No office rate
49326 reports laparoscopic omentopexy as an add-on; 49327 reports laparoscopic placement of a device for intraperitoneal radiation therapy.
On this page
CMS RVU26D · Effective 2026-10-01
49327 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$115.49
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Laparoscopic surgery
About 49327: Laparoscopic radiation device placement
Laparoscopic placement of a device for intraperitoneal radiation therapy is reported as an add-on when performed with a qualifying primary procedure.
This service covers laparoscopic placement of a device intended to support radiation treatment delivered within the peritoneal cavity. It may be performed in the operating room by a surgeon, including a gynecologic oncologist, during treatment of a peritoneal malignancy. The work is placement of the radiation-related device, rather than delivery of the radiation treatment itself.
Report 49327 only with a primary procedure; it is not a stand-alone service. The operative report should identify the laparoscopic placement, the device’s intended role in intraperitoneal radiation therapy, and the associated primary procedure. CMS treats this add-on as paid within the primary procedure’s global period, so it is included in that procedure’s global-period payment context.
CMS billing rules for 49327
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.32 · 66%
- Practice expense (office) RVU0.56 · 16%
- Malpractice RVU0.61 · 17%
21
Medicare services in 2024 · #5898 by national volume
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.
49327 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
49324 is for laparoscopic placement of a tunneled intraperitoneal catheter. It is not the radiation-device placement represented by 49327.
No office rate
49325 reports revision of a permanent intraperitoneal catheter; 49327 reports placement of a radiation-related device.
The same code, a different location
How does Austin compare?
49327 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 49327
Office
Unavailable
Facility
$113.64
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 49327
Office
Unavailable
Facility
$116.32
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49327
Office
Unavailable
Facility
$126.39
No comparable office rate is available.
Miami
Florida · 49327
Office
Unavailable
Facility
$148.49
No comparable office rate is available.
Chicago
Illinois · 49327
Office
Unavailable
Facility
$143.59
No comparable office rate is available.
Manhattan
New York · 49327
Office
Unavailable
Facility
$136.50
No comparable office rate is available.
Alaska*
Alaska · 49327
Office
Unavailable
Facility
$147.38
No comparable office rate is available.
Alabama
Alabama · 49327
Office
Unavailable
Facility
$105.39
No comparable office rate is available.
Arkansas
Arkansas · 49327
Office
Unavailable
Facility
$104.05
No comparable office rate is available.
Arizona
Arizona · 49327
Office
Unavailable
Facility
$113.06
No comparable office rate is available.
Bakersfield
California · 49327
Office
Unavailable
Facility
$111.87
No comparable office rate is available.
Chico
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
El Centro
California · 49327
Office
Unavailable
Facility
$110.33
No comparable office rate is available.
Fresno
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Hanford-Corcoran
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Madera
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Merced
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Modesto
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Napa
California · 49327
Office
Unavailable
Facility
$117.37
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49327
Office
Unavailable
Facility
$114.46
No comparable office rate is available.
Redding
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Rest Of California
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49327
Office
Unavailable
Facility
$116.76
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49327
Office
Unavailable
Facility
$112.95
No comparable office rate is available.
Salinas
California · 49327
Office
Unavailable
Facility
$112.49
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49327
Office
Unavailable
Facility
$113.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49327
Office
Unavailable
Facility
$120.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49327
Office
Unavailable
Facility
$119.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49327
Office
Unavailable
Facility
$123.91
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49327
Office
Unavailable
Facility
$121.07
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49327
Office
Unavailable
Facility
$111.03
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49327
Office
Unavailable
Facility
$112.76
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49327
Office
Unavailable
Facility
$112.39
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49327
Office
Unavailable
Facility
$113.70
No comparable office rate is available.
Stockton
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Vallejo
California · 49327
Office
Unavailable
Facility
$116.38
No comparable office rate is available.
Visalia
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Yuba City
California · 49327
Office
Unavailable
Facility
$110.23
No comparable office rate is available.
Colorado
Colorado · 49327
Office
Unavailable
Facility
$114.23
No comparable office rate is available.
Connecticut
Connecticut · 49327
Office
Unavailable
Facility
$123.84
No comparable office rate is available.
Delaware
Delaware · 49327
Office
Unavailable
Facility
$114.67
No comparable office rate is available.
