CPT code 49615: Hernia repair, recurrent, 3–10 cm, reducible2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $574.53 for 49615 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49615 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 49615 covers

A surgeon repairs a hernia that has returned after a prior repair at the same site. The code applies to an anterior abdominal hernia, such as an incisional, ventral, umbilical, epigastric, or Spigelian hernia, when the defect is recurrent, reducible, and 3–10 cm. The repair may be performed through an open incision or by a laparoscopic or robotic approach. These operations are commonly performed in a hospital or ambulatory surgery center.

Select the code using the operative findings: document the prior repair, the defect’s measured size, and that the hernia was reducible. Mesh or another prosthesis used as part of the repair is included in the hernia-repair service. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services 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 Delaware compares for 49615

Across 109 of 109 payment localities, the facility rate for 49615 runs from $511.82 in Wisconsin to $737.12 in Miami, FL. Delaware pays $574.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49615 rates by state

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

See 49615 in every payment locality

How the 49615 rate is calculated

Each of 49615’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 49615

The CMS indicators that decide how 49615 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49615

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

How 49615 has changed in Delaware

Price 49615 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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