CPT code 49905: Omental flap, intra-abdominal placement2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $299.55 for 49905 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49905 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 49905 covers

49905 captures the surgeon’s additional work of mobilizing and positioning omental tissue as a flap that remains inside the abdominal cavity, such as to cover or reinforce an intra-abdominal defect or support repair of an intra-abdominal fistula. It is performed during an abdominal operation, typically by a general or colorectal surgeon in an operating room.

Report 49905 only with a qualifying primary procedure; it is not a standalone service. Select it when the flap is placed intra-abdominally, rather than carried outside the abdomen or transferred as a free flap with microvascular anastomosis. The operative report should identify the omentum used, its mobilization and final placement, the target or defect addressed, and the primary operation. CMS classifies 49905 as an add-on code and pays it within the primary procedure’s global period.

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 Virginia compares for 49905

Across 109 of 109 payment localities, the facility rate for 49905 runs from $278.56 in Wisconsin to $402.73 in Alaska. Virginia pays $299.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49905 rates by state

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

See 49905 in every payment locality

How the 49905 rate is calculated

Each of 49905’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 49905

The CMS indicators that decide how 49905 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 49905

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

How 49905 has changed in Virginia

Price 49905 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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