CPT code 49441: Enteral tube placement, duodenal or jejunal tube2026 Medicare rate & RVUs in Riverside, CA
Reports image-guided percutaneous placement of an enteral tube into the duodenum or jejunum when postpyloric feeding access is needed.
In Riverside, CA, Medicare pays $1,058.64 for 49441 in the office and $221.06 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 49441 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 49441 covers
This service establishes enteral access to the duodenum or jejunum through a percutaneous approach, using fluoroscopic guidance to position the tube and confirm its location. It is typically performed by an interventional radiologist in a hospital setting when a patient needs small-bowel feeding access rather than feeding into the stomach. Fluoroscopic guidance, contrast injections, and the related radiological supervision and interpretation are part of the placement service.
Report 49441 for new percutaneous duodenal or jejunal tube placement, not for exchanging an existing tube or converting a gastrostomy tube to a gastrojejunostomy tube. The procedure report should support the access site, tube destination, placement technique, and imaging confirmation. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Riverside, CA compares for 49441
Across 109 of 109 payment localities, the office rate for 49441 runs from $855.85 in Arkansas to $1,345.15 in San Benito County, CA. Riverside, CA pays $1,058.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Riverside, CA · this page$1,058.64
- Bakersfield, CA · California$1,053.00−$5.64
- Chico, CA · California$1,050.97−$7.67
- El Centro, CA · California$1,051.09−$7.55
- Fresno, CA · California$1,050.97−$7.67
- Hanford, CA · California$1,050.97−$7.67
- Los Angeles, CA · California$1,128.07+$69.43
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $1,050.97 | $213.40 |
| Merced, CACalifornia | $1,050.97 | $213.40 |
| Modesto, CACalifornia | $1,050.97 | $213.40 |
| Napa, CACalifornia | $1,237.05 | $229.82 |
| Oxnard, CACalifornia | $1,124.37 | $221.07 |
| Redding, CACalifornia | $1,050.97 | $213.40 |
| Rest of CaliforniaCalifornia | $1,050.97 | $213.40 |
| Sacramento, CACalifornia | $1,108.09 | $219.31 |
| Salinas, CACalifornia | $1,104.11 | $218.38 |
| San Diego, CACalifornia | $1,134.10 | $220.10 |
| Marin County, CACalifornia | $1,315.18 | $237.64 |
| San Francisco, CACalifornia | $1,314.37 | $236.83 |
| San Benito County, CACalifornia | $1,345.15 | $243.16 |
| Santa Clara County, CACalifornia | $1,341.86 | $239.86 |
| San Luis Obispo, CACalifornia | $1,085.83 | $215.39 |
| Santa Cruz, CACalifornia | $1,148.03 | $219.51 |
| Santa Maria, CACalifornia | $1,109.34 | $218.27 |
| Santa Rosa, CACalifornia | $1,159.89 | $221.44 |
| Stockton, CACalifornia | $1,050.97 | $213.40 |
| Vallejo, CACalifornia | $1,235.89 | $228.65 |
| Visalia, CACalifornia | $1,050.97 | $213.40 |
| Yuba City, CACalifornia | $1,050.97 | $213.40 |
| Washington, DC areaDistrict of Columbia | $1,136.58 | $236.34 |
| Miami, FLFlorida | $1,051.15 | $255.60 |
| Chicago, ILIllinois | $1,017.45 | $249.41 |
| Manhattan, NYNew York | $1,136.30 | $248.28 |
| AlaskaAlaska | $1,097.35 | $283.46 |
| AlabamaAlabama | $870.03 | $201.34 |
| ArkansasArkansas | $855.85 | $199.39 |
| ArizonaArizona | $953.11 | $212.59 |
| ColoradoColorado | $1,030.11 | $216.99 |
| ConnecticutConnecticut | $1,052.00 | $228.94 |
