CPT code 49320: Diagnostic laparoscopy, abdomen and peritoneum2026 Medicare rate & RVUs in Arizona

In Arizona, Medicare pays $307.05 for 49320 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49320 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 49320 covers

A surgeon, commonly a general surgeon or gynecologic surgeon, uses a laparoscope to inspect the abdominal and peritoneal cavity when the cause of symptoms or an abnormal finding is uncertain. The examination may include the omentum and may involve brushing or washing to collect material for analysis. For example, a diagnostic survey may be performed to evaluate otherwise unexplained abdominal or pelvic pain. This code describes inspection, not a separately performed biopsy, aspiration, or therapeutic procedure.

Report the diagnostic laparoscopy when the examination itself is the service performed; routine inspection that is part of a more extensive laparoscopic operation is not separately reported as a separate procedure. The operative report should support the diagnostic purpose and describe the areas examined and findings. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted. Modifier 50 is inappropriate for this code.

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 Arizona compares for 49320

Across 109 of 109 payment localities, the facility rate for 49320 runs from $281.17 in Arkansas to $388.54 in Alaska. Arizona pays $307.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49320 rates by state

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

See 49320 in every payment locality

How the 49320 rate is calculated

Each of 49320’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 49320

49320 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 49320

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

How 49320 has changed in Arizona

Price 49320 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

• Aguila
• Ajo
• Ak Chin
• Ak-Chin Village
• Alamo Lake
• Ali Chuk
• Ali Chukson
• Ali Molina

Browse all communities in Arizona

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