CPT code 49429: Shunt removal, peritoneovenous shunt2026 Medicare rate & RVUs in New Mexico
Removal of an existing peritoneovenous shunt, commonly performed when a shunt used to manage refractory ascites must be taken out.
In New Mexico, Medicare pays $436.98 for 49429 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 49429 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 49429 covers
This service removes a peritoneovenous shunt that carries fluid from the abdominal cavity into the venous circulation. It may be performed when the device is no longer needed or requires removal; the operative note should identify the shunt and document the removal performed. A surgeon typically carries out the procedure in a hospital operating room or another surgical setting. It is distinct from simply closing off the shunt while leaving it in place.
Report this code for removal, not for shunt insertion, revision, or ligation alone. Documentation should support that the shunt was removed and describe the work performed. Medicare assigns a 10-day global period, including related postoperative visits during that period. 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 50% reduction. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service; 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 New Mexico compares for 49429
Across 109 of 109 payment localities, the facility rate for 49429 runs from $384.35 in Wisconsin to $538.85 in Miami, FL. New Mexico pays $436.98. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$436.98
- Los Angeles, CA · California$446.05+$9.07
- Washington, DC area · District of Columbia$477.66+$40.68
- Miami, FL · Florida$538.85+$101.87
- Chicago, IL · Illinois$520.79+$83.81
- Manhattan, NY · New York$508.69+$71.71
- Alaska · Alaska$534.82+$97.84
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $390.47 |
| ArkansasArkansas | — | $385.13 |
| ArizonaArizona | — | $421.26 |
| Bakersfield, CACalifornia | — | $426.06 |
| Chico, CACalifornia | — | $420.84 |
| El Centro, CACalifornia | — | $421.17 |
| Fresno, CACalifornia | — | $420.84 |
| Hanford, CACalifornia | — | $420.84 |
| Madera, CACalifornia | — | $420.84 |
| Merced, CACalifornia | — | $420.84 |
| Modesto, CACalifornia | — | $420.84 |
| Napa, CACalifornia | — | $458.50 |
| Oxnard, CACalifornia | — | $440.12 |
| Redding, CACalifornia | — | $420.84 |
| Rest of CaliforniaCalifornia | — | $420.84 |
| Riverside, CACalifornia | — | $441.63 |
| Sacramento, CACalifornia | — | $433.99 |
| Salinas, CACalifornia | — | $432.27 |
| San Diego, CACalifornia | — | $437.14 |
| Marin County, CACalifornia | — | $474.81 |
| San Francisco, CACalifornia | — | $472.60 |
| San Benito County, CACalifornia | — | $487.51 |
| Santa Clara County, CACalifornia | — | $478.51 |
| San Luis Obispo, CACalifornia | — | $426.33 |
| Santa Cruz, CACalifornia | — | $437.00 |
| Santa Maria, CACalifornia | — | $432.44 |
| Santa Rosa, CACalifornia | — | $440.84 |
| Stockton, CACalifornia | — | $420.84 |
| Vallejo, CACalifornia | — | $455.32 |
| Visalia, CACalifornia | — | $420.84 |
| Yuba City, CACalifornia | — | $420.84 |
| ColoradoColorado | — | $431.43 |
| ConnecticutConnecticut | — | $462.82 |
| DelawareDelaware | — | $427.68 |
| Fort Lauderdale, FLFlorida | — | $488.56 |
| Rest of FloridaFlorida | — | $461.52 |
| Atlanta, GAGeorgia | — | $450.34 |
| Rest of GeorgiaGeorgia | — | $433.21 |
| Hawaii, Guam, HIHawaii | — | $424.75 |
| IowaIowa | — | $384.63 |
| IdahoIdaho | — | $390.19 |
| East St. Louis, ILIllinois | — | $490.04 |
| Rest of IllinoisIllinois | — | $459.93 |
| Suburban Chicago, ILIllinois | — | $489.71 |
| IndianaIndiana | — | $391.93 |
| KansasKansas | — | $390.16 |
