CPT code 49440: Gastrostomy placement, percutaneous, image-guided2026 Medicare rate & RVUs in Arkansas
Reports image-guided percutaneous placement of a tube into the stomach for enteral feeding or gastric decompression, rather than endoscopic or surgical placement.
In Arkansas, Medicare pays $690.21 for 49440 in the office and $166.31 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 49440 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 49440 covers
A physician, commonly an interventional radiologist, creates percutaneous access to the stomach and places a gastrostomy tube under imaging guidance. The service is used when a patient needs enteral access for nutrition, hydration, or medication, or gastric decompression, and is commonly performed in a hospital or radiology setting. Fluoroscopic guidance, contrast injections, image documentation, and the report are part of the placement service.
Report this code for initial percutaneous placement into the stomach, not for a tube placed into the small bowel or for replacement of an existing tube. The procedure record should support the percutaneous route, gastric location, tube placement, and imaging used to confirm position. Related postoperative visits during the 10-day global period are included. 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 for this service; assistant-at-surgery payment requires documented medical necessity, and co-surgeon and team-surgery billing 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 Arkansas compares for 49440
Across 109 of 109 payment localities, the office rate for 49440 runs from $690.21 in Arkansas to $1,081.19 in San Benito County, CA. Arkansas pays $690.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$690.21
- Los Angeles, CA · California$906.89+$216.68
- Washington, DC area · District of Columbia$911.78+$221.57
- Miami, FL · Florida$836.71+$146.50
- Chicago, IL · Illinois$810.99+$120.78
- Manhattan, NY · New York$909.51+$219.30
- Alaska · Alaska$887.76+$197.55
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $701.28 | $167.62 |
| ArizonaArizona | $766.17 | $175.17 |
| Bakersfield, CACalifornia | $847.09 | $178.64 |
| Chico, CACalifornia | $845.79 | $177.33 |
| El Centro, CACalifornia | $845.86 | $177.41 |
| Fresno, CACalifornia | $845.79 | $177.33 |
| Hanford, CACalifornia | $845.79 | $177.33 |
| Madera, CACalifornia | $845.79 | $177.33 |
| Merced, CACalifornia | $845.79 | $177.33 |
| Modesto, CACalifornia | $845.79 | $177.33 |
| Napa, CACalifornia | $994.67 | $190.83 |
| Oxnard, CACalifornia | $904.00 | $183.09 |
| Redding, CACalifornia | $845.79 | $177.33 |
| Rest of CaliforniaCalifornia | $845.79 | $177.33 |
| Riverside, CACalifornia | $850.47 | $182.02 |
| Sacramento, CACalifornia | $891.50 | $182.18 |
| Salinas, CACalifornia | $888.27 | $181.40 |
| San Diego, CACalifornia | $912.13 | $182.69 |
| Marin County, CACalifornia | $1,057.49 | $197.53 |
| San Francisco, CACalifornia | $1,057.00 | $197.05 |
| San Benito County, CACalifornia | $1,081.19 | $201.71 |
| Santa Clara County, CACalifornia | $1,079.19 | $199.72 |
| San Luis Obispo, CACalifornia | $873.56 | $178.89 |
| Santa Cruz, CACalifornia | $923.17 | $182.14 |
| Santa Maria, CACalifornia | $892.41 | $181.27 |
| Santa Rosa, CACalifornia | $932.72 | $183.76 |
| Stockton, CACalifornia | $845.79 | $177.33 |
| Vallejo, CACalifornia | $993.97 | $190.12 |
| Visalia, CACalifornia | $845.79 | $177.33 |
| Yuba City, CACalifornia | $845.79 | $177.33 |
