CPT code 49592: Abdominal hernia repair, incarcerated or strangulated, under 3 cm2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $424.17 for 49592 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49592 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 49592 covers

A surgeon uses this code for the first repair of an anterior abdominal hernia, such as an umbilical, epigastric, ventral, incisional, or Spigelian hernia, when the contents cannot be returned to the abdomen or the hernia is strangulated and the defect is under 3 cm. The repair may be open, laparoscopic, or robotic. Mesh or another prosthesis is included when placed. These cases are commonly performed in an operating room for a painful or obstructed abdominal-wall bulge.

Select the code based on initial versus recurrent repair, reducibility or strangulation, and total transverse defect length. When multiple defects are repaired, add their lengths under the family rules. The operative report should support the hernia site, clinical condition, measurements, approach, and prosthesis use. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. 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 Utah compares for 49592

Across 109 of 109 payment localities, the facility rate for 49592 runs from $383.21 in Wisconsin to $550.85 in Miami, FL. Utah pays $424.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49592 rates by state

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

See 49592 in every payment locality

How the 49592 rate is calculated

Each of 49592’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 49592

The CMS indicators that decide how 49592 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49592

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

How 49592 has changed in Utah

Price 49592 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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