CPT code 49441: Enteral tube placement, duodenal or jejunal tube2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $965.91 for 49441 in the office and $201.69 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.

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 South Dakota 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. South Dakota pays $965.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49441 rates by state

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

See 49441 in every payment locality

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.

Payment rules and modifiers for 49441

49441 has a 10-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 49441

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

How 49441 has changed in South Dakota

Price 49441 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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