| DelawareDelaware | $970.27 | $215.22 |
| Fort Lauderdale, FLFlorida | $1,011.35 | $237.20 |
| Rest of FloridaFlorida | $957.91 | $227.33 |
| Atlanta, GAGeorgia | $999.83 | $223.39 |
| Rest of GeorgiaGeorgia | $898.66 | $216.98 |
| Hawaii, Guam, HIHawaii | $1,082.73 | $213.82 |
| IowaIowa | $898.45 | $199.19 |
| IdahoIdaho | $904.30 | $201.23 |
| East St. Louis, ILIllinois | $940.85 | $237.77 |
| Rest of IllinoisIllinois | $924.48 | $226.75 |
| Suburban Chicago, ILIllinois | $1,022.88 | $238.03 |
| IndianaIndiana | $910.29 | $201.86 |
| KansasKansas | $892.07 | $201.22 |
| KentuckyKentucky | $889.66 | $210.27 |
| New Orleans, LALouisiana | $937.05 | $217.93 |
| Rest of LouisianaLouisiana | $887.43 | $211.10 |
| Metropolitan Boston, MAMassachusetts | $1,142.35 | $229.88 |
| Rest of MassachusettsMassachusetts | $1,022.16 | $217.44 |
| Baltimore area, MDMaryland | $1,048.81 | $228.81 |
| Rest of MarylandMaryland | $990.91 | $217.53 |
| Rest of MaineMaine | $907.84 | $204.76 |
| Southern Maine, MEMaine | $965.61 | $208.27 |
| Detroit, MIMichigan | $969.55 | $232.08 |
| Rest of MichiganMichigan | $914.19 | $216.46 |
| MinnesotaMinnesota | $988.47 | $202.09 |
| Metropolitan Kansas City, MOMissouri | $931.66 | $214.06 |
| Metropolitan St. Louis, MOMissouri | $942.79 | $215.26 |
| Rest of MissouriMissouri | $869.17 | $210.42 |
| MississippiMississippi | $862.78 | $204.80 |
| MontanaMontana | $981.61 | $217.39 |
| North CarolinaNorth Carolina | $918.78 | $205.77 |
| North DakotaNorth Dakota | $967.57 | $203.35 |
| NebraskaNebraska | $904.48 | $199.11 |
| New HampshireNew Hampshire | $1,011.92 | $216.38 |
| Northern New JerseyNew Jersey | $1,122.25 | $235.76 |
| Rest of New JerseyNew Jersey | $1,064.42 | $229.90 |
| New MexicoNew Mexico | $919.14 | $218.35 |
| NevadaNevada | $978.50 | $213.53 |
| NYC suburbs and Long Island, NYNew York | $1,164.61 | $255.97 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,070.27 | $233.46 |
| Queens, NYNew York | $1,149.10 | $245.80 |
| Rest of New YorkNew York | $934.08 | $208.08 |
| OhioOhio | $911.32 | $213.59 |
| OklahomaOklahoma | $889.63 | $207.18 |
| Portland, OROregon | $1,067.92 | $218.88 |
| Rest of OregonOregon | $971.37 | $210.21 |
| Metropolitan Philadelphia, PAPennsylvania | $1,022.12 | $226.57 |
| Rest of PennsylvaniaPennsylvania | $913.88 | $212.33 |
| Puerto RicoPuerto Rico | $990.21 | $217.59 |
| Rhode IslandRhode Island | $1,008.64 | $219.21 |
| South CarolinaSouth Carolina | $916.49 | $210.35 |
| South DakotaSouth Dakota | $965.91 | $201.69 |
| TennesseeTennessee | $896.90 | $202.24 |
| Austin, TXTexas | $1,026.26 | $217.72 |
| Beaumont, TXTexas | $907.01 | $211.58 |
| Brazoria, TXTexas | $970.32 | $212.98 |
| Dallas, TXTexas | $976.37 | $215.21 |
| Fort Worth, TXTexas | $968.57 | $215.06 |
| Galveston, TXTexas | $973.08 | $214.21 |
| Houston, TXTexas | $986.07 | $227.21 |
| Rest of TexasTexas | $938.01 | $212.77 |
| UtahUtah | $930.60 | $212.24 |
| VirginiaVirginia | $960.90 | $209.68 |
| Virgin Islands, VIUnited States Virgin Islands | $990.21 | $217.59 |
| VermontVermont | $961.83 | $205.26 |
| Rest of WashingtonWashington | $1,020.86 | $216.15 |
| King County, WAWashington | $1,168.69 | $231.00 |
| WisconsinWisconsin | $931.20 | $199.08 |
| West VirginiaWest Virginia | $885.68 | $221.58 |
| WyomingWyoming | $975.49 | $211.27 |
49441 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.
