CPT code 49594: Hernia repair, initial, 3–10 cm, incarcerated2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $634.38 for 49594 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49594 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 49594 covers

This code represents repair of an initial anterior abdominal wall hernia, such as a ventral, incisional, umbilical, or epigastric hernia, when the defect measures 3–10 cm and the hernia is incarcerated or strangulated. A surgeon performs the repair, commonly in a hospital or ambulatory surgery center. Mesh implantation, when performed as part of the repair, is included in the service.

Choose the code based on the documented defect length, whether the hernia is reducible or incarcerated/strangulated, and whether the repair is initial rather than recurrent. The operative report should support the site, defect measurement, and nonreducible or strangulated status. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeons require 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 49594

Across 109 of 109 payment localities, the facility rate for 49594 runs from $597.22 in Wisconsin to $863.86 in Miami, FL. Mississippi pays $634.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49594 rates by state

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

See 49594 in every payment locality

How the 49594 rate is calculated

Each of 49594’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 49594

The CMS indicators that decide how 49594 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49594

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

How 49594 has changed in Mississippi

Price 49594 for an earlier date of service

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

Browse all communities in Mississippi

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