CPT code 49614: Hernia repair, recurrent, under 3 cm2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 49614 in California.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 49614 covers

This code represents operative repair of a recurrent hernia in the anterior abdominal wall, such as an incisional, ventral, umbilical, epigastric, or Spigelian hernia. It applies when the total defect length is under 3 cm and the hernia is incarcerated or strangulated. A general surgeon typically performs the repair in a hospital operating room, using an open, laparoscopic, or robotic approach. Mesh placement, when performed as part of the repair, is included in the hernia service.

Choose the code from the operative findings: document the prior repair at the same site, the total defect length, and incarceration or strangulation. The approach does not change code selection. Medicare 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 available; 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.

Where 49614 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 49614 rate is calculated

Each of 49614’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 49614

The CMS indicators that decide how 49614 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

49614 compared with similar codes

How to choose

49613Abdominal hernia repairRecurrent, reducible, under 3 cm

Both codes cover recurrent anterior abdominal hernias under 3 cm. Choose 49614 for incarceration or strangulation and 49613 when the hernia is reducible.

49616Hernia repairRecurrent, 3-10 cm, incarcerated

Both cover recurrent incarcerated or strangulated hernias. 49616 is for a total defect length of 3–10 cm; 49614 is for under 3 cm.

49618Abdominal hernia repairRecurrent, over 10 cm

Both cover recurrent incarcerated or strangulated hernias. 49618 applies when the defect is over 10 cm, rather than under 3 cm.

49622Parastomal hernia repairIncarcerated or strangulated

49622 is for repair of a parastomal hernia with incarceration or strangulation. Use 49614 for the specified recurrent anterior abdominal hernia outside that parastomal category.

Codes related to 49614

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

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