| KentuckyKentucky | — | $414.88 |
| New Orleans, LALouisiana | — | $435.83 |
| Rest of LouisianaLouisiana | — | $417.15 |
| Metropolitan Boston, MAMassachusetts | — | $462.10 |
| Rest of MassachusettsMassachusetts | — | $432.03 |
| Baltimore area, MDMaryland | — | $463.09 |
| Rest of MarylandMaryland | — | $433.18 |
| Rest of MaineMaine | — | $399.84 |
| Southern Maine, MEMaine | — | $409.49 |
| Detroit, MIMichigan | — | $474.53 |
| Rest of MichiganMichigan | — | $431.80 |
| MinnesotaMinnesota | — | $392.63 |
| Metropolitan Kansas City, MOMissouri | — | $425.27 |
| Metropolitan St. Louis, MOMissouri | — | $428.55 |
| Rest of MissouriMissouri | — | $415.25 |
| MississippiMississippi | — | $399.90 |
| MontanaMontana | — | $434.42 |
| North CarolinaNorth Carolina | — | $402.61 |
| North DakotaNorth Dakota | — | $396.06 |
| NebraskaNebraska | — | $384.42 |
| New HampshireNew Hampshire | — | $431.68 |
| Northern New JerseyNew Jersey | — | $474.62 |
| Rest of New JerseyNew Jersey | — | $462.26 |
| NevadaNevada | — | $423.85 |
| NYC suburbs and Long Island, NYNew York | — | $529.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $471.17 |
| Queens, NYNew York | — | $501.91 |
| Rest of New YorkNew York | — | $408.92 |
| OhioOhio | — | $423.96 |
| OklahomaOklahoma | — | $406.44 |
| Portland, OROregon | — | $435.99 |
| Rest of OregonOregon | — | $414.79 |
| Metropolitan Philadelphia, PAPennsylvania | — | $456.64 |
| Rest of PennsylvaniaPennsylvania | — | $420.52 |
| Puerto RicoPuerto Rico | — | $434.98 |
| Rhode IslandRhode Island | — | $436.36 |
| South CarolinaSouth Carolina | — | $415.13 |
| South DakotaSouth Dakota | — | $391.52 |
| TennesseeTennessee | — | $392.93 |
| Austin, TXTexas | — | $435.04 |
| Beaumont, TXTexas | — | $418.46 |
| Brazoria, TXTexas | — | $421.08 |
| Dallas, TXTexas | — | $427.01 |
| Fort Worth, TXTexas | — | $426.58 |
| Galveston, TXTexas | — | $424.44 |
| Houston, TXTexas | — | $459.95 |
| Rest of TexasTexas | — | $421.75 |
| UtahUtah | — | $420.28 |
| VirginiaVirginia | — | $413.33 |
| Virgin Islands, VIUnited States Virgin Islands | — | $434.98 |
| VermontVermont | — | $401.26 |
| Rest of WashingtonWashington | — | $428.97 |
| King County, WAWashington | — | $463.76 |
| WisconsinWisconsin | — | $384.35 |
| West VirginiaWest Virginia | — | $445.76 |
| WyomingWyoming | — | $417.70 |
49429 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 49429 rate is calculated
Each of 49429’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 · 49429
RVUs × geographic indexes × conversion factor
Work7.25
7.25 RVUs× 1.000 GPCI
Practice expense3.82
3.82 RVUs× 1.000 GPCI
Malpractice1.94
1.94 RVUs× 1.000 GPCI
Adjusted RVUs
13.0100
Conversion factor
$33.4009
Medicare rate
$434.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,809
- Code
- 49429
- Physician work
- 7.25
- Practice expense
- 3.82
- Malpractice
- 1.94
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.25 | × 1.000 | 7.2500 |
| Practice expense | 3.82 | × 0.917 | 3.5029 |
| Malpractice | 1.94 | × 1.201 | 2.3299 |
| Total RVUs | 13.0829 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$436.98
Facility: (7.25 × 1 + 3.82 × 0.917 + 1.94 × 1.201) × $33.4009 = $436.98
Payment rules and modifiers for 49429
49429 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49429
Shunt removal, peritoneovenous shunt
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 49429
Shunt removal, peritoneovenous shunt
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
49429 without 51 · national facility
$434.55
Shunt removal, peritoneovenous shunt
49429-51 · Second procedure: 50%
$217.28
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%).