Fort Lauderdale
Florida · 49327
Office
Unavailable
Facility
$133.27
No comparable office rate is available.
Rest Of Florida
Florida · 49327
Office
Unavailable
Facility
$125.99
No comparable office rate is available.
Atlanta
Georgia · 49327
Office
Unavailable
Facility
$121.20
No comparable office rate is available.
Rest Of Georgia
Georgia · 49327
Office
Unavailable
Facility
$118.46
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49327
Office
Unavailable
Facility
$110.55
No comparable office rate is available.
Iowa
Iowa · 49327
Office
Unavailable
Facility
$102.69
No comparable office rate is available.
Idaho
Idaho · 49327
Office
Unavailable
Facility
$104.34
No comparable office rate is available.
East St. Louis
Illinois · 49327
Office
Unavailable
Facility
$135.73
No comparable office rate is available.
Rest Of Illinois
Illinois · 49327
Office
Unavailable
Facility
$126.41
No comparable office rate is available.
Suburban Chicago
Illinois · 49327
Office
Unavailable
Facility
$133.35
No comparable office rate is available.
Indiana
Indiana · 49327
Office
Unavailable
Facility
$104.73
No comparable office rate is available.
Kansas
Kansas · 49327
Office
Unavailable
Facility
$104.67
No comparable office rate is available.
Kentucky
Kentucky · 49327
Office
Unavailable
Facility
$112.76
No comparable office rate is available.
New Orleans
Louisiana · 49327
Office
Unavailable
Facility
$118.24
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49327
Office
Unavailable
Facility
$113.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49327
Office
Unavailable
Facility
$121.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49327
Office
Unavailable
Facility
$114.66
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49327
Office
Unavailable
Facility
$124.00
No comparable office rate is available.
Rest Of Maryland
Maryland · 49327
Office
Unavailable
Facility
$115.90
No comparable office rate is available.
Rest Of Maine
Maine · 49327
Office
Unavailable
Facility
$107.37
No comparable office rate is available.
Southern Maine
Maine · 49327
Office
Unavailable
Facility
$108.88
No comparable office rate is available.
Detroit
Michigan · 49327
Office
Unavailable
Facility
$129.89
No comparable office rate is available.
Rest Of Michigan
Michigan · 49327
Office
Unavailable
Facility
$117.57
No comparable office rate is available.
Minnesota
Minnesota · 49327
Office
Unavailable
Facility
$102.77
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49327
Office
Unavailable
Facility
$114.96
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49327
Office
Unavailable
Facility
$115.71
No comparable office rate is available.
Rest Of Missouri
Missouri · 49327
Office
Unavailable
Facility
$113.46
No comparable office rate is available.
Mississippi
Mississippi · 49327
Office
Unavailable
Facility
$108.65
No comparable office rate is available.
Montana**
Montana · 49327
Office
Unavailable
Facility
$116.53
No comparable office rate is available.
North Carolina
North Carolina · 49327
Office
Unavailable
Facility
$107.96
No comparable office rate is available.
North Dakota**
North Dakota · 49327
Office
Unavailable
Facility
$104.47
No comparable office rate is available.
Nebraska
Nebraska · 49327
Office
Unavailable
Facility
$102.46
No comparable office rate is available.
New Hampshire
New Hampshire · 49327
Office
Unavailable
Facility
$114.79
No comparable office rate is available.
Northern Nj
New Jersey · 49327
Office
Unavailable
Facility
$125.83
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49327
Office
Unavailable
Facility
$123.37
No comparable office rate is available.
New Mexico
New Mexico · 49327
Office
Unavailable
Facility
$119.11
No comparable office rate is available.
Nevada**
Nevada · 49327
Office
Unavailable
Facility
$113.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49327
Office
Unavailable
Facility
$142.52
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49327
Office
Unavailable
Facility
$126.11
No comparable office rate is available.
Queens
New York · 49327
Office
Unavailable
Facility
$133.94
No comparable office rate is available.
Rest Of New York
New York · 49327
Office
Unavailable
Facility
$109.58
No comparable office rate is available.
Ohio
Ohio · 49327
Office
Unavailable
Facility
$115.10
No comparable office rate is available.
Oklahoma
Oklahoma · 49327
Office
Unavailable
Facility
$110.02
No comparable office rate is available.
