CPT code 49451: Feeding tube exchange, duodenal or jejunal tube2026 Medicare rate & RVUs in Virginia
Report this service when a clinician exchanges an existing percutaneous duodenal or jejunal feeding tube under fluoroscopic guidance and confirms its position.
In Virginia, Medicare pays $590.73 for 49451 in the office and $73.93 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 49451 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 49451 covers
Code 49451 describes exchanging a duodenostomy or jejunostomy tube through an established percutaneous tract. Fluoroscopy and contrast injections are used to guide the exchange and check tube position; radiological supervision and interpretation are part of the service. Interventional radiologists commonly perform the procedure in hospital or outpatient imaging settings when a tube is malfunctioning, displaced, or due for exchange. This is for an existing access tract, not creation of a new one.
Report the code when the documentation identifies the tube and tract exchanged and supports image-guided replacement. The fluoroscopy, contrast injections, and their interpretation are included in the code. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If multiple procedures occur 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 for this tube exchange. An assistant is payable only when medical necessity is documented; 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 Virginia compares for 49451
Across 109 of 109 payment localities, the office rate for 49451 runs from $523.04 in Arkansas to $841.71 in San Benito County, CA. Virginia pays $590.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$590.73
- Los Angeles, CA · California$699.90+$109.17
- Washington, DC area · District of Columbia$701.15+$110.42
- Miami, FL · Florida$634.55+$43.82
- Chicago, IL · Illinois$614.06+$23.33
- Manhattan, NY · New York$696.50+$105.77
- Alaska · Alaska$663.41+$72.68
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $531.95 | $71.94 |
| ArkansasArkansas | $523.04 | $71.43 |
| ArizonaArizona | $584.29 | $74.85 |
| Bakersfield, CACalifornia | $651.65 | $75.45 |
| Chico, CACalifornia | $651.01 | $74.81 |
| El Centro, CACalifornia | $651.05 | $74.85 |
| Fresno, CACalifornia | $651.01 | $74.81 |
| Hanford, CACalifornia | $651.01 | $74.81 |
| Madera, CACalifornia | $651.01 | $74.81 |
| Merced, CACalifornia | $651.01 | $74.81 |
| Modesto, CACalifornia | $651.01 | $74.81 |
| Napa, CACalifornia | $772.36 | $79.44 |
| Oxnard, CACalifornia | $698.30 | $76.89 |
| Redding, CACalifornia | $651.01 | $74.81 |
| Rest of CaliforniaCalifornia | $651.01 | $74.81 |
| Riverside, CACalifornia | $653.30 | $77.10 |
| Sacramento, CACalifornia | $688.00 | $76.58 |
| Salinas, CACalifornia | $685.56 | $76.24 |
| San Diego, CACalifornia | $705.34 | $76.57 |
| Marin County, CACalifornia | $823.15 | $81.87 |
| San Francisco, CACalifornia | $822.91 | $81.64 |
| San Benito County, CACalifornia | $841.71 | $83.61 |
| Santa Clara County, CACalifornia | $840.74 | $82.63 |
| San Luis Obispo, CACalifornia | $674.02 | $75.22 |
| Santa Cruz, CACalifornia | $714.93 | $76.17 |
| Santa Maria, CACalifornia | $689.13 | $76.13 |
| Santa Rosa, CACalifornia | $722.42 | $76.83 |
| Stockton, CACalifornia | $651.01 | $74.81 |
| Vallejo, CACalifornia | $772.01 | $79.10 |
| Visalia, CACalifornia | $651.01 | $74.81 |
