CPT code 49520: Inguinal hernia repair, recurrent, reducible2026 Medicare rate & RVUs in Mississippi
Open repair of a previously repaired inguinal hernia when the recurrent defect is reducible, reported for operative treatment of the recurrence.
In Mississippi, Medicare pays $558.47 for 49520 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 49520 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 49520 covers
Code 49520 describes operative repair of a recurrent inguinal hernia that is reducible, meaning the protruding contents can be returned rather than remaining trapped. It applies when the hernia has returned at a site previously repaired, not to a first-time hernia. General surgeons commonly perform this open repair in a hospital operating room or ambulatory surgery center; a laparoscopic repair is coded separately.
Document the prior repair or history establishing recurrence, the inguinal location, reducibility, and the procedure performed. The service has a 90-day global period: the day-before preoperative visit and related postoperative care through day 90 are included. 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%. Assistant-at-surgery payment may be made; 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 Mississippi compares for 49520
Across 109 of 109 payment localities, the facility rate for 49520 runs from $538.93 in Arkansas to $747.06 in Miami, FL. Mississippi pays $558.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$558.47
- Los Angeles, CA · California$628.96+$70.49
- Washington, DC area · District of Columbia$670.60+$112.13
- Miami, FL · Florida$747.06+$188.59
- Chicago, IL · Illinois$722.23+$163.76
- Manhattan, NY · New York$711.14+$152.67
- Alaska · Alaska$745.33+$186.86
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $546.45 |
| ArkansasArkansas | — | $538.93 |
| ArizonaArizona | — | $589.80 |
| Bakersfield, CACalifornia | — | $599.93 |
| Chico, CACalifornia | — | $593.04 |
| El Centro, CACalifornia | — | $593.46 |
| Fresno, CACalifornia | — | $593.04 |
| Hanford, CACalifornia | — | $593.04 |
| Madera, CACalifornia | — | $593.04 |
| Merced, CACalifornia | — | $593.04 |
| Modesto, CACalifornia | — | $593.04 |
| Napa, CACalifornia | — | $649.43 |
| Oxnard, CACalifornia | — | $621.03 |
| Redding, CACalifornia | — | $593.04 |
| Rest of CaliforniaCalifornia | — | $593.04 |
| Riverside, CACalifornia | — | $620.47 |
| Sacramento, CACalifornia | — | $612.44 |
| Salinas, CACalifornia | — | $610.03 |
| San Diego, CACalifornia | — | $617.52 |
| Marin County, CACalifornia | — | $673.81 |
| San Francisco, CACalifornia | — | $670.90 |
| San Benito County, CACalifornia | — | $691.59 |
| Santa Clara County, CACalifornia | — | $679.71 |
| San Luis Obispo, CACalifornia | — | $601.52 |
| Santa Cruz, CACalifornia | — | $617.83 |
| Santa Maria, CACalifornia | — | $610.43 |
| Santa Rosa, CACalifornia | — | $623.32 |
| Stockton, CACalifornia | — | $593.04 |
| Vallejo, CACalifornia | — | $645.24 |
| Visalia, CACalifornia | — | $593.04 |
| Yuba City, CACalifornia | — | $593.04 |
| ColoradoColorado | — | $606.04 |
| ConnecticutConnecticut | — | $647.89 |
| DelawareDelaware | — | $598.85 |
| Fort Lauderdale, FLFlorida | — | $679.89 |
| Rest of FloridaFlorida | — | $642.55 |
| Atlanta, GAGeorgia | — | $629.55 |
| Rest of GeorgiaGeorgia | — | $603.33 |
| Hawaii, Guam, HIHawaii | — | $599.28 |
| IowaIowa | — | $539.89 |
| IdahoIdaho | — | $547.38 |
| East St. Louis, ILIllinois | — | $679.14 |
| Rest of IllinoisIllinois | — | $639.20 |
| Suburban Chicago, ILIllinois | — | $681.85 |
| IndianaIndiana | — | $549.87 |
| KansasKansas | — | $546.87 |
| KentuckyKentucky | — | $579.05 |
| New Orleans, LALouisiana | — | $608.21 |
| Rest of LouisianaLouisiana | — | $581.94 |
| Metropolitan Boston, MAMassachusetts | — | $650.46 |
| Rest of MassachusettsMassachusetts | — | $606.54 |
| Baltimore area, MDMaryland | — | $648.11 |
| Rest of MarylandMaryland | — | $606.84 |
| Rest of MaineMaine | — | $560.12 |
| Southern Maine, MEMaine | — | $574.90 |
| Detroit, MIMichigan | — | $659.98 |