$855.85
$1,198.06
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 | $1,097.35 | 1 |
| AL | $870.03 | 1 |
| AR | $855.85 | 1 |
| AZ | $953.11 | 1 |
| CA | $1,050.97–$1,345.15 | 29 |
| CO | $1,030.11 | 1 |
| CT | $1,052.00 | 1 |
| DC | $1,136.58 | 1 |
| DE | $970.27 | 1 |
| FL | $957.91–$1,051.15 | 3 |
| GA | $898.66–$999.83 | 2 |
| GU | $1,082.73 | 1 |
| HI | $1,082.73 | 1 |
| IA | $898.45 | 1 |
| ID | $904.30 | 1 |
| IL | $924.48–$1,022.88 | 4 |
| IN | $910.29 | 1 |
| KS | $892.07 | 1 |
| KY | $889.66 | 1 |
| LA | $887.43–$937.05 | 2 |
| MA | $1,022.16–$1,142.35 | 2 |
| MD | $990.91–$1,136.58 | 3 |
| ME | $907.84–$965.61 | 2 |
| MI | $914.19–$969.55 | 2 |
| MN | $988.47 | 1 |
| MO | $869.17–$942.79 | 3 |
| MS | $862.78 | 1 |
| MT | $981.61 | 1 |
| NC | $918.78 | 1 |
| ND | $967.57 | 1 |
| NE | $904.48 | 1 |
| NH | $1,011.92 | 1 |
| NJ | $1,064.42–$1,122.25 | 2 |
| NM | $919.14 | 1 |
| NV | $978.50 | 1 |
| NY | $934.08–$1,164.61 | 5 |
| OH | $911.32 | 1 |
| OK | $889.63 | 1 |
| OR | $971.37–$1,067.92 | 2 |
| PA | $913.88–$1,022.12 | 2 |
| PR | $990.21 | 1 |
| RI | $1,008.64 | 1 |
| SC | $916.49 | 1 |
| SD | $965.91 | 1 |
| TN | $896.90 | 1 |
| TX | $907.01–$1,026.26 | 8 |
| UT | $930.60 | 1 |
| VA | $960.90–$1,136.58 | 2 |
| VI | $990.21 | 1 |
| VT | $961.83 | 1 |
| WA | $1,020.86–$1,168.69 | 2 |
| WI | $931.20 | 1 |
| WV | $885.68 | 1 |
| WY | $975.49 | 1 |
How the 49441 rate is calculated
Each of 49441’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 · 49441
RVUs × geographic indexes × conversion factor
Work4.41
4.41 RVUs× 1.000 GPCI
Practice expense24.27
24.27 RVUs× 1.000 GPCI
Malpractice0.71
0.71 RVUs× 1.000 GPCI
Adjusted RVUs
29.3900
Conversion factor
$33.4009
Medicare rate
$981.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Riverside, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,813
- Code
- 49441
- Physician work
- 4.41
- Practice expense
- 24.27
- Malpractice
- 0.71
GPCI2026.csv
20
- Locality
- Riverside, CA
- Physician work
- 1.018
- Practice expense
- 1.096
- Malpractice
- 0.853
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.41 | × 1.018 | 4.4894 |
| Practice expense | 24.27 | × 1.096 | 26.5999 |
| Malpractice | 0.71 | × 0.853 | 0.6056 |
| Total RVUs | 31.6949 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Riverside, CA$1058.64
Office: (4.41 × 1.018 + 24.27 × 1.096 + 0.71 × 0.853) × $33.4009 = $1058.64
Facility: (4.41 × 1.018 + 1.39 × 1.096 + 0.71 × 0.853) × $33.4009 = $221.06
Payment rules and modifiers for 49441
49441 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49441
Enteral tube placement, duodenal or jejunal tube
| 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 · 49441
Enteral tube placement, duodenal or jejunal tube
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
49441 without 51 · national office
$981.65
Enteral tube placement, duodenal or jejunal tube
49441-51 · Second procedure: 50%
$490.83
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 49441 has changed in Riverside, CA
49441 · Office / nonfacility
$1058.64
Effective 2026-10-01
The base rate is $90.56 higher than on 2025-10-01, moving from $968.08 to $1058.64 (9.4%).
