No office rate
49000 is an exploratory laparotomy. Report 49402 when the documented operation includes removal of a foreign body from the peritoneal cavity.
On this page
CMS RVU26D · Effective 2026-10-01
49402 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$778.03
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.
Abdominal surgery
About 49402: Foreign body removal by laparotomy
Reports open surgical removal of a foreign object from the peritoneal cavity, such as a retained item requiring laparotomy.
This service involves surgically entering the abdomen through a laparotomy to locate and remove a foreign object from the peritoneal cavity. A general surgeon or another surgeon experienced in abdominal operations typically performs it in an operating room. A retained surgical item is a recognizable example; the operative report should identify the object and its intraperitoneal location, and describe its removal through the open approach.
Report the code when the documented service is removal of a foreign body from the peritoneal cavity by laparotomy, rather than removal of a specifically coded catheter or shunt. The record should support the target, location, approach, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49402
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.74 · 57%
- Practice expense (office) RVU6.88 · 29%
- Malpractice RVU3.32 · 14%
335
Medicare services in 2024 · #3906 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.
49402 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
49002 describes reopening a recent laparotomy. It is not the foreign-body removal service described by 49402.
No office rate
49422 is for removing a tunneled intraperitoneal catheter. Use 49402 for a different foreign object removed from the peritoneal cavity by laparotomy.
No office rate
49429 is specifically for removal of a peritoneovenous shunt; 49402 concerns other foreign bodies removed from the peritoneal cavity.
The same code, a different location
How does Chico compare?
49402 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Modesto
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Napa
California · 49402
Office
Unavailable
Facility
$847.05
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49402
Office
Unavailable
Facility
$812.48
No comparable office rate is available.
Redding
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Rest Of California
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49402
Office
Unavailable
Facility
$813.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49402
Office
Unavailable
Facility
$802.14
No comparable office rate is available.
Salinas
California · 49402
Office
Unavailable
Facility
$798.93
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49402
Office
Unavailable
Facility
$807.64
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49402
Office
Unavailable
Facility
$877.44
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49402
Office
Unavailable
Facility
$873.67
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49402
Office
Unavailable
Facility
$900.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49402
Office
Unavailable
Facility
$884.80
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49402
Office
Unavailable
Facility
$787.91
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49402
Office
Unavailable
Facility
$807.21
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49402
Office
Unavailable
Facility
$799.16
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49402
Office
Unavailable
Facility
$814.33
No comparable office rate is available.
Stockton
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Vallejo
California · 49402
Office
Unavailable
Facility
$841.61
No comparable office rate is available.
Visalia
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Yuba City
California · 49402
Office
Unavailable
Facility
$778.03
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49402
Office
Unavailable
Facility
$877.83
No comparable office rate is available.
Miami
Florida · 49402
Office
Unavailable
Facility
$978.59
No comparable office rate is available.
Chicago
Illinois · 49402
Office
Unavailable
Facility
$947.58
No comparable office rate is available.
Manhattan
New York · 49402
Office
Unavailable
Facility
$931.20
No comparable office rate is available.
Alaska*
Alaska · 49402
Office
Unavailable
Facility
$994.23
No comparable office rate is available.
Alabama
Alabama · 49402
Office
Unavailable
Facility
$722.77
No comparable office rate is available.
Arkansas
Arkansas · 49402
Office
Unavailable
Facility
$713.43
No comparable office rate is available.
Arizona
Arizona · 49402
Office
Unavailable
Facility
$776.53
No comparable office rate is available.
Colorado
Colorado · 49402
Office
Unavailable
Facility
$795.55
No comparable office rate is available.
Connecticut
Connecticut · 49402
Office
Unavailable
Facility
$849.78
No comparable office rate is available.
Delaware
Delaware · 49402
Office
Unavailable
Facility
$787.95
No comparable office rate is available.
Fort Lauderdale
Florida · 49402
Office
Unavailable
Facility
$892.20
No comparable office rate is available.
Rest Of Florida
Florida · 49402
Office
Unavailable
Facility
$845.28
No comparable office rate is available.