| Rest of MichiganMichigan | — | $602.09 |
| MinnesotaMinnesota | — | $553.76 |
| Metropolitan Kansas City, MOMissouri | — | $594.22 |
| Metropolitan St. Louis, MOMissouri | — | $598.93 |
| Rest of MissouriMissouri | — | $578.77 |
| MontanaMontana | — | $608.06 |
| North CarolinaNorth Carolina | — | $564.14 |
| North DakotaNorth Dakota | — | $557.44 |
| NebraskaNebraska | — | $539.85 |
| New HampshireNew Hampshire | — | $605.64 |
| Northern New JerseyNew Jersey | — | $666.12 |
| Rest of New JerseyNew Jersey | — | $647.70 |
| New MexicoNew Mexico | — | $609.03 |
| NevadaNevada | — | $594.15 |
| NYC suburbs and Long Island, NYNew York | — | $739.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $659.58 |
| Queens, NYNew York | — | $702.77 |
| Rest of New YorkNew York | — | $572.97 |
| OhioOhio | — | $591.74 |
| OklahomaOklahoma | — | $568.04 |
| Portland, OROregon | — | $613.46 |
| Rest of OregonOregon | — | $582.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $638.68 |
| Rest of PennsylvaniaPennsylvania | — | $587.34 |
| Puerto RicoPuerto Rico | — | $609.12 |
| Rhode IslandRhode Island | — | $611.69 |
| South CarolinaSouth Carolina | — | $580.40 |
| South DakotaSouth Dakota | — | $551.45 |
| TennesseeTennessee | — | $550.68 |
| Austin, TXTexas | — | $610.58 |
| Beaumont, TXTexas | — | $584.39 |
| Brazoria, TXTexas | — | $590.25 |
| Dallas, TXTexas | — | $598.23 |
| Fort Worth, TXTexas | — | $597.36 |
| Galveston, TXTexas | — | $594.74 |
| Houston, TXTexas | — | $641.60 |
| Rest of TexasTexas | — | $589.87 |
| UtahUtah | — | $587.66 |
| VirginiaVirginia | — | $579.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $609.12 |
| VermontVermont | — | $564.02 |
| Rest of WashingtonWashington | — | $602.49 |
| King County, WAWashington | — | $653.66 |
| WisconsinWisconsin | — | $540.77 |
| West VirginiaWest Virginia | — | $619.22 |
| WyomingWyoming | — | $586.00 |
49520 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 49520 rate is calculated
Each of 49520’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 · 49520
RVUs × geographic indexes × conversion factor
Work9.74
9.74 RVUs× 1.000 GPCI
Practice expense5.91
5.91 RVUs× 1.000 GPCI
Malpractice2.56
2.56 RVUs× 1.000 GPCI
Adjusted RVUs
18.2100
Conversion factor
$33.4009
Medicare rate
$608.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,829
- Code
- 49520
- Physician work
- 9.74
- Practice expense
- 5.91
- Malpractice
- 2.56
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.74 | × 1.000 | 9.7400 |
| Practice expense | 5.91 | × 0.861 | 5.0885 |
| Malpractice | 2.56 | × 0.739 | 1.8918 |
| Total RVUs | 16.7203 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$558.47
Facility: (9.74 × 1 + 5.91 × 0.861 + 2.56 × 0.739) × $33.4009 = $558.47
Payment rules and modifiers for 49520
49520 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49520
Inguinal hernia repair, recurrent, reducible
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 49520
Inguinal hernia repair, recurrent, reducible
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
49520 without 50 · national facility
$608.23
Inguinal hernia repair, recurrent, reducible
49520-50 · Bilateral: 150%
$912.35
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 49520 has changed in Mississippi
49520 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $558.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $558.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $558.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $558.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $571.57 | RVU25D |
| 2025-07-01 | Not available in this setting | $571.57 | RVU25C |
| 2025-04-01 | Not available in this setting | $571.57 | RVU25B |
| 2025-01-01 | Not available in this setting | $571.57 | RVU25A |
| 2024-10-01 | Not available in this setting | $584.97 | RVU24D |
| 2024-07-01 | Not available in this setting | $584.97 | RVU24C |
| 2024-04-01 | Not available in this setting | $584.97 | RVU24B |
| 2024-03-09 | Not available in this setting | $584.97 | RVU24AR |
