CPT code 49618: Abdominal hernia repair, recurrent, over 10 cm2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,229.17 for 49618 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49618 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 49618 covers

This code represents operative repair of a recurrent anterior abdominal wall hernia when the total length of the defect or defects is greater than 10 cm and the hernia is incarcerated or strangulated. General and acute care surgeons commonly perform the repair in a hospital operating room, using an open, laparoscopic, or robotic approach. Mesh or another prosthesis may be implanted as part of the repair.

Choose the code from the operative findings: the hernia must be recurrent, the total defect length must exceed 10 cm, and the hernia must be incarcerated or strangulated. Documentation should establish the prior repair, defect measurement, and clinical status, along with the repair performed. Mesh placement is included in the hernia repair. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment may be made, 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 Washington, DC area compares for 49618

Across 109 of 109 payment localities, the facility rate for 49618 runs from $991.56 in Wisconsin to $1,430.55 in Miami, FL. Washington, DC area pays $1,229.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49618 rates by state

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

See 49618 in every payment locality

How the 49618 rate is calculated

Each of 49618’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 49618

The CMS indicators that decide how 49618 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49618

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

How 49618 has changed in Washington, DC area

Price 49618 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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