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
$968.08changed to$1058.64
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.52 changed to 4.41
- Practice expense RVU 22.65 changed to 24.27
- Malpractice RVU 0.66 changed to 0.71
- Work GPCI 1.014 changed to 1.018
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.892 changed to 0.853
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1014.57changed to$968.08
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 23.17 changed to 22.65
- Malpractice RVU 0.64 changed to 0.66
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$998.01changed to$1014.57
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1035.22changed to$998.01
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 23.53 changed to 23.17
- Malpractice RVU 0.59 changed to 0.64
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.924 changed to 0.892
January 1, 2023
RVU23A
$1065.12changed to$1035.22
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 24.03 changed to 23.53
- Malpractice RVU 0.57 changed to 0.59
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.955 changed to 0.924
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1138.36changed to$1065.12
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 25.82 changed to 24.03
- Malpractice RVU 0.54 changed to 0.57
- Malpractice GPCI 0.896 changed to 0.955
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1153.46changed to$1138.36
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 25.11 changed to 25.82
- Malpractice RVU 0.56 changed to 0.54
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.830 changed to 0.896
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1170.57changed to$1153.46
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 25.56 changed to 25.11
- Malpractice RVU 0.55 changed to 0.56
- Work GPCI 1.021 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.753 changed to 0.830
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1186.55changed to$1170.57
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 26.05 changed to 25.56
- Malpractice RVU 0.54 changed to 0.55
- Work GPCI 1.020 changed to 1.021
- Malpractice GPCI 0.689 changed to 0.753
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1184.90changed to$1186.55
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 25.99 changed to 26.05
- Malpractice RVU 0.55 changed to 0.54
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.626 changed to 0.689
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1184.90
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,058.64 | $221.06 | RVU26D |
| 2026-07-01 | $1,058.64 | $221.06 | RVU26C |
| 2026-04-01 | $1,058.64 | $221.06 | RVU26B |
| 2026-01-01 | $1,058.64 | $221.06 | RVU26A |
| 2025-10-01 | $968.08 | $237.30 | RVU25D |
| 2025-07-01 | $968.08 | $237.30 | RVU25C |
| 2025-04-01 | $968.08 | $237.30 | RVU25B |
| 2025-01-01 | $968.08 | $237.30 | RVU25A |
| 2024-10-01 | $1,014.57 | $241.06 | RVU24D |
| 2024-07-01 | $1,014.57 | $241.06 | RVU24C |
| 2024-04-01 | $1,014.57 | $241.06 | RVU24B |
| 2024-03-09 | $1,014.57 | $241.06 | RVU24AR |
| 2024-01-01 | $998.01 | $237.13 | RVU24A |
| 2023-10-01 | $1,035.22 | $244.33 | RVU23D |
| 2023-07-01 | $1,035.22 | $244.33 | RVU23C |
| 2023-04-01 | $1,035.22 | $244.33 | RVU23B |
| 2023-01-01 | $1,035.22 | $244.33 | RVU23A |
| 2022-10-01 | $1,065.12 | $248.03 | RVU22D |
| 2022-07-01 | $1,065.12 | $248.03 | RVU22C |
| 2022-04-01 | $1,065.12 | $248.03 | RVU22B |
| 2022-01-01 | $1,065.12 | $248.03 | RVU22A |
| 2021-10-01 | $1,138.36 | $248.72 | RVU21D |
| 2021-07-01 | $1,138.36 | $248.72 | RVU21C |
| 2021-04-01 | $1,138.36 | $248.72 | RVU21B |
| 2021-01-01 | $1,138.36 | $248.72 | RVU21A |
| 2020-10-01 | $1,153.46 | $257.57 | RVU20D |
| 2020-07-01 | $1,153.46 | $257.57 | RVU20C |
| 2020-04-01 | $1,153.46 | $257.57 | RVU20B |
| 2020-01-01 | $1,153.46 | $257.57 | RVU20A |
| 2019-10-01 | $1,170.57 | $255.95 | RVU19D |
| 2019-07-01 | $1,170.57 | $255.95 | RVU19C |
| 2019-04-01 | $1,170.57 | $255.95 | RVU19B |
| 2019-01-01 | $1,170.57 | $255.95 | RVU19A |
| 2018-10-01 | $1,186.55 | $254.76 | RVU18D |
| 2018-07-01 | $1,186.55 | $254.76 | RVU18C |
| 2018-04-01 | $1,186.55 | $254.76 | RVU18B |
| 2018-01-01 | $1,186.55 | $254.76 | RVU18AR1 |
| 2017-10-01 | $1,184.90 | $254.75 | RVU17D |
| 2017-07-01 | $1,184.90 | $254.75 | RVU17C |
| 2017-04-01 | $1,184.90 | $254.75 | RVU17B |
| 2017-01-01 | $1,184.90 | $254.75 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Riverside, CA rate applies
Riverside, CA is a Medicare payment area, not a city. Our Census mapping connects it to 127 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Ontario
- Riverside
- San Bernardino
- Adelanto
- Aguanga
- Anza
- Apple Valley
- Baker
49441 billing questions
How does 49441 differ from 49440?
49441 establishes percutaneous tube access to the duodenum or jejunum. Use 49440 when the tube is placed into the stomach.
Can fluoroscopic guidance and contrast be billed separately?
The placement service includes fluoroscopic guidance, contrast injections, and the related radiological supervision and interpretation.
Is 49441 used to replace an existing duodenal or jejunal tube?
No. Report 49441 for new placement; 49451 describes percutaneous replacement of a duodenal or jejunal tube.
What postoperative care is included?
Related postoperative visits for 10 days are included in the global period.
Can modifier 50 be used, or can an assistant surgeon be paid?
Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
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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