How 49429 has changed in New Mexico
49429 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $436.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $436.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $436.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $436.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $445.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $445.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $445.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $445.15 | RVU25A |
| 2024-10-01 | Not available in this setting | $455.08 | RVU24D |
| 2024-07-01 | Not available in this setting | $455.08 | RVU24C |
| 2024-04-01 | Not available in this setting | $455.08 | RVU24B |
| 2024-03-09 | Not available in this setting | $455.08 | RVU24AR |
| 2024-01-01 | Not available in this setting | $447.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $461.09 | RVU23D |
| 2023-07-01 | Not available in this setting | $461.09 | RVU23C |
| 2023-04-01 | Not available in this setting | $461.09 | RVU23B |
| 2023-01-01 | Not available in this setting | $461.09 | RVU23A |
| 2022-10-01 | Not available in this setting | $468.02 | RVU22D |
| 2022-07-01 | Not available in this setting | $468.02 | RVU22C |
| 2022-04-01 | Not available in this setting | $468.02 | RVU22B |
| 2022-01-01 | Not available in this setting | $468.02 | RVU22A |
| 2021-10-01 | Not available in this setting | $468.71 | RVU21D |
| 2021-07-01 | Not available in this setting | $468.71 | RVU21C |
| 2021-04-01 | Not available in this setting | $468.71 | RVU21B |
| 2021-01-01 | Not available in this setting | $468.71 | RVU21A |
| 2020-10-01 | Not available in this setting | $481.92 | RVU20D |
| 2020-07-01 | Not available in this setting | $481.92 | RVU20C |
| 2020-04-01 | Not available in this setting | $481.92 | RVU20B |
| 2020-01-01 | Not available in this setting | $481.92 | RVU20A |
| 2019-10-01 | Not available in this setting | $484.12 | RVU19D |
| 2019-07-01 | Not available in this setting | $484.12 | RVU19C |
| 2019-04-01 | Not available in this setting | $483.22 | RVU19B |
| 2019-01-01 | Not available in this setting | $483.22 | RVU19A |
| 2018-10-01 | Not available in this setting | $483.14 | RVU18D |
| 2018-07-01 | Not available in this setting | $483.14 | RVU18C |
| 2018-04-01 | Not available in this setting | $483.14 | RVU18B |
| 2018-01-01 | Not available in this setting | $483.14 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $479.17 | RVU17D |
| 2017-07-01 | Not available in this setting | $479.17 | RVU17C |
| 2017-04-01 | Not available in this setting | $479.17 | RVU17B |
| 2017-01-01 | Not available in this setting | $479.17 | RVU17A |
| 2016-10-01 | Not available in this setting | $474.56 | RVU16D |
| 2016-07-01 | Not available in this setting | $474.56 | RVU16C |
| 2016-04-01 | Not available in this setting | $474.56 | RVU16B |
| 2016-01-01 | Not available in this setting | $474.56 | RVU16A |
| 2015-10-01 | Not available in this setting | $475.35 | RVU15D |
| 2015-07-01 | Not available in this setting | $475.35 | RVU15C |
| 2015-04-01 | Not available in this setting | $472.98 | RVU15B |
| 2015-01-01 | Not available in this setting | $472.98 | RVU15A |
| 2014-10-01 | Not available in this setting | $459.77 | RVU14D |
| 2014-07-01 | Not available in this setting | $459.77 | RVU14C |
| 2014-04-01 | Not available in this setting | $459.77 | RVU14B |
| 2014-01-01 | Not available in this setting | $459.77 | RVU14A |
| 2013-10-01 | Not available in this setting | $433.60 | RVU13D |
| 2013-07-01 | Not available in this setting | $433.60 | RVU13C |
| 2013-04-01 | Not available in this setting | $433.60 | RVU13B |
| 2013-01-01 | Not available in this setting | $433.60 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
49429 billing questions
How is shunt removal different from shunt ligation?
Removal takes the shunt out. Ligation stops flow by closing the shunt while leaving it in place.
Can this code be used for revision of a peritoneovenous shunt?
No. Use the revision code when the shunt is revised rather than removed.
Is modifier 50 appropriate if both sides are involved?
No. The anatomy and service do not support bilateral adjustment with modifier 50.
Are related postoperative visits included?
Yes. The 10-day global period includes related postoperative visits during those 10 days.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons are not permitted.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.
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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