| ColoradoColorado | $827.99 | $179.06 |
| ConnecticutConnecticut | $843.58 | $186.71 |
| DelawareDelaware | $779.70 | $177.12 |
| Fort Lauderdale, FLFlorida | $808.26 | $190.43 |
| Rest of FloridaFlorida | $767.06 | $184.00 |
| Atlanta, GAGeorgia | $801.87 | $182.21 |
| Rest of GeorgiaGeorgia | $721.25 | $177.22 |
| Hawaii, Guam, HIHawaii | $870.71 | $177.26 |
| IowaIowa | $724.69 | $166.63 |
| IdahoIdaho | $729.01 | $167.91 |
| East St. Louis, ILIllinois | $751.15 | $190.04 |
| Rest of IllinoisIllinois | $740.15 | $183.31 |
| Suburban Chicago, ILIllinois | $817.69 | $191.32 |
| IndianaIndiana | $733.72 | $168.35 |
| KansasKansas | $719.12 | $167.77 |
| KentuckyKentucky | $715.34 | $173.14 |
| New Orleans, LALouisiana | $752.10 | $178.19 |
| Rest of LouisianaLouisiana | $713.37 | $173.61 |
| Metropolitan Boston, MAMassachusetts | $917.25 | $189.02 |
| Rest of MassachusettsMassachusetts | $821.63 | $179.40 |
| Baltimore area, MDMaryland | $840.87 | $186.44 |
| Rest of MarylandMaryland | $796.11 | $178.90 |
| Rest of MaineMaine | $731.15 | $170.05 |
| Southern Maine, MEMaine | $777.15 | $172.74 |
| Detroit, MIMichigan | $775.50 | $186.95 |
| Rest of MichiganMichigan | $733.91 | $177.08 |
| MinnesotaMinnesota | $796.88 | $169.30 |
| Metropolitan Kansas City, MOMissouri | $748.53 | $175.83 |
| Metropolitan St. Louis, MOMissouri | $757.28 | $176.66 |
| Rest of MissouriMissouri | $698.74 | $173.01 |
| MississippiMississippi | $694.72 | $169.60 |
| MontanaMontana | $788.23 | $178.33 |
| North CarolinaNorth Carolina | $739.80 | $170.76 |
| North DakotaNorth Dakota | $779.73 | $169.83 |
| NebraskaNebraska | $729.59 | $166.65 |
| New HampshireNew Hampshire | $812.95 | $178.04 |
| Northern New JerseyNew Jersey | $900.65 | $193.17 |
| Rest of New JerseyNew Jersey | $854.20 | $188.19 |
| New MexicoNew Mexico | $737.53 | $178.25 |
| NevadaNevada | $786.51 | $176.00 |
| NYC suburbs and Long Island, NYNew York | $930.85 | $205.67 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $858.40 | $190.56 |
| Queens, NYNew York | $920.36 | $199.46 |
| Rest of New YorkNew York | $751.70 | $172.29 |
| OhioOhio | $732.18 | $175.34 |
| OklahomaOklahoma | $715.94 | $171.30 |
| Portland, OROregon | $858.33 | $180.73 |
| Rest of OregonOregon | $781.41 | $173.95 |
| Metropolitan Philadelphia, PAPennsylvania | $819.82 | $184.91 |
| Rest of PennsylvaniaPennsylvania | $734.50 | $174.61 |
| Puerto RicoPuerto Rico | $795.15 | $178.54 |
| Rhode IslandRhode Island | $810.46 | $180.43 |
| South CarolinaSouth Carolina | $737.01 | $173.46 |
| South DakotaSouth Dakota | $778.72 | $168.82 |
| TennesseeTennessee | $722.83 | $168.43 |
| Austin, TXTexas | $824.35 | $179.07 |
| Beaumont, TXTexas | $729.10 | $174.09 |
| Brazoria, TXTexas | $780.31 | $175.90 |
| Dallas, TXTexas | $784.79 | $177.33 |
| Fort Worth, TXTexas | $778.52 | $177.15 |
| Galveston, TXTexas | $782.29 | $176.66 |
| Houston, TXTexas | $790.16 | $184.53 |
| Rest of TexasTexas | $753.92 | $175.13 |
| UtahUtah | $748.04 | $174.73 |
| VirginiaVirginia | $773.06 | $173.53 |
| Virgin Islands, VIUnited States Virgin Islands | $795.15 | $178.54 |
| VermontVermont | $774.71 | $170.91 |
| Rest of WashingtonWashington | $820.73 | $178.50 |
| King County, WAWashington | $938.67 | $190.32 |
| WisconsinWisconsin | $751.19 | $166.91 |
| West VirginiaWest Virginia | $709.83 | $179.83 |
| WyomingWyoming | $784.53 | $174.63 |
49440 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.
