CPT code 49617: Abdominal hernia repair, recurrent, over 10 cm, reducible2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $795.59 for 49617 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49617 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 49617 covers

A surgeon repairs a recurrent hernia of the anterior abdominal wall, such as a recurrent ventral or incisional hernia. The defect is reducible and its total length is greater than 10 cm. Repair may be performed through an open, laparoscopic, or robotic approach. These operations are typically performed in a hospital or ambulatory surgery facility by a general surgeon or another surgeon who treats abdominal wall hernias.

Choose this code based on the documented recurrence, reducibility, and total defect length—not the size of the hernia sac. The operative report should support the prior repair, the defect measurement, and whether the contents could be reduced. Mesh or another prosthesis used in the repair is included in the hernia repair service. Medicare 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 other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

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 49617

Across 109 of 109 payment localities, the facility rate for 49617 runs from $709.44 in Wisconsin to $1,019.26 in Alaska. Delaware pays $795.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49617 rates by state

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

See 49617 in every payment locality

How the 49617 rate is calculated

Each of 49617’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 49617

The CMS indicators that decide how 49617 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49617

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

How 49617 has changed in Delaware

Price 49617 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