CPT code 49492: Inguinal hernia repair, preterm, incarcerated or strangulated2026 Medicare rate & RVUs in Virgin Islands, VI

In Virgin Islands, VI, Medicare pays $912.18 for 49492 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49492 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 49492 covers

This code describes initial surgical repair of an inguinal hernia that is incarcerated or strangulated in a preterm infant: born before 37 weeks’ gestation and operated on from birth through 50 weeks’ postconceptional age. A pediatric or general surgeon typically performs the repair in an operating room, addressing the hernia and its contents. The code’s age and prematurity criteria distinguish it from infant hernia repairs for other patient groups.

Report it when the operative record supports the qualifying birth gestation, the infant’s postconceptional age on the procedure date, and an incarcerated or strangulated hernia. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral repair, modifier 50 is paid at 150%; when multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is 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 Virgin Islands, VI compares for 49492

Across 109 of 109 payment localities, the facility rate for 49492 runs from $806.52 in Nebraska to $1,127.73 in Miami, FL. Virgin Islands, VI pays $912.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49492 rates by state

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

See 49492 in every payment locality

How the 49492 rate is calculated

Each of 49492’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 49492

49492 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 49492

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

How 49492 has changed in Virgin Islands, VI

Price 49492 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

• Charlotte Amalie
• Charlotte Amalie East
• Charlotte Amalie West
• Christiansted
• Coral Bay
• Cruz Bay
• Frederiksted
• Frederiksted Southeast

Browse all communities in United States Virgin Islands

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