CPT code 49906: Free omental flap, microvascular anastomosis2026 Medicare rate & RVUs in Wisconsin

CMS doesn’t publish a rate for 49906 in Wisconsin.

Check a contract rate as a % of Medicare · 49906 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 49906 covers

Code 49906 identifies a free omental flap transfer in which the omentum is moved to a recipient site and connected to recipient blood vessels through microvascular anastomosis. The distinguishing feature is the free transfer with microvascular connection; 49904 and 49905 describe other omental flap approaches, respectively extra-abdominal and intra-abdominal. The operating surgeon reports this reconstructive procedure when the transferred tissue is omentum and the flap is microsurgically revascularized.

Medicare assigns status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The procedure has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Standard multiple-procedure reduction applies when procedures are performed in the same session. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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 Wisconsin compares for 49906

Every other payment area

49906 rates by state

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

See 49906 in every payment locality

How the 49906 rate is calculated

Each of 49906’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 49906

49906 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 51

Codes related to 49906

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

How 49906 has changed in Wisconsin

Price 49906 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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