CPT code 49460: Tube fixation, gastrostomy or cecostomy2026 Medicare rate & RVUs in Atlanta, GA

In Atlanta, GA, Medicare pays $725.53 for 49460 in the office and $43.77 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 49460 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 49460 covers

This service uses a fixation device to secure an existing gastrostomy or cecostomy tube. It is distinct from placing a new feeding or drainage tube and from exchanging a tube that needs replacement. The procedure may be performed by an interventional radiologist or another physician who manages percutaneous access, typically in a procedural setting, when the tube needs mechanical stabilization.

Report the service when the physician performs the fixation, not merely when staff reinforce an external dressing or check tube position. Documentation should identify the existing tube, the reason fixation is needed, the device used, and the work performed. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is 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 Atlanta, GA compares for 49460

Across 109 of 109 payment localities, the office rate for 49460 runs from $616.18 in Arkansas to $1,015.21 in San Benito County, CA. Atlanta, GA pays $725.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49460 rates by state

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

See 49460 in every payment locality

How the 49460 rate is calculated

Each of 49460’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 49460

The CMS indicators that decide how 49460 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49460

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

How 49460 has changed in Atlanta, GA

Price 49460 for an earlier date of service

Where the Atlanta, GA rate applies

Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.

• Atlanta
• Acworth
• Alpharetta
• 49460 in Auburn · multiple payment areas
• Austell
• Avondale Estates
• Ball Ground
• Belvedere Park

Browse all communities in Georgia

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