$690.21
$963.49
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $887.76 | 1 |
| AL | $701.28 | 1 |
| AR | $690.21 | 1 |
| AZ | $766.17 | 1 |
| CA | $845.79–$1,081.19 | 29 |
| CO | $827.99 | 1 |
| CT | $843.58 | 1 |
| DC | $911.78 | 1 |
| DE | $779.70 | 1 |
| FL | $767.06–$836.71 | 3 |
| GA | $721.25–$801.87 | 2 |
| GU | $870.71 | 1 |
| HI | $870.71 | 1 |
| IA | $724.69 | 1 |
| ID | $729.01 | 1 |
| IL | $740.15–$817.69 | 4 |
| IN | $733.72 | 1 |
| KS | $719.12 | 1 |
| KY | $715.34 | 1 |
| LA | $713.37–$752.10 | 2 |
| MA | $821.63–$917.25 | 2 |
| MD | $796.11–$911.78 | 3 |
| ME | $731.15–$777.15 | 2 |
| MI | $733.91–$775.50 | 2 |
| MN | $796.88 | 1 |
| MO | $698.74–$757.28 | 3 |
| MS | $694.72 | 1 |
| MT | $788.23 | 1 |
| NC | $739.80 | 1 |
| ND | $779.73 | 1 |
| NE | $729.59 | 1 |
| NH | $812.95 | 1 |
| NJ | $854.20–$900.65 | 2 |
| NM | $737.53 | 1 |
| NV | $786.51 | 1 |
| NY | $751.70–$930.85 | 5 |
| OH | $732.18 | 1 |
| OK | $715.94 | 1 |
| OR | $781.41–$858.33 | 2 |
| PA | $734.50–$819.82 | 2 |
| PR | $795.15 | 1 |
| RI | $810.46 | 1 |
| SC | $737.01 | 1 |
| SD | $778.72 | 1 |
| TN | $722.83 | 1 |
| TX | $729.10–$824.35 | 8 |
| UT | $748.04 | 1 |
| VA | $773.06–$911.78 | 2 |
| VI | $795.15 | 1 |
| VT | $774.71 | 1 |
| WA | $820.73–$938.67 | 2 |
| WI | $751.19 | 1 |
| WV | $709.83 | 1 |
| WY | $784.53 | 1 |
How the 49440 rate is calculated
Each of 49440’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 · 49440
RVUs × geographic indexes × conversion factor
Work3.83
3.83 RVUs× 1.000 GPCI
Practice expense19.34
19.34 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
23.6000
Conversion factor
$33.4009
Medicare rate
$788.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,812
- Code
- 49440
- Physician work
- 3.83
- Practice expense
- 19.34
- Malpractice
- 0.43
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.83 | × 1.000 | 3.8300 |
| Practice expense | 19.34 | × 0.859 | 16.6131 |
| Malpractice | 0.43 | × 0.515 | 0.2215 |
| Total RVUs | 20.6645 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Arkansas$690.21
Office: (3.83 × 1 + 19.34 × 0.859 + 0.43 × 0.515) × $33.4009 = $690.21
Facility: (3.83 × 1 + 1.08 × 0.859 + 0.43 × 0.515) × $33.4009 = $166.31
Payment rules and modifiers for 49440
49440 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49440
Gastrostomy placement, percutaneous, image-guided
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 49440
Gastrostomy placement, percutaneous, image-guided
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
49440 without 51 · national office
$788.26
Gastrostomy placement, percutaneous, image-guided
49440-51 · Second procedure: 50%
$394.13
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 49440 has changed in Arkansas
49440 · Office / nonfacility
$690.21
Effective 2026-10-01
The base rate is $12.21 higher than on 2025-10-01, moving from $678.00 to $690.21 (1.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$678.00changed to$690.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.93 changed to 3.83