Atlanta
Georgia · 49402
Office
Unavailable
Facility
$826.96
No comparable office rate is available.
Rest Of Georgia
Georgia · 49402
Office
Unavailable
Facility
$796.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49402
Office
Unavailable
Facility
$784.41
No comparable office rate is available.
Iowa
Iowa · 49402
Office
Unavailable
Facility
$713.22
No comparable office rate is available.
Idaho
Idaho · 49402
Office
Unavailable
Facility
$722.79
No comparable office rate is available.
East St. Louis
Illinois · 49402
Office
Unavailable
Facility
$893.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 49402
Office
Unavailable
Facility
$842.06
No comparable office rate is available.
Suburban Chicago
Illinois · 49402
Office
Unavailable
Facility
$894.64
No comparable office rate is available.
Indiana
Indiana · 49402
Office
Unavailable
Facility
$725.84
No comparable office rate is available.
Kansas
Kansas · 49402
Office
Unavailable
Facility
$722.55
No comparable office rate is available.
Kentucky
Kentucky · 49402
Office
Unavailable
Facility
$764.68
No comparable office rate is available.
New Orleans
Louisiana · 49402
Office
Unavailable
Facility
$801.14
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49402
Office
Unavailable
Facility
$768.53
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49402
Office
Unavailable
Facility
$850.82
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49402
Office
Unavailable
Facility
$796.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49402
Office
Unavailable
Facility
$850.02
No comparable office rate is available.
Rest Of Maryland
Maryland · 49402
Office
Unavailable
Facility
$797.87
No comparable office rate is available.
Rest Of Maine
Maine · 49402
Office
Unavailable
Facility
$739.32
No comparable office rate is available.
Southern Maine
Maine · 49402
Office
Unavailable
Facility
$756.63
No comparable office rate is available.
Detroit
Michigan · 49402
Office
Unavailable
Facility
$867.65
No comparable office rate is available.
Rest Of Michigan
Michigan · 49402
Office
Unavailable
Facility
$793.93
No comparable office rate is available.
Minnesota
Minnesota · 49402
Office
Unavailable
Facility
$728.21
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49402
Office
Unavailable
Facility
$783.05
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49402
Office
Unavailable
Facility
$788.81
No comparable office rate is available.
Rest Of Missouri
Missouri · 49402
Office
Unavailable
Facility
$765.02
No comparable office rate is available.
Mississippi
Mississippi · 49402
Office
Unavailable
Facility
$738.73
No comparable office rate is available.
Montana**
Montana · 49402
Office
Unavailable
Facility
$799.40
No comparable office rate is available.
North Carolina
North Carolina · 49402
Office
Unavailable
Facility
$744.19
No comparable office rate is available.
North Dakota**
North Dakota · 49402
Office
Unavailable
Facility
$733.75
No comparable office rate is available.
Nebraska
Nebraska · 49402
Office
Unavailable
Facility
$712.95
No comparable office rate is available.
New Hampshire
New Hampshire · 49402
Office
Unavailable
Facility
$795.18
No comparable office rate is available.
Northern Nj
New Jersey · 49402
Office
Unavailable
Facility
$872.84
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49402
Office
Unavailable
Facility
$849.87
No comparable office rate is available.
New Mexico
New Mexico · 49402
Office
Unavailable
Facility
$802.83
No comparable office rate is available.
Nevada**
Nevada · 49402
Office
Unavailable
Facility
$781.33
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49402
Office
Unavailable
Facility
$967.45
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49402
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Queens
New York · 49402
Office
Unavailable
Facility
$919.83
No comparable office rate is available.
Rest Of New York
New York · 49402
Office
Unavailable
Facility
$755.19
No comparable office rate is available.
Ohio
Ohio · 49402
Office
Unavailable
Facility
$780.51
No comparable office rate is available.
Oklahoma
Oklahoma · 49402
Office
Unavailable
Facility
$750.30
No comparable office rate is available.
