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Billing code 49507: Inguinal hernia repairMedicare rate & RVUs

Open repair of an initial inguinal hernia in a patient age five or older when the hernia is incarcerated or strangulated.

CMS RVU26DEffective Oct 1, 2026109 payment localities9.5K Medicare services in 2024

Medicare pays $568.15 for 49507 nationally in a facility.

Medicare rate · 49507

Inguinal hernia repair

Swap in your local Medicare rate.

Work RVUs
8.86
Total RVUs
17.01
Global days
090

National rate · 2026

$568.15

Facility setting, before claim adjustments.

See every locality for 49507 → · 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 49507 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 49507 covers

This code describes open repair of an initial inguinal hernia in a patient age five or older when the hernia is incarcerated or strangulated. Incarceration means the hernia contents cannot be returned to the abdomen; strangulation involves compromised blood supply and may require urgent surgery. General surgeons commonly perform the repair in a hospital operating room or ambulatory surgery center. The operative report should identify the inguinal hernia, the patient’s age, and the incarcerated or strangulated status.

Choose this code instead of the reducible-hernia code when the operative documentation supports incarceration or strangulation. Use a recurrent-repair code when the hernia is at a previously repaired site. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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.

Where 49507 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

49507 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$510.18
Alaska*Unavailable$693.98
ArizonaUnavailable$550.95
ArkansasUnavailable$503.11
AtlantaUnavailable$587.73
AustinUnavailable$571.20
BakersfieldUnavailable$562.17
Baltimore/Surr. CntysUnavailable$605.46
BeaumontUnavailable$545.12
BrazoriaUnavailable$551.72

49507 rates by state

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

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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
49507 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 49507 rate is calculated

Each of 49507’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 · 49507

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.86Practice expense 5.83Malpractice 2.32

17.0100 adjusted RVUs×$33.4009 conversion factor=$568.15

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 49507

49507 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 49507

Inguinal hernia repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 49507

Inguinal hernia repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

49507 without 50 · national facility

$568.15

Inguinal hernia repair

49507-50 · Bilateral: 150%

$852.23

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

49507 compared with similar codes

Compare codes

49507 vs 49505 vs 49501 vs 49520 vs 49521: national Medicare rates

Swap in your local Medicare rate.

  • 49507
    Inguinal hernia repair · 8.86 wRVU
    —
  • 49505
    Inguinal hernia repair · 7.76 wRVU
    —
  • 49501
    Inguinal hernia repair · 9.13 wRVU
    —
  • 49520
    Inguinal hernia repair · 9.74 wRVU
    —
  • 49521
    Inguinal hernia repair · 11.19 wRVU
    —

How to choose

49505Inguinal hernia repair
Use 49505 for an initial, reducible inguinal hernia in a patient age five or older; 49507 requires incarceration or strangulation.
49501Inguinal hernia repair
Both codes address an initial incarcerated or strangulated inguinal hernia, but 49501 is for a younger patient and 49507 is for age five or older.
49520Inguinal hernia repair
Use 49520 for a recurrent, reducible inguinal hernia. 49507 is for an initial incarcerated or strangulated hernia.
49521Inguinal hernia repair
Use 49521 for a recurrent incarcerated or strangulated inguinal hernia; 49507 is for an initial repair.

Codes related to 49507

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

Codes related to 49507
CodeHow it relatesNational office range
Same family
49505Inguinal hernia repairInitial inguinal hernia repair for a reducible hernia in a patient age five or older.No office rate
49501Inguinal hernia repairIncarcerated or strangulated initial inguinal hernia repair for a younger patient.No office rate
Used instead
49520Inguinal hernia repairRecurrent inguinal hernia repair when the hernia is reducible.No office rate
49521Inguinal hernia repairRecurrent inguinal hernia repair when the hernia is incarcerated or strangulated.No office rate

49507 billing questions

How does 49507 differ from 49505?

49507 is for an initial inguinal hernia documented as incarcerated or strangulated in a patient age five or older. 49505 is the corresponding code when the hernia is reducible.

Does 49507 apply to a recurrent hernia?

No. Use the recurrent-repair code that matches the hernia’s status when the same site has been repaired before.

Can mesh be reported separately?

Mesh placement is part of the inguinal hernia repair service; there is no separate mesh add-on for this repair.

How is a bilateral repair reported?

Report modifier 50 for the bilateral procedure. CMS pays this code at 150% under its bilateral rule.

What documentation supports 49507?

Document that this is an initial inguinal hernia repair, the patient’s age, and the incarcerated or strangulated status. The operative note should support the condition treated.

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 49507PPRRVU2026_Oct_nonQPP.csv, line 5,828 (RVU26D)

Open CMS sourceHow we calculate rates

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