CPT code 49650: Inguinal hernia repair, laparoscopic, initial2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $421.63 for 49650 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49650 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 49650 covers

A surgeon repairs an initial inguinal hernia through small abdominal incisions using a laparoscope and surgical instruments. The surgeon reduces the hernia and repairs the defect, commonly reinforcing the area with mesh. This approach is performed in hospital operating rooms and ambulatory surgery centers; transabdominal preperitoneal and totally extraperitoneal approaches are common. Mesh placement is part of the repair rather than a separate service under this code.

Report this code for laparoscopic repair of an initial, not recurrent, inguinal hernia. The operative report should support the laparoscopic approach, hernia site, and whether the repair is initial or recurrent. For bilateral repair in the same session, CMS pays 150% when modifier 50 is reported. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Assistant-at-surgery payment may be available; 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 New Mexico compares for 49650

Across 109 of 109 payment localities, the facility rate for 49650 runs from $374.85 in Arkansas to $514.85 in NYC suburbs and Long Island, NY. New Mexico pays $421.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49650 rates by state

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

See 49650 in every payment locality

How the 49650 rate is calculated

Each of 49650’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 49650

49650 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 49650

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

How 49650 has changed in New Mexico

Price 49650 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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