- Practice expense RVU 19.55 changed to 19.34
- Malpractice RVU 0.42 changed to 0.43
- Practice expense GPCI 0.860 changed to 0.859
- Malpractice GPCI 0.518 changed to 0.515
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$714.44changed to$678.00
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 20.14 changed to 19.55
- Malpractice RVU 0.41 changed to 0.42
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$702.78changed to$714.44
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$743.28changed to$702.78
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 20.87 changed to 20.14
- Practice expense GPCI 0.853 changed to 0.860
- Malpractice GPCI 0.492 changed to 0.518
January 1, 2023
RVU23A
$770.42changed to$743.28
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 21.43 changed to 20.87
- Malpractice RVU 0.39 changed to 0.41
- Practice expense GPCI 0.847 changed to 0.853
- Malpractice GPCI 0.465 changed to 0.492
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$819.93changed to$770.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 22.90 changed to 21.43
- Malpractice RVU 0.37 changed to 0.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$841.66changed to$819.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 22.35 changed to 22.90
- Practice expense GPCI 0.859 changed to 0.847
- Malpractice GPCI 0.521 changed to 0.465
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$862.37changed to$841.66
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 22.69 changed to 22.35
- Practice expense GPCI 0.872 changed to 0.859
- Malpractice GPCI 0.576 changed to 0.521
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$876.92changed to$862.37
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 23.19 changed to 22.69
- Malpractice RVU 0.36 changed to 0.37
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$873.41changed to$876.92
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 23.22 changed to 23.19
- Malpractice RVU 0.37 changed to 0.36
- Practice expense GPCI 0.870 changed to 0.872
- Malpractice GPCI 0.555 changed to 0.576
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$934.61changed to$873.41
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.18 changed to 3.93
- Practice expense RVU 25.04 changed to 23.22
- Malpractice RVU 0.40 changed to 0.37
- Practice expense GPCI 0.867 changed to 0.870
- Malpractice GPCI 0.534 changed to 0.555
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$936.76changed to$934.61
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 24.97 changed to 25.04
- Malpractice RVU 0.45 changed to 0.40
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$932.10changed to$936.76
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$934.34changed to$932.10
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 25.03 changed to 24.97
- Malpractice RVU 0.46 changed to 0.45
- Practice expense GPCI 0.866 changed to 0.867
- Malpractice GPCI 0.492 changed to 0.534
Held through RVU15B.
