CPT code 49621: Hernia repair, reducible parastomal hernia2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $672.78 for 49621 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49621 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 49621 covers

This service repairs a hernia at the abdominal opening where a colostomy, ileostomy, or other stoma passes through the abdominal wall. The surgeon returns the hernia contents and repairs the defect; the hernia is reducible when its contents can be returned. The code covers open, laparoscopic, and robotic approaches, and includes mesh or another prosthesis when implanted. It is generally performed by a general or colorectal surgeon in an operating room.

Report this code for a reducible parastomal hernia, not a hernia at another abdominal site or an incarcerated or strangulated parastomal hernia. The operative note should identify the stoma site, describe the hernia and its reducibility, and document the repair approach and any prosthesis. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur 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 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 Ohio compares for 49621

Across 109 of 109 payment localities, the facility rate for 49621 runs from $604.82 in Wisconsin to $867.66 in Alaska. Ohio pays $672.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49621 rates by state

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

See 49621 in every payment locality

How the 49621 rate is calculated

Each of 49621’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 49621

The CMS indicators that decide how 49621 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49621

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

How 49621 has changed in Ohio

Price 49621 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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