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Billing code 49014: Pelvic re-explorationMedicare rate & RVUs

Reports urgent re-exploration of a recent laparotomy for traumatic pelvic bleeding when pelvic packing is performed to control hemorrhage.

CMS RVU26DEffective Oct 1, 2026109 payment localities60 Medicare services in 2024

Medicare pays $346.03 for 49014 nationally in a facility.

Medicare rate · 49014

Pelvic re-exploration

Work RVUs
6.56
Total RVUs
10.36
Global days
000

National rate · 2026

$346.03

Facility setting, before claim adjustments.

See every locality for 49014 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 49014 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 49014 covers

A surgeon reopens a recent laparotomy and re-explores the pelvis to control hemorrhage from trauma, using pelvic packing as part of the procedure. This is generally an urgent hospital operating-room service, often performed during damage-control surgery when bleeding must be controlled before definitive treatment can be completed. The operative report should establish the traumatic indication, the recent laparotomy, the pelvic focus, and the packing performed.

Report this code for the trauma-related pelvic re-exploration and packing, not for an initial abdominal exploration or a general reopening without this specific service. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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.

Where 49014 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

49014 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$312.11
Alaska*Unavailable$433.79
ArizonaUnavailable$335.49
ArkansasUnavailable$308.03
AtlantaUnavailable$359.53
AustinUnavailable$343.78
BakersfieldUnavailable$333.92
Baltimore/Surr. CntysUnavailable$368.39
BeaumontUnavailable$335.72
BrazoriaUnavailable$334.31

49014 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
49014 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 49014 rate is calculated

Each of 49014’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.

How the rate is built · 49014

RVUs × geographic indexes × conversion factor

Work6.56

6.56 RVUs× 1.000 GPCI

Practice expense2.05

2.05 RVUs× 1.000 GPCI

Malpractice1.75

1.75 RVUs× 1.000 GPCI

Adjusted RVUs

10.3600

Conversion factor

$33.4009

Medicare rate

$346.03

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 49014

The CMS indicators that decide how 49014 is paid alongside other services.

CMS payment indicators · 49014

Pelvic re-exploration

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

49014 without 51 · national facility

$346.03

Pelvic re-exploration

49014-51 · Second procedure: 50%

$173.02

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

49014 compared with similar codes

Compare codes · National

4 codes, side by side

  • 49014

    Pelvic re-exploration6.56 wRVU

    Not priced

  • 49013

    Pelvic packing8.14 wRVU

    Not priced

  • 49002

    Abdominal reoperation17.19 wRVU

    Not priced

  • 49000

    Abdominal exploration12.23 wRVU

    Not priced

How to choose

49013Pelvic packing
49013 applies when packing is performed in the abdomen for traumatic hemorrhage; 49014 is specific to pelvic packing.
49002Abdominal reoperation
49002 describes reopening a recent laparotomy more generally. Choose 49014 when the case is trauma-related pelvic hemorrhage treated with pelvic packing.
49000Abdominal exploration
49000 is an initial abdominal exploration. 49014 is a return to a recent laparotomy for traumatic pelvic bleeding with packing.

Codes related to 49014

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

Codes related to 49014
CodeHow it relatesNational office range
Same family
49013Pelvic packingRelated trauma hemorrhage re-exploration with abdominal rather than pelvic packing.No office rate
Used instead
49002Abdominal reoperationReopening a recent laparotomy for a service not meeting the trauma-related pelvic packing criteria.No office rate
49000Abdominal explorationInitial abdominal exploration, rather than re-exploration of a recent laparotomy for pelvic hemorrhage.No office rate

49014 billing questions

How does this differ from 49013?

Both involve re-exploration for traumatic hemorrhage with packing, but 49014 is for pelvic packing; 49013 is for abdominal packing. The operative note should make the packed site clear.

When would 49002 be more appropriate?

Use 49002 for reopening a recent laparotomy when the service is not the trauma-related pelvic hemorrhage procedure with packing represented by 49014.

Does the code include same-day preoperative and postoperative care?

Yes. The CMS global period is 0 days, and same-day preoperative and postoperative care is included.

Can modifier 50 be reported?

No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

Can an assistant surgeon or co-surgeon be paid?

Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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

Show the CMS file lines behind this rate
RVUs for 49014PPRRVU2026_Oct_nonQPP.csv, line 5,765 (RVU26D)

Open CMS sourceHow we calculate rates

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