| Yuba City, CACalifornia | $651.01 | $74.81 |
| ColoradoColorado | $635.31 | $75.93 |
| ConnecticutConnecticut | $645.75 | $79.54 |
| DelawareDelaware | $595.05 | $75.63 |
| Fort Lauderdale, FLFlorida | $614.51 | $81.94 |
| Rest of FloridaFlorida | $581.87 | $79.27 |
| Atlanta, GAGeorgia | $612.03 | $77.89 |
| Rest of GeorgiaGeorgia | $545.44 | $76.49 |
| Hawaii, Guam, HIHawaii | $672.24 | $74.48 |
| IowaIowa | $552.17 | $71.13 |
| IdahoIdaho | $555.38 | $71.71 |
| East St. Louis, ILIllinois | $566.19 | $82.52 |
| Rest of IllinoisIllinois | $559.28 | $79.29 |
| Suburban Chicago, ILIllinois | $622.16 | $82.24 |
| IndianaIndiana | $559.22 | $71.87 |
| KansasKansas | $547.04 | $71.78 |
| KentuckyKentucky | $541.89 | $74.52 |
| New Orleans, LALouisiana | $571.27 | $76.56 |
| Rest of LouisianaLouisiana | $540.06 | $74.78 |
| Metropolitan Boston, MAMassachusetts | $707.37 | $79.65 |
| Rest of MassachusettsMassachusetts | $629.78 | $76.18 |
| Baltimore area, MDMaryland | $643.56 | $79.46 |
| Rest of MarylandMaryland | $608.33 | $76.29 |
| Rest of MaineMaine | $556.43 | $72.75 |
| Southern Maine, MEMaine | $594.48 | $73.48 |
| Detroit, MIMichigan | $587.97 | $80.64 |
| Rest of MichiganMichigan | $556.24 | $76.25 |
| MinnesotaMinnesota | $612.46 | $71.49 |
| Metropolitan Kansas City, MOMissouri | $569.08 | $75.42 |
| Metropolitan St. Louis, MOMissouri | $576.21 | $75.72 |
| Rest of MissouriMissouri | $527.86 | $74.68 |
| MississippiMississippi | $525.68 | $73.02 |
| MontanaMontana | $601.87 | $76.14 |
| North CarolinaNorth Carolina | $563.50 | $73.00 |
| North DakotaNorth Dakota | $597.72 | $71.99 |
| NebraskaNebraska | $556.32 | $71.07 |
| New HampshireNew Hampshire | $622.95 | $75.66 |
| Northern New JerseyNew Jersey | $691.74 | $81.89 |
| Rest of New JerseyNew Jersey | $654.18 | $80.09 |
| New MexicoNew Mexico | $558.88 | $76.79 |
| NevadaNevada | $601.25 | $74.99 |
| NYC suburbs and Long Island, NYNew York | $712.85 | $87.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $656.88 | $81.21 |
| Queens, NYNew York | $706.20 | $84.78 |
| Rest of New YorkNew York | $573.05 | $73.60 |
| OhioOhio | $555.39 | $75.40 |
| OklahomaOklahoma | $543.07 | $73.59 |
| Portland, OROregon | $660.44 | $76.35 |
| Rest of OregonOregon | $597.66 | $74.03 |
| Metropolitan Philadelphia, PAPennsylvania | $626.25 | $78.97 |
| Rest of PennsylvaniaPennsylvania | $557.62 | $75.00 |
| Puerto RicoPuerto Rico | $607.66 | $76.15 |
| Rhode IslandRhode Island | $619.92 | $76.84 |
| South CarolinaSouth Carolina | $560.17 | $74.39 |
| South DakotaSouth Dakota | $597.23 | $71.50 |
| TennesseeTennessee | $549.94 | $72.06 |
| Austin, TXTexas | $632.24 | $76.02 |
| Beaumont, TXTexas | $553.23 | $74.81 |
| Brazoria, TXTexas | $596.00 | $75.01 |
| Dallas, TXTexas | $599.29 | $75.66 |
| Fort Worth, TXTexas | $594.03 | $75.66 |
| Galveston, TXTexas | $597.41 | $75.36 |
| Houston, TXTexas | $601.25 | $79.20 |
| Rest of TexasTexas | $573.91 | $75.00 |
| UtahUtah | $569.06 | $74.88 |
| Virgin Islands, VIUnited States Virgin Islands | $607.66 | $76.15 |
| VermontVermont | $593.07 | $72.60 |
| Rest of WashingtonWashington | $629.34 | $75.75 |
| King County, WAWashington | $725.05 | $79.98 |
| WisconsinWisconsin | $574.56 | $70.91 |
| West VirginiaWest Virginia | $534.81 | $77.95 |
| WyomingWyoming | $600.06 | $74.33 |
49451 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.