January 1, 2014
RVU14A
$956.53changed to$934.34
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 27.42 changed to 25.03
- Malpractice RVU 0.48 changed to 0.46
- Practice expense GPCI 0.865 changed to 0.866
- Malpractice GPCI 0.450 changed to 0.492
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $956.53
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $690.21 | $166.31 | RVU26D |
| 2026-07-01 | $690.21 | $166.31 | RVU26C |
| 2026-04-01 | $690.21 | $166.31 | RVU26B |
| 2026-01-01 | $690.21 | $166.31 | RVU26A |
| 2025-10-01 | $678.00 | $180.34 | RVU25D |
| 2025-07-01 | $678.00 | $180.34 | RVU25C |
| 2025-04-01 | $678.00 | $180.34 | RVU25B |
| 2025-01-01 | $678.00 | $180.34 | RVU25A |
| 2024-10-01 | $714.44 | $183.41 | RVU24D |
| 2024-07-01 | $714.44 | $183.41 | RVU24C |
| 2024-04-01 | $714.44 | $183.41 | RVU24B |
| 2024-03-09 | $714.44 | $183.41 | RVU24AR |
| 2024-01-01 | $702.78 | $180.41 | RVU24A |
| 2023-10-01 | $743.28 | $186.55 | RVU23D |
| 2023-07-01 | $743.28 | $186.55 | RVU23C |
| 2023-04-01 | $743.28 | $186.55 | RVU23B |
| 2023-01-01 | $743.28 | $186.55 | RVU23A |
| 2022-10-01 | $770.42 | $188.59 | RVU22D |
| 2022-07-01 | $770.42 | $188.59 | RVU22C |
| 2022-04-01 | $770.42 | $188.59 | RVU22B |
| 2022-01-01 | $770.42 | $188.59 | RVU22A |
| 2021-10-01 | $819.93 | $190.12 | RVU21D |
| 2021-07-01 | $819.93 | $190.12 | RVU21C |
| 2021-04-01 | $819.93 | $190.12 | RVU21B |
| 2021-01-01 | $819.93 | $190.12 | RVU21A |
| 2020-10-01 | $841.66 | $199.32 | RVU20D |
| 2020-07-01 | $841.66 | $199.32 | RVU20C |
| 2020-04-01 | $841.66 | $199.32 | RVU20B |
| 2020-01-01 | $841.66 | $199.32 | RVU20A |
| 2019-10-01 | $862.37 | $201.48 | RVU19D |
| 2019-07-01 | $862.37 | $201.48 | RVU19C |
| 2019-04-01 | $862.37 | $201.48 | RVU19B |
| 2019-01-01 | $862.37 | $201.48 | RVU19A |
| 2018-10-01 | $876.92 | $202.00 | RVU18D |
| 2018-07-01 | $876.92 | $202.00 | RVU18C |
| 2018-04-01 | $876.92 | $202.00 | RVU18B |
| 2018-01-01 | $876.92 | $202.00 | RVU18AR1 |
| 2017-10-01 | $873.41 | $202.43 | RVU17D |
| 2017-07-01 | $873.41 | $202.43 | RVU17C |
| 2017-04-01 | $873.41 | $202.43 | RVU17B |
| 2017-01-01 | $873.41 | $202.43 | RVU17A |
| 2016-10-01 | $934.61 | $214.74 | RVU16D |
| 2016-07-01 | $934.61 | $214.74 | RVU16C |
| 2016-04-01 | $934.61 | $214.74 | RVU16B |
| 2016-01-01 | $934.61 | $214.74 | RVU16A |
| 2015-10-01 | $936.76 | $216.47 | RVU15D |
| 2015-07-01 | $936.76 | $216.47 | RVU15C |
| 2015-04-01 | $932.10 | $215.40 | RVU15B |
| 2015-01-01 | $932.10 | $215.40 | RVU15A |
| 2014-10-01 | $934.34 | $215.86 | RVU14D |
| 2014-07-01 | $934.34 | $215.86 | RVU14C |
| 2014-04-01 | $934.34 | $215.86 | RVU14B |
| 2014-01-01 | $934.34 | $215.86 | RVU14A |
| 2013-10-01 | $956.53 | $207.54 | RVU13D |
| 2013-07-01 | $956.53 | $207.54 | RVU13C |
| 2013-04-01 | $956.53 | $207.54 | RVU13B |
| 2013-01-01 | $956.53 | $207.54 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
49440 billing questions
How does 49440 differ from endoscopic gastrostomy placement?
49440 describes percutaneous placement using imaging guidance. Endoscopic placement, such as a PEG, uses an endoscope to establish and guide the access.
Is fluoroscopic guidance separately reported?
No. Fluoroscopic guidance, contrast injections, image documentation, and the report are included in the placement service.
Can modifier 50 be used for two-sided placement?
No. Modifier 50 is inappropriate for this gastrostomy placement service.
Does 49440 cover follow-up visits after placement?
Related postoperative visits during the 10-day global period are included.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant is documented. Co-surgeon and team-surgery billing are not permitted.
How is 49440 affected when other procedures occur 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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