Portland
Oregon · 49327
Office
Unavailable
Facility
$114.67
No comparable office rate is available.
Rest Of Oregon
Oregon · 49327
Office
Unavailable
Facility
$110.44
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49327
Office
Unavailable
Facility
$122.66
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49327
Office
Unavailable
Facility
$113.91
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49327
Office
Unavailable
Facility
$116.47
No comparable office rate is available.
Rhode Island
Rhode Island · 49327
Office
Unavailable
Facility
$116.46
No comparable office rate is available.
South Carolina
South Carolina · 49327
Office
Unavailable
Facility
$112.09
No comparable office rate is available.
South Dakota**
South Dakota · 49327
Office
Unavailable
Facility
$103.04
No comparable office rate is available.
Tennessee
Tennessee · 49327
Office
Unavailable
Facility
$105.43
No comparable office rate is available.
Utah
Utah · 49327
Office
Unavailable
Facility
$113.37
No comparable office rate is available.
Virginia
Virginia · 49327
Office
Unavailable
Facility
$110.26
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49327
Office
Unavailable
Facility
$116.47
No comparable office rate is available.
Vermont
Vermont · 49327
Office
Unavailable
Facility
$106.32
No comparable office rate is available.
Rest Of Washington
Washington · 49327
Office
Unavailable
Facility
$113.70
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49327
Office
Unavailable
Facility
$120.96
No comparable office rate is available.
Wisconsin
Wisconsin · 49327
Office
Unavailable
Facility
$101.68
No comparable office rate is available.
West Virginia
West Virginia · 49327
Office
Unavailable
Facility
$122.90
No comparable office rate is available.
Wyoming**
Wyoming · 49327
Office
Unavailable
Facility
$111.27
No comparable office rate is available.
See how rates vary across the country
49327 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 49327 in Austin
Multiple payment areas
- 49327 in Barton Creek
- 49327 in Bee Cave
- 49327 in Briarcliff
- 49327 in Cedar Park
Multiple payment areas
- 49327 in Creedmoor
Multiple payment areas
- 49327 in Elgin
Multiple payment areas
- 49327 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 49327 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$127.04
$115.49 × 110% = $127.04
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 49327 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,790
- Code
- 49327
- Physician work
- 2.32
- Practice expense
- 0.56
- Malpractice
- 0.61
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.32 | × 1.002 | 2.3246 |
| Practice expense | 0.56 | × 1.058 | 0.5925 |
| Malpractice | 0.61 | × 0.886 | 0.5405 |
| Total RVUs | 3.4576 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$115.49
Open 49327 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.32 | 1.002 |
| Practice expense | 0.56 | 1.058 |
| Malpractice | 0.61 | 0.886 |
(2.32 × 1.002 + 0.56 × 1.058 + 0.61 × 0.886) × $33.4009 = $115.49
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
49327 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $115.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $115.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $115.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $115.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $125.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $125.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $125.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $125.47 | RVU25A |
49327 billing questions
Can 49327 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports 49327?
The operative note should describe laparoscopic placement of the device and its intended use for intraperitoneal radiation therapy, along with the primary procedure.
Does 49327 report the radiation treatment?
No. It describes the laparoscopic device placement, not the subsequent delivery of radiation.
How is 49327 different from 49326?
49327 is for placing a device for intraperitoneal radiation therapy. 49326 is an add-on for omentopexy, a different operative service.
How is 49327 different from 49324?
49324 describes laparoscopic placement of a tunneled intraperitoneal catheter. Use 49327 for placement of a device intended for intraperitoneal radiation therapy.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,78749324,,Lap insert tunnel ip cath,A,,6.16,3.19,NA,3.19,,1.61,10.96,10.96,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78849325,,Lap revision perm ip cath,A,,6.65,3.26,NA,3.26,,1.73,11.64,11.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78949326,,Lap w/omentopexy add-on,A,,3.41,0.76,NA,0.76,,0.90,5.07,5.07,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79049327,,Lap ins device for rt,A,,2.32,0.56,NA,0.56,,0.61,3.49,3.49,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79149329,,Unlstd laps px abd pertm&omn,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79249400,,Air injection into abdomen,A,,1.83,2.47,,0.31,,0.21,4.51,2.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79349402,,Remove foreign body adbomen,A,,13.74,6.88,NA,6.88,,3.32,23.94,23.94,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858