CPT code 49406: Catheter drainage, peritoneal or retroperitoneal2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $827.71 for 49406 in the office and $157.36 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 49406 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 49406 covers

This service places a catheter through the skin into a fluid collection in the peritoneal or retroperitoneal space so the collection can be drained. Typical cases include image-guided drainage of an abdominal abscess, hematoma, or cyst. An interventional radiologist commonly performs the procedure in a hospital imaging suite or other procedural setting, using imaging to guide access and catheter position.

Select this code when the collection is peritoneal or retroperitoneal; collections in a visceral organ or another specified access route belong to different codes. The report should identify the collection’s location and nature, the imaging guidance and access used, and catheter placement and drainage. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued is paid in full and the others are subject to the standard 50% reduction. 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 South Dakota compares for 49406

Across 109 of 109 payment localities, the office rate for 49406 runs from $732.55 in Arkansas to $1,151.04 in San Benito County, CA. South Dakota pays $827.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49406 rates by state

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

See 49406 in every payment locality

How the 49406 rate is calculated

Each of 49406’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 49406

The CMS indicators that decide how 49406 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49406

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

How 49406 has changed in South Dakota

Price 49406 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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