CPT code 49407: Pelvic drainage, transvaginal or transrectal2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $691.71 for 49407 in the office and $172.23 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 49407 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 49407 covers

This service places a drainage catheter into a pelvic fluid collection using a transvaginal or transrectal approach and image guidance. Interventional radiologists commonly perform it in a hospital or other facility for collections that can be accessed through the vagina or rectum, including selected postoperative pelvic abscesses. The catheter provides ongoing drainage; needle aspiration alone is not the defining service.

Choose this code when the documented access route is transvaginal or transrectal, rather than selecting a code for a visceral, peritoneal, or retroperitoneal collection. The report should identify the collection, its location, the access route, image guidance, and catheter placement. The code includes the image-guided drainage service. CMS assigns 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 the others are subject to the standard 50% reduction. CMS restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery billing for this service.

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 North Carolina compares for 49407

Across 109 of 109 payment localities, the office rate for 49407 runs from $646.57 in Arkansas to $1,001.16 in San Benito County, CA. North Carolina pays $691.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49407 rates by state

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

See 49407 in every payment locality

How the 49407 rate is calculated

Each of 49407’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 49407

The CMS indicators that decide how 49407 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49407

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

How 49407 has changed in North Carolina

Price 49407 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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