CPT code 49418: Peritoneal catheter, percutaneous tunneled placement2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $924.35 for 49418 in the office and $167.12 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 49418 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 49418 covers

This code covers percutaneous placement of a tunneled catheter through the abdominal wall into the peritoneal cavity. It provides ongoing peritoneal access, commonly for drainage of recurrent ascites, including malignant ascites. Interventional radiologists often perform the procedure; surgeons may also place the catheter. The catheter is tunneled, but this service does not include placement of a subcutaneous port.

Select the code when the record supports a new catheter placed percutaneously and tunneled into the peritoneal cavity. Document the indication, access route, tunneling, and final catheter position; distinguish a catheter with a port or an exchange of an existing catheter. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; 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 Vermont compares for 49418

Across 109 of 109 payment localities, the office rate for 49418 runs from $820.21 in Arkansas to $1,298.74 in San Benito County, CA. Vermont pays $924.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49418 rates by state

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

See 49418 in every payment locality

How the 49418 rate is calculated

Each of 49418’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 49418

The CMS indicators that decide how 49418 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49418

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

How 49418 has changed in Vermont

Price 49418 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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