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Billing code 49325: Catheter revisionMedicare rate & RVUs

Reports laparoscopic correction of a previously placed permanent intraperitoneal catheter, commonly to restore function of peritoneal dialysis access.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.5K Medicare services in 2024

Medicare pays $388.79 for 49325 nationally in a facility.

Medicare rate · 49325

Catheter revision

Work RVUs
6.65
Total RVUs
11.64
Global days
010

National rate · 2026

$388.79

Facility setting, before claim adjustments.

See every locality for 49325 →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 49325 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 49325 covers

A surgeon uses laparoscopy to correct a problem with an existing permanent catheter in the peritoneal cavity, rather than placing a new catheter. This service is commonly performed for a malfunctioning peritoneal dialysis catheter, such as one whose position or surrounding tissue interferes with drainage or inflow. The work may include laparoscopic assessment and corrective maneuvers on the catheter or nearby tissue in the abdominal cavity.

Choose this code when the operative report supports laparoscopic revision of a previously placed catheter. Document the catheter’s existing status, the reason it required revision, and the corrective work performed. Related endoscopies performed together are subject to endoscopy-family pricing. The 10-day global period includes related postoperative visits during that period. Modifier 50 is inappropriate. CMS permits payment for an assistant at surgery and recognizes co-surgeons; 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.

Where 49325 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

49325 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$350.10
Alaska*Unavailable$480.98
ArizonaUnavailable$377.09
ArkansasUnavailable$345.41
AtlantaUnavailable$402.81
AustinUnavailable$388.96
BakersfieldUnavailable$380.87
Baltimore/Surr. CntysUnavailable$413.98
BeaumontUnavailable$374.88
BrazoriaUnavailable$376.87

49325 rates by state

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

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Explore a state

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
49325 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 49325 rate is calculated

Each of 49325’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 · 49325

RVUs × geographic indexes × conversion factor

Work6.65

6.65 RVUs× 1.000 GPCI

Practice expense3.26

3.26 RVUs× 1.000 GPCI

Malpractice1.73

1.73 RVUs× 1.000 GPCI

Adjusted RVUs

11.6400

Conversion factor

$33.4009

Medicare rate

$388.79

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

Payment rules and modifiers for 49325

49325 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 49325

Catheter revision

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 49325

Catheter revision

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

49325 without 51 · national facility

$388.79

Catheter revision

49325-51 · Second procedure: 50%

$194.40

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

49325 compared with similar codes

Compare codes · National

4 codes, side by side

  • 49325

    Catheter revision6.65 wRVU

    Not priced

  • 49324

    Dialysis catheter placement6.16 wRVU

    Not priced

  • 49320

    Diagnostic laparoscopy5.01 wRVU

    Not priced

  • 49422

    Catheter removal3.9 wRVU

    Not priced

How to choose

49324Dialysis catheter placement
Use 49324 for laparoscopic insertion of a tunneled intraperitoneal catheter. Use 49325 when the catheter was already placed and is being revised.
49320Diagnostic laparoscopy
49320 describes diagnostic laparoscopy as a separate procedure. 49325 reports operative revision of an existing catheter.
49422Catheter removal
49422 reports removal of a tunneled intraperitoneal catheter. 49325 reports laparoscopic revision, not catheter removal.

Codes related to 49325

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

Codes related to 49325
CodeHow it relatesNational office range
Same family
49324Dialysis catheter placementLaparoscopic insertion of a tunneled intraperitoneal catheter, rather than revision of an existing one.No office rate
Add-on codes
49326OmentopexyAdd-on for laparoscopic omentopexy associated with intraperitoneal catheter placement.No office rate
Used instead
49329Unlstd laps px abd pertm&omnUnlisted laparoscopic procedure code for distinct work not represented by a specific code.No office rate

49325 billing questions

How does this differ from 49324?

49325 is for laparoscopic revision of a catheter already in place. 49324 describes laparoscopic insertion of a tunneled intraperitoneal catheter.

What documentation supports reporting 49325?

The operative report should identify the existing catheter, explain the problem prompting revision, and describe the laparoscopic corrective work performed.

Are related postoperative visits included?

Yes. The 10-day global period includes related postoperative visits during those 10 days.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this service.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery payment and co-surgeons for this code. Team surgery is not permitted.

How is this handled with another related endoscopy?

When related endoscopies are performed together, endoscopy-family pricing applies.

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 49325PPRRVU2026_Oct_nonQPP.csv, line 5,788 (RVU26D)

Open CMS sourceHow we calculate rates

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