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CPT code 49405: Visceral drainage, percutaneous catheter placement2026 Medicare rate & RVUs in Miami, FL

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 Miami, FL, Medicare pays $887.57 for 49405 in the office and $189.04 when it’s performed in a hospital or facility.

$887.57Office (non-facility)
$189.04Hospital or facility
+6.0%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 Miami, FL
  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 Miami, FL 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. Miami, FL pays $887.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

49405 in Miami, FL vs other payment areas
  1. Miami, FL · this page$887.57
  2. Fort Lauderdale, FL · Florida$858.04−$29.53
  3. Rest of Florida · Florida$814.24−$73.33
  4. Los Angeles, CA · California$965.21+$77.64
  5. Washington, DC area · District of Columbia$969.74+$82.17
  6. Chicago, IL · Illinois$860.24−$27.33
  7. Manhattan, NY · New York$966.58+$79.01

Other areas in Florida first, then benchmark localities. Bars start at $0.

Every other payment area

49405 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$941.60$226.96
AlabamaAlabama$744.93$157.78
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

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 Miami, FL 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

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 49405 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense20.76× 1.04121.6112
Malpractice0.42× 2.5291.0622
Total RVUs26.5733
Conversion factor× 33.4009

Office rate, Miami, FL$887.57

Office: (3.9 × 1 + 20.76 × 1.041 + 0.42 × 2.529) × $33.4009 = $887.57

Facility: (3.9 × 1 + 0.67 × 1.041 + 0.42 × 2.529) × $33.4009 = $189.04

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, Miami, FL
Same family
49406Catheter drainage, peritoneal or retroperitonealDrainage of a peritoneal or retroperitoneal collection rather than a visceral-organ collection.$886.88
49407Pelvic drainage, transvaginal or transrectalImage-guided collection drainage using a transvaginal or transrectal approach.$786.71
Used instead
49423Drain catheter exchange, fluoroscopic exchangeExchange of an existing drainage catheter rather than percutaneous catheter placement for a collection.$577.98

How 49405 has changed in Miami, FL

49405 · Office / nonfacility

$887.57

Effective 2026-10-01

The base rate is $25.90 higher than on 2025-10-01, moving from $861.67 to $887.57 (3.0%).

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

    $861.67changed to$887.57

    • 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
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $908.28changed to$861.67

    • 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

    $893.45changed to$908.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $948.35changed to$893.45

    • 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
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $986.64changed to$948.35

    • 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
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $991.05changed to$986.64

    • 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

    $946.99changed to$991.05

    • 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
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $902.63changed to$946.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 19.58 changed to 20.79
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $865.16changed to$902.63

    • 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

    $862.05changed to$865.16

    • 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
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $935.60changed to$862.05

    • 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
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $941.00changed to$935.60

    • 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

    $936.32changed to$941.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $939.88changed to$936.32

    • 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
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$939.88

    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$887.57$189.04RVU26D
2026-07-01$887.57$189.04RVU26C
2026-04-01$887.57$189.04RVU26B
2026-01-01$887.57$189.04RVU26A
2025-10-01$861.67$205.58RVU25D
2025-07-01$861.67$205.58RVU25C
2025-04-01$861.67$205.58RVU25B
2025-01-01$861.67$205.58RVU25A
2024-10-01$908.28$209.85RVU24D
2024-07-01$908.28$209.85RVU24C
2024-04-01$908.28$209.85RVU24B
2024-03-09$908.28$209.85RVU24AR
2024-01-01$893.45$206.43RVU24A
2023-10-01$948.35$213.72RVU23D
2023-07-01$948.35$213.72RVU23C
2023-04-01$948.35$213.72RVU23B
2023-01-01$948.35$213.72RVU23A
2022-10-01$986.64$216.64RVU22D
2022-07-01$986.64$216.64RVU22C
2022-04-01$986.64$216.64RVU22B
2022-01-01$986.64$216.64RVU22A
2021-10-01$991.05$217.88RVU21D
2021-07-01$991.05$217.88RVU21C
2021-04-01$991.05$217.88RVU21B
2021-01-01$991.05$217.88RVU21A
2020-10-01$946.99$227.53RVU20D
2020-07-01$946.99$227.53RVU20C
2020-04-01$946.99$227.53RVU20B
2020-01-01$946.99$227.53RVU20A
2019-10-01$902.63$227.33RVU19D
2019-07-01$902.63$227.33RVU19C
2019-04-01$902.63$227.33RVU19B
2019-01-01$902.63$227.33RVU19A
2018-10-01$865.16$226.53RVU18D
2018-07-01$865.16$226.53RVU18C
2018-04-01$865.16$226.53RVU18B
2018-01-01$865.16$226.53RVU18AR1
2017-10-01$862.05$227.85RVU17D
2017-07-01$862.05$227.85RVU17C
2017-04-01$862.05$227.85RVU17B
2017-01-01$862.05$227.85RVU17A
2016-10-01$935.60$241.37RVU16D
2016-07-01$935.60$241.37RVU16C
2016-04-01$935.60$241.37RVU16B
2016-01-01$935.60$241.37RVU16A
2015-10-01$941.00$247.24RVU15D
2015-07-01$941.00$247.24RVU15C
2015-04-01$936.32$246.01RVU15B
2015-01-01$936.32$246.01RVU15A
2014-10-01$939.88$244.63RVU14D
2014-07-01$939.88$244.63RVU14C
2014-04-01$939.88$244.63RVU14B
2014-01-01$939.88$244.63RVU14A
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 Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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 Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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