No office rate
Both codes describe parastomal hernia repair. Choose 49622 for an incarcerated or strangulated hernia and 49621 for a reducible one.
On this page
CMS RVU26D · Effective 2026-10-01
49622 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$844.34
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.
General surgery
About 49622: Parastomal hernia repair, nonreducible
Repair an incarcerated or strangulated hernia at a stoma site; select this code rather than the reducible parastomal hernia repair code.
This code covers operative repair of a parastomal hernia when the hernia is incarcerated or strangulated. The defect is in the abdominal wall around a stoma, such as a colostomy or ileostomy. General or colorectal surgeons commonly perform the repair in a hospital or other surgical facility. The code applies to the hernia repair whether the surgeon uses an open or minimally invasive approach; mesh may be used to reinforce the repair.
Choose this code based on the hernia’s parastomal location and incarcerated or strangulated status, not on the approach. A reducible parastomal hernia is reported with 49621. Document the stoma site and the finding that the hernia is incarcerated or strangulated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49622
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.63 · 65%
- Practice expense (office) RVU4.71 · 19%
- Malpractice RVU4.10 · 16%
1.4K
Medicare services in 2024 · #2735 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.
49622 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This add-on addresses removal of noninfected mesh during a hernia repair; it does not replace the primary repair code.
No office rate
This code is for a qualifying anterior abdominal hernia, not a defect around a stoma. Use 49622 when the repaired hernia is parastomal and incarcerated or strangulated.
The same code, a different location
How does Austin compare?
49622 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 · 49622
Office
Unavailable
Facility
$828.41
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 49622
Office
Unavailable
Facility
$855.27
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49622
Office
Unavailable
Facility
$923.19
No comparable office rate is available.
Miami
Florida · 49622
Office
Unavailable
Facility
$1065.56
No comparable office rate is available.
Chicago
Illinois · 49622
Office
Unavailable
Facility
$1031.74
No comparable office rate is available.
Manhattan
New York · 49622
Office
Unavailable
Facility
$991.00
No comparable office rate is available.
Alaska*
Alaska · 49622
Office
Unavailable
Facility
$1076.19
No comparable office rate is available.
Alabama
Alabama · 49622
Office
Unavailable
Facility
$770.62
No comparable office rate is available.
Arkansas
Arkansas · 49622
Office
Unavailable
Facility
$761.12
No comparable office rate is available.
Arizona
Arizona · 49622
Office
Unavailable
Facility
$825.12
No comparable office rate is available.
Bakersfield
California · 49622
Office
Unavailable
Facility
$821.83
No comparable office rate is available.
Chico
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
El Centro
California · 49622
Office
Unavailable
Facility
$811.41
No comparable office rate is available.
Fresno
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Hanford-Corcoran
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Madera
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Merced
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Modesto
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Napa
California · 49622
Office
Unavailable
Facility
$867.36
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49622
Office
Unavailable
Facility
$842.28
No comparable office rate is available.
Redding
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Rest Of California
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49622
Office
Unavailable
Facility
$854.69
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49622
Office
Unavailable
Facility
$831.82
No comparable office rate is available.
Salinas
California · 49622
Office
Unavailable
Facility
$828.41
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49622
Office
Unavailable
Facility
$834.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49622
Office
Unavailable
Facility
$892.90
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49622
Office
Unavailable
Facility
$888.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49622
Office
Unavailable
Facility
$916.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49622
Office
Unavailable
Facility
$897.78
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49622
Office
Unavailable
Facility
$817.49
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49622
Office
Unavailable
Facility
$831.67
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49622
Office
Unavailable
Facility
$827.84
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49622
Office
Unavailable
Facility
$838.71
No comparable office rate is available.
Stockton
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Vallejo
California · 49622
Office
Unavailable
Facility
$860.65
No comparable office rate is available.
Visalia
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Yuba City
California · 49622
Office
Unavailable
Facility
$810.72
No comparable office rate is available.
Colorado
Colorado · 49622
Office
Unavailable
Facility
$836.46
No comparable office rate is available.
Connecticut
Connecticut · 49622
Office
Unavailable
Facility
$901.70
No comparable office rate is available.
Delaware
Delaware · 49622
Office
Unavailable
Facility
$836.78
No comparable office rate is available.
Fort Lauderdale
Florida · 49622
Office
Unavailable
Facility
$962.41
No comparable office rate is available.
