CPT code 49419: Peritoneal catheter, with subcutaneous port2026 Medicare rate & RVUs in Missouri
Reports placement of a tunneled catheter with an implanted subcutaneous port for repeated access to the peritoneal cavity, commonly for intraperitoneal therapy.
CMS doesn’t publish an office rate for 49419 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 49419 covers
This service places a tunneled catheter into the peritoneal cavity and connects it to a port implanted beneath the skin. The port allows repeated access without leaving an external catheter segment. A surgeon, often working with a gynecologic oncology team, may place it to support repeated intraperitoneal chemotherapy. Placement is generally performed in an operative setting; the operative report should identify the catheter and port, their placement, and the clinical purpose.
Select this code for the tunneled intraperitoneal catheter-and-port configuration, rather than a percutaneous tunneled catheter without a port or a catheter placed for peritoneal dialysis. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay for an assistant at surgery; 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.
Where 49419 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $383.66 |
| Metropolitan St. Louis, MO | Unavailable | $386.39 |
| Rest of Missouri | Unavailable | $375.19 |
How the 49419 rate is calculated
Each of 49419’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 · 49419
RVUs × geographic indexes × conversion factor
Work6.90
6.90 RVUs× 1.000 GPCI
Practice expense3.23
3.23 RVUs× 1.000 GPCI
Malpractice1.59
1.59 RVUs× 1.000 GPCI
Adjusted RVUs
11.7200
Conversion factor
$33.4009
Medicare rate
$391.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 49419
49419 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49419
Peritoneal catheter, with subcutaneous port
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 49419
Peritoneal catheter, with subcutaneous port
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
49419 without 51 · national facility
$391.46
Peritoneal catheter, with subcutaneous port
49419-51 · Second procedure: 50%
$195.73
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%).
49419 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 49418Peritoneal catheterPercutaneous tunneled placement
- Choose 49419 when the tunneled intraperitoneal catheter is connected to a subcutaneous port. Code 49418 describes percutaneous placement without that port configuration.
- 49421Dialysis catheter placementOpen, tunneled peritoneal access
- Code 49421 describes open placement of a tunneled intraperitoneal catheter for dialysis. This code is for a catheter with a subcutaneous port, commonly used for repeated intraperitoneal therapy.
- 49422Catheter removalTunneled intraperitoneal
- Code 49422 is for removal of a tunneled intraperitoneal catheter. Use 49419 for placement of the catheter-and-port system, not its later removal.
49419 billing questions
How does this differ from 49418?
49419 describes a tunneled intraperitoneal catheter connected to a subcutaneous port. Code 49418 is for a percutaneous tunneled intraperitoneal catheter without that port configuration.
Is the port included in this service?
Yes. The port is part of the catheter-and-port placement described by this code; it is not a separate service merely because it is implanted beneath the skin.
What documentation supports reporting 49419?
The operative note should support placement of a tunneled intraperitoneal catheter with a subcutaneous port and state the clinical purpose, such as repeated intraperitoneal therapy.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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