CPT code 49555: Femoral hernia repair, recurrent, reducible2026 Medicare rate & RVUs in Colorado

In Colorado, Medicare pays $581.70 for 49555 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49555 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 49555 covers

This service repairs a femoral hernia that has returned after an earlier repair and can be reduced. A surgeon treats the defect in an operative setting, addressing the hernia contents and repairing the weakened area. The femoral location distinguishes this service from repair of an inguinal hernia, even when the clinical presentation is similar.

Report the code when the operative record supports both a prior femoral hernia repair and a recurrent, reducible hernia. Use the nonreducible recurrent femoral hernia code when the hernia is documented as incarcerated or strangulated. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. 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 Colorado compares for 49555

Across 109 of 109 payment localities, the facility rate for 49555 runs from $516.11 in Arkansas to $717.16 in Miami, FL. Colorado pays $581.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49555 rates by state

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

See 49555 in every payment locality

How the 49555 rate is calculated

Each of 49555’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 49555

49555 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 49555

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

How 49555 has changed in Colorado

Price 49555 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

• Acres Green
• Aetna Estates
• Aguilar
• Air Force Academy
• Akron
• Alamosa
• Alamosa East
• Allenspark

Browse all communities in Colorado

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