CPT code 49419: Peritoneal catheter, with subcutaneous port2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $391.85 for 49419 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49419 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 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.

How Puerto Rico compares for 49419

Across 109 of 109 payment localities, the facility rate for 49419 runs from $350.12 in Nebraska to $489.86 in Alaska. Puerto Rico pays $391.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49419 rates by state

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

See 49419 in every payment locality

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.

Payment rules and modifiers for 49419

49419 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 49419

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

How 49419 has changed in Puerto Rico

Price 49419 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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