| 2024-01-01 | Not available in this setting | $575.42 | RVU24A |
| 2023-10-01 | Not available in this setting | $586.56 | RVU23D |
| 2023-07-01 | Not available in this setting | $586.56 | RVU23C |
| 2023-04-01 | Not available in this setting | $586.56 | RVU23B |
| 2023-01-01 | Not available in this setting | $586.56 | RVU23A |
| 2022-10-01 | Not available in this setting | $592.64 | RVU22D |
| 2022-07-01 | Not available in this setting | $592.64 | RVU22C |
| 2022-04-01 | Not available in this setting | $592.64 | RVU22B |
| 2022-01-01 | Not available in this setting | $592.64 | RVU22A |
| 2021-10-01 | Not available in this setting | $591.34 | RVU21D |
| 2021-07-01 | Not available in this setting | $591.34 | RVU21C |
| 2021-04-01 | Not available in this setting | $591.34 | RVU21B |
| 2021-01-01 | Not available in this setting | $591.34 | RVU21A |
| 2020-10-01 | Not available in this setting | $591.69 | RVU20D |
| 2020-07-01 | Not available in this setting | $591.69 | RVU20C |
| 2020-04-01 | Not available in this setting | $591.69 | RVU20B |
| 2020-01-01 | Not available in this setting | $591.69 | RVU20A |
| 2019-10-01 | Not available in this setting | $578.37 | RVU19D |
| 2019-07-01 | Not available in this setting | $578.37 | RVU19C |
| 2019-04-01 | Not available in this setting | $578.37 | RVU19B |
| 2019-01-01 | Not available in this setting | $578.37 | RVU19A |
| 2018-10-01 | Not available in this setting | $576.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $576.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $576.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $576.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $584.54 | RVU17D |
| 2017-07-01 | Not available in this setting | $584.54 | RVU17C |
| 2017-04-01 | Not available in this setting | $584.54 | RVU17B |
| 2017-01-01 | Not available in this setting | $584.54 | RVU17A |
| 2016-10-01 | Not available in this setting | $593.46 | RVU16D |
| 2016-07-01 | Not available in this setting | $593.46 | RVU16C |
| 2016-04-01 | Not available in this setting | $593.46 | RVU16B |
| 2016-01-01 | Not available in this setting | $593.46 | RVU16A |
| 2015-10-01 | Not available in this setting | $594.09 | RVU15D |
| 2015-07-01 | Not available in this setting | $594.09 | RVU15C |
| 2015-04-01 | Not available in this setting | $591.14 | RVU15B |
| 2015-01-01 | Not available in this setting | $591.14 | RVU15A |
| 2014-10-01 | Not available in this setting | $591.09 | RVU14D |
| 2014-07-01 | Not available in this setting | $591.09 | RVU14C |
| 2014-04-01 | Not available in this setting | $591.09 | RVU14B |
| 2014-01-01 | Not available in this setting | $591.09 | RVU14A |
| 2013-10-01 | Not available in this setting | $589.31 | RVU13D |
| 2013-07-01 | Not available in this setting | $589.31 | RVU13C |
| 2013-04-01 | Not available in this setting | $589.31 | RVU13B |
| 2013-01-01 | Not available in this setting | $589.31 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
49520 billing questions
How does 49520 differ from 49505?
49520 is for a reducible inguinal hernia that has recurred after a prior repair. 49505 describes an initial reducible inguinal hernia in a patient age five or older.
When should 49521 be used instead?
Use 49521 for recurrent inguinal hernia repair when the hernia is incarcerated or strangulated, rather than reducible.
Does 49520 describe open or laparoscopic repair?
49520 describes open repair. Laparoscopic repair of a recurrent inguinal hernia is reported with 49651.
What documentation supports reporting recurrent repair?
Document that the hernia is at a previously repaired inguinal site, that it is reducible, and what repair was performed. A first-time hernia does not meet the recurrence criterion.
How is bilateral repair handled?
When both sides are repaired in the same session, modifier 50 is paid at 150% under the CMS bilateral rule.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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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