CPT code 49622: Parastomal hernia repair, incarcerated or strangulated2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $836.78 for 49622 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49622 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 49622 covers

This code covers operative repair of a parastomal hernia when the hernia is incarcerated or strangulated. The defect is in the abdominal wall around a stoma, such as a colostomy or ileostomy. General or colorectal surgeons commonly perform the repair in a hospital or other surgical facility. The code applies to the hernia repair whether the surgeon uses an open or minimally invasive approach; mesh may be used to reinforce the repair.

Choose this code based on the hernia’s parastomal location and incarcerated or strangulated status, not on the approach. A reducible parastomal hernia is reported with 49621. Document the stoma site and the finding that the hernia is incarcerated or strangulated. CMS 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 the others at 50%. 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 Delaware compares for 49622

Across 109 of 109 payment localities, the facility rate for 49622 runs from $748.35 in Wisconsin to $1,076.19 in Alaska. Delaware pays $836.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49622 rates by state

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

See 49622 in every payment locality

How the 49622 rate is calculated

Each of 49622’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 49622

The CMS indicators that decide how 49622 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 49622

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

How 49622 has changed in Delaware

Price 49622 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