$523.04
$746.36
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 | $663.41 | 1 |
| AL | $531.95 | 1 |
| AR | $523.04 | 1 |
| AZ | $584.29 | 1 |
| CA | $651.01–$841.71 | 29 |
| CO | $635.31 | 1 |
| CT | $645.75 | 1 |
| DC | $701.15 | 1 |
| DE | $595.05 | 1 |
| FL | $581.87–$634.55 | 3 |
| GA | $545.44–$612.03 | 2 |
| GU | $672.24 | 1 |
| HI | $672.24 | 1 |
| IA | $552.17 | 1 |
| ID | $555.38 | 1 |
| IL | $559.28–$622.16 | 4 |
| IN | $559.22 | 1 |
| KS | $547.04 | 1 |
| KY | $541.89 | 1 |
| LA | $540.06–$571.27 | 2 |
| MA | $629.78–$707.37 | 2 |
| MD | $608.33–$701.15 | 3 |
| ME | $556.43–$594.48 | 2 |
| MI | $556.24–$587.97 | 2 |
| MN | $612.46 | 1 |
| MO | $527.86–$576.21 | 3 |
| MS | $525.68 | 1 |
| MT | $601.87 | 1 |
| NC | $563.50 | 1 |
| ND | $597.72 | 1 |
| NE | $556.32 | 1 |
| NH | $622.95 | 1 |
| NJ | $654.18–$691.74 | 2 |
| NM | $558.88 | 1 |
| NV | $601.25 | 1 |
| NY | $573.05–$712.85 | 5 |
| OH | $555.39 | 1 |
| OK | $543.07 | 1 |
| OR | $597.66–$660.44 | 2 |
| PA | $557.62–$626.25 | 2 |
| PR | $607.66 | 1 |
| RI | $619.92 | 1 |
| SC | $560.17 | 1 |
| SD | $597.23 | 1 |
| TN | $549.94 | 1 |
| TX | $553.23–$632.24 | 8 |
| UT | $569.06 | 1 |
| VA | $590.73–$701.15 | 2 |
| VI | $607.66 | 1 |
| VT | $593.07 | 1 |
| WA | $629.34–$725.05 | 2 |
| WI | $574.56 | 1 |
| WV | $534.81 | 1 |
| WY | $600.06 | 1 |
How the 49451 rate is calculated
Each of 49451’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 · 49451
RVUs × geographic indexes × conversion factor
Work1.79
1.79 RVUs× 1.000 GPCI
Practice expense16.02
16.02 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
18.0200
Conversion factor
$33.4009
Medicare rate
$601.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,817
- Code
- 49451
- Physician work
- 1.79
- Practice expense
- 16.02
- Malpractice
- 0.21
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.79 | × 1.000 | 1.7900 |
| Practice expense | 16.02 | × 0.983 | 15.7477 |
| Malpractice | 0.21 | × 0.706 | 0.1483 |
| Total RVUs | 17.6859 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$590.73
Office: (1.79 × 1 + 16.02 × 0.983 + 0.21 × 0.706) × $33.4009 = $590.73
Facility: (1.79 × 1 + 0.28 × 0.983 + 0.21 × 0.706) × $33.4009 = $73.93
Payment rules and modifiers for 49451
The CMS indicators that decide how 49451 is paid alongside other services.
CMS payment indicators · 49451
Feeding tube exchange, duodenal or jejunal tube
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
49451 without 51 · national office
$601.88
Feeding tube exchange, duodenal or jejunal tube
49451-51 · Second procedure: 50%
$300.94
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 49451 has changed in Virginia
49451 · Office / nonfacility
$590.73
Effective 2026-10-01
The base rate is $13.76 higher than on 2025-10-01, moving from $576.97 to $590.73 (2.4%).
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
$576.97changed to$590.73
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.84 changed to 1.79
- Practice expense RVU 16.10 changed to 16.02
- Malpractice RVU 0.20 changed to 0.21
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$613.08changed to$576.97
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 16.69 changed to 16.10
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$603.07changed to$613.08
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$649.06changed to$603.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 17.33 changed to 16.69
- Malpractice RVU 0.19 changed to 0.20
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$685.58changed to$649.06
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 17.89 changed to 17.33
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$728.83changed to$685.58
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 18.99 changed to 17.89
- Malpractice RVU 0.17 changed to 0.19
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$727.12changed to$728.83
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 18.31 changed to 18.99
- Malpractice RVU 0.18 changed to 0.17
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$727.10changed to$727.12
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 18.43 changed to 18.31
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$734.47changed to$727.10
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 18.66 changed to 18.43
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$729.85changed to$734.47
