CPT code 49553: Femoral hernia repair, initial, incarcerated or strangulated2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $671.76 for 49553 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49553 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 49553 covers

This code describes surgical repair of a femoral hernia that is incarcerated or strangulated and has not been repaired previously. The surgeon addresses the hernia at the femoral canal, reduces the trapped contents when possible, assesses the involved tissue, and repairs the defect. These repairs are commonly performed in a hospital or other surgical facility, including when a patient presents with a painful, nonreducible groin mass or concern for compromised bowel.

Report this code when the operative record supports both the femoral location and incarcerated or strangulated status, and identifies the repair as the initial repair rather than a recurrence. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For bilateral repair, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the 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 Washington, DC area compares for 49553

Across 109 of 109 payment localities, the facility rate for 49553 runs from $539.63 in Arkansas to $745.87 in Miami, FL. Washington, DC area pays $671.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49553 rates by state

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

See 49553 in every payment locality

How the 49553 rate is calculated

Each of 49553’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 49553

49553 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 49553

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

How 49553 has changed in Washington, DC area

Price 49553 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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