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CPT code 49405: Visceral drainage, percutaneous catheter placement2026 Medicare rate & RVUs in Washington, DC area

Reports image-guided percutaneous catheter drainage of a collection within a visceral organ, such as an abscess or cyst, in the peritoneal or retroperitoneal region.

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In Washington, DC area, Medicare pays $969.74 for 49405 in the office and $179.27 when it’s performed in a hospital or facility.

$969.74Office (non-facility)
$179.27Hospital or facility
+15.8%vs the national office rate ($837.69)

Check a contract rate as a % of Medicare · 49405 nationwide

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

We’ll open 49405 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 49405 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 49405 covers

A physician, commonly an interventional radiologist, uses imaging to guide a catheter through the skin into a fluid collection within a visceral organ and establish drainage. A typical example is catheter drainage of a liver abscess. The procedure is generally performed in a hospital or other imaging suite, with the catheter left in place to drain the collection as clinically indicated.

Select this service when the collection is within a visceral structure; a collection located in the peritoneal or retroperitoneal space is distinguished by the target anatomy. Document the collection’s location, the percutaneous approach, image guidance, and catheter placement. Imaging guidance is included in the drainage service. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, 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 Washington, DC area compares for 49405

Across 109 of 109 payment localities, the office rate for 49405 runs from $733.12 in Arkansas to $1,152.00 in San Benito County, CA. Washington, DC area pays $969.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

49405 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$969.74
  2. Los Angeles, CA · California$965.21−$4.53
  3. Miami, FL · Florida$887.57−$82.17
  4. Chicago, IL · Illinois$860.24−$109.50
  5. Manhattan, NY · New York$966.58−$3.16
  6. Alaska · Alaska$941.60−$28.14
  7. Alabama · Alabama$744.93−$224.81

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

49405 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$733.12$156.71
ArizonaArizona$814.18$163.96
Bakersfield, CACalifornia$901.25$165.81
Chico, CACalifornia$899.97$164.52
El Centro, CACalifornia$900.04$164.59
Fresno, CACalifornia$899.97$164.52
Hanford, CACalifornia$899.97$164.52
Madera, CACalifornia$899.97$164.52

49405 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.

$733.12

$1,025.99

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
49405 office rate range by state
State / territoryOffice rate rangeLocalities
AK$941.601
AL$744.931
AR$733.121
AZ$814.181
CA$899.97–$1,152.0029
CO$880.561
CT$896.641
DC$969.741
DE$828.611
FL$814.24–$887.573
GA$765.50–$852.002
GU$926.781
HI$926.781
IA$770.301
ID$774.831
IL$785.27–$868.164
IN$779.871
KS$764.171
KY$759.531
LA$757.36–$798.692
MA$873.68–$976.012
MD$846.17–$969.743
ME$776.92–$826.282
MI$779.18–$823.052
MN$847.931
MO$741.64–$804.443
MS$737.651
MT$837.671
NC$786.171
ND$829.361
NE$775.581
NH$864.371
NJ$908.06–$957.802
NM$782.961
NV$836.051
NY$798.86–$989.115
OH$777.481
OK$760.371
OR$830.75–$913.162
PA$780.06–$871.182
PR$845.111
RI$861.541
SC$782.891
SD$828.381
TN$768.101
TX$774.29–$876.578
UT$794.661
VA$821.78–$969.742
VI$845.111
VT$823.831
WA$872.79–$999.042
WI$798.861
WV$752.911
WY$834.051

See 49405 in every payment locality

How the 49405 rate is calculated

Each of 49405’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 · 49405

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.90

3.90 RVUs× 1.000 GPCI

Practice expense20.76

20.76 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

25.0800

Conversion factor

$33.4009

Medicare rate

$837.69

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,794

Code
49405
Physician work
3.90
Practice expense
20.76
Malpractice
0.42

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 49405 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0544.1106
Practice expense20.76× 1.17824.4553
Malpractice0.42× 1.1130.4675
Total RVUs29.0333
Conversion factor× 33.4009

Office rate, Washington, DC area$969.74

Office: (3.9 × 1.054 + 20.76 × 1.178 + 0.42 × 1.113) × $33.4009 = $969.74

Facility: (3.9 × 1.054 + 0.67 × 1.178 + 0.42 × 1.113) × $33.4009 = $179.27

Open 49405 in the RVU calculator

Payment rules and modifiers for 49405

The CMS indicators that decide how 49405 is paid alongside other services.

CMS payment indicators · 49405

Visceral drainage, percutaneous catheter placement

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

49405 without 51 · national office

$837.69

Visceral drainage, percutaneous catheter placement

49405-51 · Second procedure: 50%

$418.85

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%).