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 18.62 changed to 18.66
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$730.40changed to$729.85
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 18.73 changed to 18.62
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$730.86changed to$730.40
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 18.66 changed to 18.73
- Malpractice RVU 0.19 changed to 0.18
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$727.23changed to$730.86
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$727.70changed to$727.23
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 18.70 changed to 18.66
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$743.69changed to$727.70
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 20.34 changed to 18.70
- Malpractice RVU 0.20 changed to 0.19
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $743.69
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $590.73 | $73.93 | RVU26D |
| 2026-07-01 | $590.73 | $73.93 | RVU26C |
| 2026-04-01 | $590.73 | $73.93 | RVU26B |
| 2026-01-01 | $590.73 | $73.93 | RVU26A |
| 2025-10-01 | $576.97 | $82.35 | RVU25D |
| 2025-07-01 | $576.97 | $82.35 | RVU25C |
| 2025-04-01 | $576.97 | $82.35 | RVU25B |
| 2025-01-01 | $576.97 | $82.35 | RVU25A |
| 2024-10-01 | $613.08 | $84.09 | RVU24D |
| 2024-07-01 | $613.08 | $84.09 | RVU24C |
| 2024-04-01 | $613.08 | $84.09 | RVU24B |
| 2024-03-09 | $613.08 | $84.09 | RVU24AR |
| 2024-01-01 | $603.07 | $82.71 | RVU24A |
| 2023-10-01 | $649.06 | $86.46 | RVU23D |
| 2023-07-01 | $649.06 | $86.46 | RVU23C |
| 2023-04-01 | $649.06 | $86.46 | RVU23B |
| 2023-01-01 | $649.06 | $86.46 | RVU23A |
| 2022-10-01 | $685.58 | $88.86 | RVU22D |
| 2022-07-01 | $685.58 | $88.86 | RVU22C |
| 2022-04-01 | $685.58 | $88.86 | RVU22B |
| 2022-01-01 | $685.58 | $88.86 | RVU22A |
| 2021-10-01 | $728.83 | $88.97 | RVU21D |
| 2021-07-01 | $728.83 | $88.97 | RVU21C |
| 2021-04-01 | $728.83 | $88.97 | RVU21B |
| 2021-01-01 | $728.83 | $88.97 | RVU21A |
| 2020-10-01 | $727.12 | $93.37 | RVU20D |
| 2020-07-01 | $727.12 | $93.37 | RVU20C |
| 2020-04-01 | $727.12 | $93.37 | RVU20B |
| 2020-01-01 | $727.12 | $93.37 | RVU20A |
| 2019-10-01 | $727.10 | $93.52 | RVU19D |
| 2019-07-01 | $727.10 | $93.52 | RVU19C |
| 2019-04-01 | $727.10 | $93.52 | RVU19B |
| 2019-01-01 | $727.10 | $93.52 | RVU19A |
| 2018-10-01 | $734.47 | $93.42 | RVU18D |
| 2018-07-01 | $734.47 | $93.42 | RVU18C |
| 2018-04-01 | $734.47 | $93.42 | RVU18B |
| 2018-01-01 | $734.47 | $93.42 | RVU18AR1 |
| 2017-10-01 | $729.85 | $93.19 | RVU17D |
| 2017-07-01 | $729.85 | $93.19 | RVU17C |
| 2017-04-01 | $729.85 | $93.19 | RVU17B |
| 2017-01-01 | $729.85 | $93.19 | RVU17A |
| 2016-10-01 | $730.40 | $93.01 | RVU16D |
| 2016-07-01 | $730.40 | $93.01 | RVU16C |
| 2016-04-01 | $730.40 | $93.01 | RVU16B |
| 2016-01-01 | $730.40 | $93.01 | RVU16A |
| 2015-10-01 | $730.86 | $93.64 | RVU15D |
| 2015-07-01 | $730.86 | $93.64 | RVU15C |
| 2015-04-01 | $727.23 | $93.18 | RVU15B |
| 2015-01-01 | $727.23 | $93.18 | RVU15A |
| 2014-10-01 | $727.70 | $93.33 | RVU14D |
| 2014-07-01 | $727.70 | $93.33 | RVU14C |
| 2014-04-01 | $727.70 | $93.33 | RVU14B |
| 2014-01-01 | $727.70 | $93.33 | RVU14A |
| 2013-10-01 | $743.69 | $89.18 | RVU13D |
| 2013-07-01 | $743.69 | $89.18 | RVU13C |
| 2013-04-01 | $743.69 | $89.18 | RVU13B |
| 2013-01-01 | $743.69 | $89.18 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
49451 billing questions
How is 49451 different from 49441?
49451 is for exchanging an existing duodenostomy or jejunostomy tube through its established tract. 49441 describes percutaneous placement of a duodenal or jejunal tube, rather than replacement.
Can fluoroscopy or contrast be billed separately?
No. Fluoroscopic guidance, contrast injections, and radiological supervision and interpretation are included in 49451 for the tube exchange.
When is modifier 50 appropriate?
Modifier 50 is inappropriate for 49451; the service concerns an individual tube and is not a bilateral procedure.
What documentation supports reporting 49451?
Document the existing duodenostomy or jejunostomy access, the exchange performed, and the image-guided confirmation of the replacement tube's position.
How does the multiple-procedure reduction affect this code?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% 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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