CPT code 49623: Mesh removal, during hernia repair2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $181.08 for 49623 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49623 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 49623 covers

This add-on describes removing noninfected mesh or another prosthesis during a hernia repair, regardless of the surgical approach. A surgeon may encounter prior mesh during an open or laparoscopic repair of a recurrent abdominal, parastomal, or inguinal hernia. The work must involve removal of the prosthesis; simply working around existing mesh as part of the repair does not establish that removal was performed.

Report 49623 with the qualifying primary hernia repair, not as a standalone service. The operative note should identify the prosthesis as noninfected and document its removal during the repair. CMS classifies the code as an add-on and places its payment within the primary procedure’s global period. The primary code identifies the hernia repair; 49623 represents the additional prosthesis-removal work.

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 49623

Across 109 of 109 payment localities, the facility rate for 49623 runs from $160.82 in Wisconsin to $233.79 in Miami, FL. Delaware pays $181.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49623 rates by state

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

See 49623 in every payment locality

How the 49623 rate is calculated

Each of 49623’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 49623

The CMS indicators that decide how 49623 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 49623

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

How 49623 has changed in Delaware

Price 49623 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