CPT code 49435: Catheter extension, subcutaneous extension2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $96.34 for 49435 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49435 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 49435 covers

This service adds a subcutaneous segment to an intraperitoneal catheter and tunnels it to a new exit site, such as the chest for a presternal configuration. It is performed by a surgeon or another clinician who places peritoneal dialysis access, typically in an operative setting. The extension changes where the catheter exits the skin; it is not a service for inserting an entirely new intraperitoneal catheter.

Report 49435 as an add-on with the qualifying open catheter insertion, 49421. The record should identify the existing or concurrently placed catheter, the extension, the tunneling performed, and the intended exit-site location. Do not report it alone or pair it with a different primary insertion code. CMS pays this add-on within the global period of the primary procedure, so it is included in that procedure’s global-period payment.

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 49435

Across 109 of 109 payment localities, the facility rate for 49435 runs from $92.13 in Wisconsin to $135.55 in Miami, FL. Vermont pays $96.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49435 rates by state

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

See 49435 in every payment locality

How the 49435 rate is calculated

Each of 49435’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 49435

The CMS indicators that decide how 49435 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 49435

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

How 49435 has changed in Vermont

Price 49435 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