Rest Of Florida
Florida · 49622
Office
Unavailable
Facility
$911.68
No comparable office rate is available.
Atlanta
Georgia · 49622
Office
Unavailable
Facility
$881.43
No comparable office rate is available.
Rest Of Georgia
Georgia · 49622
Office
Unavailable
Facility
$859.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49622
Office
Unavailable
Facility
$813.62
No comparable office rate is available.
Iowa
Iowa · 49622
Office
Unavailable
Facility
$753.77
No comparable office rate is available.
Idaho
Idaho · 49622
Office
Unavailable
Facility
$764.96
No comparable office rate is available.
East St. Louis
Illinois · 49622
Office
Unavailable
Facility
$975.99
No comparable office rate is available.
Rest Of Illinois
Illinois · 49622
Office
Unavailable
Facility
$913.13
No comparable office rate is available.
Suburban Chicago
Illinois · 49622
Office
Unavailable
Facility
$963.58
No comparable office rate is available.
Indiana
Indiana · 49622
Office
Unavailable
Facility
$767.85
No comparable office rate is available.
Kansas
Kansas · 49622
Office
Unavailable
Facility
$766.69
No comparable office rate is available.
Kentucky
Kentucky · 49622
Office
Unavailable
Facility
$820.62
No comparable office rate is available.
New Orleans
Louisiana · 49622
Office
Unavailable
Facility
$859.06
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49622
Office
Unavailable
Facility
$825.88
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49622
Office
Unavailable
Facility
$887.95
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49622
Office
Unavailable
Facility
$839.14
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49622
Office
Unavailable
Facility
$902.55
No comparable office rate is available.
Rest Of Maryland
Maryland · 49622
Office
Unavailable
Facility
$845.93
No comparable office rate is available.
Rest Of Maine
Maine · 49622
Office
Unavailable
Facility
$785.37
No comparable office rate is available.
Southern Maine
Maine · 49622
Office
Unavailable
Facility
$797.77
No comparable office rate is available.
Detroit
Michigan · 49622
Office
Unavailable
Facility
$938.16
No comparable office rate is available.
Rest Of Michigan
Michigan · 49622
Office
Unavailable
Facility
$853.70
No comparable office rate is available.
Minnesota
Minnesota · 49622
Office
Unavailable
Facility
$757.87
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49622
Office
Unavailable
Facility
$836.97
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49622
Office
Unavailable
Facility
$842.44
No comparable office rate is available.
Rest Of Missouri
Missouri · 49622
Office
Unavailable
Facility
$824.45
No comparable office rate is available.
Mississippi
Mississippi · 49622
Office
Unavailable
Facility
$792.11
No comparable office rate is available.
Montana**
Montana · 49622
Office
Unavailable
Facility
$849.45
No comparable office rate is available.
North Carolina
North Carolina · 49622
Office
Unavailable
Facility
$789.74
No comparable office rate is available.
North Dakota**
North Dakota · 49622
Office
Unavailable
Facility
$768.37
No comparable office rate is available.
Nebraska
Nebraska · 49622
Office
Unavailable
Facility
$752.43
No comparable office rate is available.
New Hampshire
New Hampshire · 49622
Office
Unavailable
Facility
$839.05
No comparable office rate is available.
Northern Nj
New Jersey · 49622
Office
Unavailable
Facility
$919.20
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49622
Office
Unavailable
Facility
$899.69
No comparable office rate is available.
New Mexico
New Mexico · 49622
Office
Unavailable
Facility
$864.19
No comparable office rate is available.
Nevada**
Nevada · 49622
Office
Unavailable
Facility
$827.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49622
Office
Unavailable
Facility
$1032.36
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49622
Office
Unavailable
Facility
$918.42
No comparable office rate is available.
Queens
New York · 49622
Office
Unavailable
Facility
$974.43
No comparable office rate is available.
Rest Of New York
New York · 49622
Office
Unavailable
Facility
$801.18
No comparable office rate is available.
Ohio
Ohio · 49622
Office
Unavailable
Facility
$837.13
No comparable office rate is available.
Oklahoma
Oklahoma · 49622
Office
Unavailable
Facility
$802.35
No comparable office rate is available.
Portland
Oregon · 49622
Office
Unavailable
Facility
$841.01
No comparable office rate is available.
Rest Of Oregon
Oregon · 49622
Office
Unavailable
Facility
$808.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49622
Office
Unavailable
Facility
$892.60
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49622
Office
Unavailable
Facility
$829.29
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49622
Office
Unavailable
Facility
$849.40
No comparable office rate is available.