When to use modifier 51

Codes related to 49405

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

Codes related to 49405
CodeHow it relatesOffice range, Washington, DC area
Same family
49406Catheter drainage, peritoneal or retroperitonealDrainage of a peritoneal or retroperitoneal collection rather than a visceral-organ collection.$968.95
49407Pelvic drainage, transvaginal or transrectalImage-guided collection drainage using a transvaginal or transrectal approach.$849.72
Used instead
49423Drain catheter exchange, fluoroscopic exchangeExchange of an existing drainage catheter rather than percutaneous catheter placement for a collection.$641.02

How 49405 has changed in Washington, DC area

49405 · Office / nonfacility

$969.74

Effective 2026-10-01

The base rate is $5.47 higher than on 2025-10-01, moving from $964.27 to $969.74 (0.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $964.27changed to$969.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.00 changed to 3.90
    • Practice expense RVU 21.07 changed to 20.76
    • Malpractice RVU 0.40 changed to 0.42
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1017.32changed to$964.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 21.70 changed to 21.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1000.72changed to$1017.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1082.56changed to$1000.72

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 22.45 changed to 21.70
    • Malpractice RVU 0.38 changed to 0.40
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $1147.92changed to$1082.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 23.06 changed to 22.45
    • Malpractice RVU 0.35 changed to 0.38
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1153.54changed to$1147.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 22.98 changed to 23.06
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1083.68changed to$1153.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 20.79 changed to 22.98
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1016.85changed to$1083.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 19.58 changed to 20.79
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $973.64changed to$1016.85

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 18.62 changed to 19.58
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $969.05changed to$973.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 18.56 changed to 18.62
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1052.28changed to$969.05

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.25 changed to 4.00
    • Practice expense RVU 20.29 changed to 18.56
    • Malpractice RVU 0.37 changed to 0.35
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1054.94changed to$1052.28

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 20.20 changed to 20.29
    • Malpractice RVU 0.43 changed to 0.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1049.69changed to$1054.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1042.18changed to$1049.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 20.12 changed to 20.20
    • Malpractice RVU 0.37 changed to 0.43
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$1042.18

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$969.74$179.27RVU26D
2026-07-01$969.74$179.27RVU26C
2026-04-01$969.74$179.27RVU26B
2026-01-01$969.74$179.27RVU26A
2025-10-01$964.27$202.77RVU25D
2025-07-01$964.27$202.77RVU25C
2025-04-01$964.27$202.77RVU25B
2025-01-01$964.27$202.77RVU25A
2024-10-01$1,017.32$206.68RVU24D
2024-07-01$1,017.32$206.68RVU24C
2024-04-01$1,017.32$206.68RVU24B
2024-03-09$1,017.32$206.68RVU24AR
2024-01-01$1,000.72$203.31RVU24A
2023-10-01$1,082.56$212.47RVU23D
2023-07-01$1,082.56$212.47RVU23C
2023-04-01$1,082.56$212.47RVU23B
2023-01-01$1,082.56$212.47RVU23A
2022-10-01$1,147.92$217.61RVU22D
2022-07-01$1,147.92$217.61RVU22C
2022-04-01$1,147.92$217.61RVU22B
2022-01-01$1,147.92$217.61RVU22A
2021-10-01$1,153.54$219.39RVU21D
2021-07-01$1,153.54$219.39RVU21C
2021-04-01$1,153.54$219.39RVU21B
2021-01-01$1,153.54$219.39RVU21A
2020-10-01$1,083.68$227.49RVU20D
2020-07-01$1,083.68$227.49RVU20C
2020-04-01$1,083.68$227.49RVU20B
2020-01-01$1,083.68$227.49RVU20A
2019-10-01$1,016.85$226.04RVU19D
2019-07-01$1,016.85$226.04RVU19C
2019-04-01$1,016.85$226.04RVU19B
2019-01-01$1,016.85$226.04RVU19A
2018-10-01$973.64$225.78RVU18D
2018-07-01$973.64$225.78RVU18C
2018-04-01$973.64$225.78RVU18B
2018-01-01$973.64$225.78RVU18AR1
2017-10-01$969.05$227.82RVU17D
2017-07-01$969.05$227.82RVU17C
2017-04-01$969.05$227.82RVU17B
2017-01-01$969.05$227.82RVU17A
2016-10-01$1,052.28$242.46RVU16D
2016-07-01$1,052.28$242.46RVU16C
2016-04-01$1,052.28$242.46RVU16B
2016-01-01$1,052.28$242.46RVU16A
2015-10-01$1,054.94$245.67RVU15D
2015-07-01$1,054.94$245.67RVU15C
2015-04-01$1,049.69$244.44RVU15B
2015-01-01$1,049.69$244.44RVU15A
2014-10-01$1,042.18$241.71RVU14D
2014-07-01$1,042.18$241.71RVU14C
2014-04-01$1,042.18$241.71RVU14B
2014-01-01$1,042.18$241.71RVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 49405 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

49405 billing questions

How is this code distinguished from 49406?

Use 49405 for a collection within a visceral organ. Code 49406 is for a peritoneal or retroperitoneal collection rather than a collection within a visceral structure.

Is imaging guidance separately reported?

No. Imaging guidance is included in this drainage service.

What documentation supports code selection?

Document the collection’s anatomic location, percutaneous access, use of imaging guidance, and catheter placement. The record should make clear that the target is within a visceral organ.

Does the service have a global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure 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
RVUs for 49405PPRRVU2026_Oct_nonQPP.csv, line 5,794 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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