CPT code 49591: Hernia repair, initial, under 3 cm, reducible2026 Medicare rate & RVUs in Wyoming

In Wyoming, Medicare pays $302.70 for 49591 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49591 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 49591 covers

This code describes an initial operation to repair a reducible anterior abdominal wall hernia with a defect measuring less than 3 cm. Typical examples include umbilical, epigastric, and ventral hernias. A general surgeon or other qualified surgeon may perform the repair in a hospital or ambulatory surgery setting, using an open, laparoscopic, or robotic approach. Mesh may be used as part of the repair.

Choose this code when the hernia is not a recurrence after prior repair, is reducible, and the operative documentation supports a defect under 3 cm. Record the hernia site, reducibility, prior repair history, and measured defect size. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. 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 Wyoming compares for 49591

Across 109 of 109 payment localities, the facility rate for 49591 runs from $278.18 in Wisconsin to $394.99 in Alaska. Wyoming pays $302.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49591 rates by state

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

See 49591 in every payment locality

How the 49591 rate is calculated

Each of 49591’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 49591

The CMS indicators that decide how 49591 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49591

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

How 49591 has changed in Wyoming

Price 49591 for an earlier date of service

Where the Wyoming rate applies

Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

• Afton
• Albany
• Albin
• Alcova
• Alpine
• Alpine Northeast
• Alpine Northwest
• Alta

Browse all communities in Wyoming

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