CPT code 49014: Pelvic re-exploration, trauma hemorrhage with packing2026 Medicare rate & RVUs in Virgin Islands, VI

In Virgin Islands, VI, Medicare pays $345.91 for 49014 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49014 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 49014 covers

A surgeon reopens a recent laparotomy and re-explores the pelvis to control hemorrhage from trauma, using pelvic packing as part of the procedure. This is generally an urgent hospital operating-room service, often performed during damage-control surgery when bleeding must be controlled before definitive treatment can be completed. The operative report should establish the traumatic indication, the recent laparotomy, the pelvic focus, and the packing performed.

Report this code for the trauma-related pelvic re-exploration and packing, not for an initial abdominal exploration or a general reopening without this specific service. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; 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 Virgin Islands, VI compares for 49014

Across 109 of 109 payment localities, the facility rate for 49014 runs from $302.71 in Wisconsin to $438.21 in Miami, FL. Virgin Islands, VI pays $345.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49014 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 49014 in every payment locality

How the 49014 rate is calculated

Each of 49014’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.

Payment rules and modifiers for 49014

The CMS indicators that decide how 49014 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49014

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

How 49014 has changed in Virgin Islands, VI

Price 49014 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

• Charlotte Amalie
• Charlotte Amalie East
• Charlotte Amalie West
• Christiansted
• Coral Bay
• Cruz Bay
• Frederiksted
• Frederiksted Southeast

Browse all communities in United States Virgin Islands

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