Rhode Island
Rhode Island · 49622
Office
Unavailable
Facility
$850.67
No comparable office rate is available.
South Carolina
South Carolina · 49622
Office
Unavailable
Facility
$817.22
No comparable office rate is available.
South Dakota**
South Dakota · 49622
Office
Unavailable
Facility
$758.79
No comparable office rate is available.
Tennessee
Tennessee · 49622
Office
Unavailable
Facility
$772.00
No comparable office rate is available.
Utah
Utah · 49622
Office
Unavailable
Facility
$826.31
No comparable office rate is available.
Virginia
Virginia · 49622
Office
Unavailable
Facility
$806.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49622
Office
Unavailable
Facility
$849.40
No comparable office rate is available.
Vermont
Vermont · 49622
Office
Unavailable
Facility
$780.50
No comparable office rate is available.
Rest Of Washington
Washington · 49622
Office
Unavailable
Facility
$832.55
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49622
Office
Unavailable
Facility
$888.14
No comparable office rate is available.
Wisconsin
Wisconsin · 49622
Office
Unavailable
Facility
$748.35
No comparable office rate is available.
West Virginia
West Virginia · 49622
Office
Unavailable
Facility
$888.13
No comparable office rate is available.
Wyoming**
Wyoming · 49622
Office
Unavailable
Facility
$814.11
No comparable office rate is available.
See how rates vary across the country
49622 · 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.
- 49622 in Austin
Multiple payment areas
- 49622 in Barton Creek
- 49622 in Bee Cave
- 49622 in Briarcliff
- 49622 in Cedar Park
Multiple payment areas
- 49622 in Creedmoor
Multiple payment areas
- 49622 in Elgin
Multiple payment areas
- 49622 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 49622 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$928.77
$844.34 × 110% = $928.77
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 49622 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,855
- Code
- 49622
- Physician work
- 16.63
- Practice expense
- 4.71
- Malpractice
- 4.10
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.63 | × 1.002 | 16.6633 |
| Practice expense | 4.71 | × 1.058 | 4.9832 |
| Malpractice | 4.10 | × 0.886 | 3.6326 |
| Total RVUs | 25.2790 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$844.34
Open 49622 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.63 | 1.002 |
| Practice expense | 4.71 | 1.058 |
| Malpractice | 4.1 | 0.886 |
(16.63 × 1.002 + 4.71 × 1.058 + 4.1 × 0.886) × $33.4009 = $844.34
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
49622 · 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 | $844.34 | RVU26D |
| 2026-07-01 | Not available in this setting | $844.34 | RVU26C |
| 2026-04-01 | Not available in this setting | $844.34 | RVU26B |
| 2026-01-01 | Not available in this setting | $844.34 | RVU26A |
| 2025-10-01 | Not available in this setting | $909.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $909.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $909.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $909.93 | RVU25A |
49622 billing questions
When should 49622 be chosen over 49621?
Use 49622 for a parastomal hernia that is incarcerated or strangulated. Use 49621 when the parastomal hernia is reducible.
Is mesh placement separately reported?
Mesh used to reinforce the hernia repair is included in the repair code. Noninfected mesh removal at the time of repair may be reported with add-on code 49623 when applicable.
Can modifier 50 be reported?
No. The parastomal anatomy makes bilateral adjustment and modifier 50 inappropriate.
Does this code have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and the other procedures at 50% when performed in the same session.
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.
5,85249617,,Rpr aa hrn rcr > 10 rdc,A,,15.63,4.57,NA,4.57,,4.00,24.20,24.20,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85349618,,Rpr aa hrn rcr > 10 ncr/strn,A,,22.10,6.09,NA,6.09,,5.69,33.88,33.88,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85449621,,Rpr parastomal hernia rdc,A,,13.36,3.94,NA,3.94,,3.16,20.46,20.46,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85549622,,Rpr parastomal hrna ncr/strn,A,,16.63,4.71,NA,4.71,,4.10,25.44,25.44,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85649623,,Rmvl ninfct mesh hernia rpr,A,,3.66,0.90,NA,0.90,,0.95,5.51,5.51,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85749650,,Lap ing hernia repair init,A,,6.20,4.87,NA,4.87,,1.63,12.70,12.70,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85849651,,Lap ing hernia repair recur,A,,8.17,6.15,NA,6.15,,2.15,16.47,16.47,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,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