii | — | $388.66 |
| IowaIowa | — | $360.86 |
| IdahoIdaho | — | $366.70 |
| East St. Louis, ILIllinois | — | $478.39 |
| Rest of IllinoisIllinois | — | $445.24 |
| Suburban Chicago, ILIllinois | — | $469.80 |
| IndianaIndiana | — | $368.10 |
| KansasKansas | — | $367.90 |
| KentuckyKentucky | — | $396.70 |
| New Orleans, LALouisiana | — | $416.14 |
| Rest of LouisianaLouisiana | — | $399.55 |
| Metropolitan Boston, MAMassachusetts | — | $426.10 |
| Rest of MassachusettsMassachusetts | — | $403.29 |
| Baltimore area, MDMaryland | — | $436.49 |
| Rest of MarylandMaryland | — | $407.73 |
| Rest of MaineMaine | — | $377.50 |
| Southern Maine, MEMaine | — | $382.83 |
| Detroit, MIMichigan | — | $457.58 |
| Rest of MichiganMichigan | — | $413.79 |
| MinnesotaMinnesota | — | $361.05 |
| Metropolitan Kansas City, MOMissouri | — | $404.48 |
| Metropolitan St. Louis, MOMissouri | — | $407.15 |
| Rest of MissouriMissouri | — | $399.20 |
| MississippiMississippi | — | $382.10 |
| MontanaMontana | — | $410.02 |
| North CarolinaNorth Carolina | — | $379.59 |
| North DakotaNorth Dakota | — | $367.11 |
| NebraskaNebraska | — | $360.01 |
| New HampshireNew Hampshire | — | $403.80 |
| Northern New JerseyNew Jersey | — | $442.75 |
| Rest of New JerseyNew Jersey | — | $434.12 |
| New MexicoNew Mexico | — | $419.27 |
| NevadaNevada | — | $398.12 |
| NYC suburbs and Long Island, NYNew York | — | $502.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $443.87 |
| Queens, NYNew York | — | $471.58 |
| Rest of New YorkNew York | — | $385.35 |
| OhioOhio | — | $405.02 |
| OklahomaOklahoma | — | $386.96 |
| Portland, OROregon | — | $403.26 |
| Rest of OregonOregon | — | $388.37 |
| Metropolitan Philadelphia, PAPennsylvania | — | $431.74 |
| Rest of PennsylvaniaPennsylvania | — | $400.78 |
| Puerto RicoPuerto Rico | — | $409.80 |
| Rhode IslandRhode Island | — | $409.67 |
| South CarolinaSouth Carolina | — | $394.29 |
| South DakotaSouth Dakota | — | $362.04 |
| TennesseeTennessee | — | $370.62 |
| Austin, TXTexas | — | $406.26 |
| Beaumont, TXTexas | — | $399.09 |
| Brazoria, TXTexas | — | $395.80 |
| Dallas, TXTexas | — | $402.05 |
| Fort Worth, TXTexas | — | $402.34 |
| Galveston, TXTexas | — | $399.41 |
| Houston, TXTexas | — | $439.13 |
| Rest of TexasTexas | — | $399.78 |
| UtahUtah | — | $398.82 |
| VirginiaVirginia | — | $387.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $409.80 |
| VermontVermont | — | $373.70 |
| Rest of WashingtonWashington | — | $399.86 |
| King County, WAWashington | — | $425.43 |
| WisconsinWisconsin | — | $357.24 |
| West VirginiaWest Virginia | — | $432.78 |
| WyomingWyoming | — | $391.32 |
49013 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 49013 rate is calculated
Each of 49013’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 · 49013
RVUs × geographic indexes × conversion factor
Work8.14
8.14 RVUs× 1.000 GPCI
Practice expense1.97
1.97 RVUs× 1.000 GPCI
Malpractice2.17
2.17 RVUs× 1.000 GPCI
Adjusted RVUs
12.2800
Conversion factor
$33.4009
Medicare rate
$410.16
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,764
- Code
- 49013
- Physician work
- 8.14
- Practice expense
- 1.97
- Malpractice
- 2.17
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.14 | × 1.000 | 8.1400 |
| Practice expense | 1.97 | × 0.859 | 1.6922 |
| Malpractice | 2.17 | × 0.515 | 1.1176 |
| Total RVUs | 10.9498 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$365.73
Facility: (8.14 × 1 + 1.97 × 0.859 + 2.17 × 0.515) × $33.4009 = $365.73
Payment rules and modifiers for 49013
The CMS indicators that decide how 49013 is paid alongside other services.
CMS payment indicators · 49013
Pelvic packing, preperitoneal, traumatic hemorrhage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
49013 without 51 · national facility
$410.16
Pelvic packing, preperitoneal, traumatic hemorrhage
49013-51 · Second procedure: 50%
$205.08
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 49013 has changed in Arkansas
49013 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2020
RVU20A
No ratechanged toNo rate
Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $365.73 | RVU26D |
| 2026-07-01 | Not available in this setting | $365.73 | RVU26C |
| 2026-04-01 | Not available in this setting | $365.73 | RVU26B |
| 2026-01-01 | Not available in this setting | $365.73 | RVU26A |
| 2025-10-01 | Not available in this setting | $393.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $393.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $393.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $393.13 | RVU25A |
| 2024-10-01 | Not available in this setting | $402.62 | RVU24D |
| 2024-07-01 | Not available in this setting | $402.62 | RVU24C |
| 2024-04-01 | Not available in this setting | $402.62 | RVU24B |
| 2024-03-09 | Not available in this setting | $402.62 | RVU24AR |
| 2024-01-01 | Not available in this setting | $396.05 | RVU24A |
| 2023-10-01 | Not available in this setting | $406.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $406.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $406.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $406.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $414.07 | RVU22D |
| 2022-07-01 | Not available in this setting | $414.07 | RVU22C |
| 2022-04-01 | Not available in this setting | $414.07 | RVU22B |
| 2022-01-01 | Not available in this setting | $414.07 | RVU22A |
| 2021-10-01 | Not available in this setting | $401.75 | RVU21D |
| 2021-07-01 | Not available in this setting | $401.75 | RVU21C |
| 2021-04-01 | Not available in this setting | $401.75 | RVU21B |
| 2021-01-01 | Not available in this setting | $401.75 | RVU21A |
| 2020-10-01 | Not available in this setting | $419.07 | RVU20D |
| 2020-07-01 | Not available in this setting | $419.07 | RVU20C |
| 2020-04-01 | Not available in this setting | $419.07 | RVU20B |
| 2020-01-01 | Not available in this setting | $419.07 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
49013 billing questions
When should this code be chosen instead of 49000?
Use this code for preperitoneal pelvic packing to control traumatic pelvic hemorrhage. Code 49000 describes abdominal exploration; it is appropriate when a separate intra-abdominal injury requires exploration.
How does 49014 differ?
Code 49014 describes re-exploration of a pelvic wound, including removal of packing when performed. It is for a subsequent re-exploration, not the initial packing reported with 49013.
Can modifier 50 be used?
No. The anatomy and procedure make bilateral adjustment inappropriate.
Is an assistant surgeon payable?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are also not permitted.
How does the multiple-procedure reduction affect payment?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
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
Show the CMS file lines behind this rate
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