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

In Colorado, Medicare pays $515.58 for 49614 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49614 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 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.

How Colorado compares for 49614

Across 109 of 109 payment localities, the facility rate for 49614 runs from $459.40 in Wisconsin to $661.58 in Miami, FL. Colorado pays $515.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49614 rates by state

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

See 49614 in every payment locality

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

Codes related to 49614

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

How 49614 has changed in Colorado

Price 49614 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