Portland
Oregon · 49402
Office
Unavailable
Facility
$804.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 49402
Office
Unavailable
Facility
$765.76
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49402
Office
Unavailable
Facility
$838.70
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49402
Office
Unavailable
Facility
$774.68
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49402
Office
Unavailable
Facility
$800.48
No comparable office rate is available.
Rhode Island
Rhode Island · 49402
Office
Unavailable
Facility
$803.94
No comparable office rate is available.
South Carolina
South Carolina · 49402
Office
Unavailable
Facility
$765.52
No comparable office rate is available.
South Dakota**
South Dakota · 49402
Office
Unavailable
Facility
$725.99
No comparable office rate is available.
Tennessee
Tennessee · 49402
Office
Unavailable
Facility
$727.36
No comparable office rate is available.
Austin
Texas · 49402
Office
Unavailable
Facility
$801.22
No comparable office rate is available.
Beaumont
Texas · 49402
Office
Unavailable
Facility
$771.06
No comparable office rate is available.
Brazoria
Texas · 49402
Office
Unavailable
Facility
$776.82
No comparable office rate is available.
Dallas
Texas · 49402
Office
Unavailable
Facility
$787.08
No comparable office rate is available.
Fort Worth
Texas · 49402
Office
Unavailable
Facility
$786.23
No comparable office rate is available.
Galveston
Texas · 49402
Office
Unavailable
Facility
$782.61
No comparable office rate is available.
Houston
Texas · 49402
Office
Unavailable
Facility
$843.38
No comparable office rate is available.
Rest Of Texas
Texas · 49402
Office
Unavailable
Facility
$777.14
No comparable office rate is available.
Utah
Utah · 49402
Office
Unavailable
Facility
$774.52
No comparable office rate is available.
Virginia
Virginia · 49402
Office
Unavailable
Facility
$763.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49402
Office
Unavailable
Facility
$800.48
No comparable office rate is available.
Vermont
Vermont · 49402
Office
Unavailable
Facility
$742.54
No comparable office rate is available.
Rest Of Washington
Washington · 49402
Office
Unavailable
Facility
$791.26
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49402
Office
Unavailable
Facility
$854.44
No comparable office rate is available.
Wisconsin
Wisconsin · 49402
Office
Unavailable
Facility
$713.23
No comparable office rate is available.
West Virginia
West Virginia · 49402
Office
Unavailable
Facility
$817.31
No comparable office rate is available.
Wyoming**
Wyoming · 49402
Office
Unavailable
Facility
$770.79
No comparable office rate is available.
See how rates vary across the country
49402 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 49402 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$855.83
$778.03 × 110% = $855.83
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 49402 in Chico.
PPRRVU2026_Oct_nonQPP.csv
5,793
- Code
- 49402
- Physician work
- 13.74
- Practice expense
- 6.88
- Malpractice
- 3.32
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.74 | × 1.017 | 13.9736 |
| Practice expense | 6.88 | × 1.096 | 7.5405 |
| Malpractice | 3.32 | × 0.536 | 1.7795 |
| Total RVUs | 23.2936 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$778.03
Open 49402 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.74 | 1.017 |
| Practice expense | 6.88 | 1.096 |
| Malpractice | 3.32 | 0.536 |
(13.74 × 1.017 + 6.88 × 1.096 + 3.32 × 0.536) × $33.4009 = $778.03
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
49402 · 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 | $778.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $778.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $778.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $778.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $820.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $820.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $820.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $820.54 | RVU25A |
49402 billing questions
When should 49402 be chosen instead of a catheter-removal code?
Use 49402 for open removal of a foreign body from the peritoneal cavity. A tunneled intraperitoneal catheter or a peritoneovenous shunt has a specific removal code, such as 49422 or 49429.
Does the code include the laparotomy?
The service is removal through a laparotomy. The operative documentation should show the open approach and removal; do not treat the laparotomy as a separate exploratory service solely because the abdomen was entered.
What documentation supports reporting 49402?
Document the foreign object, its location in the peritoneal cavity, the laparotomy approach, and the removal performed. A record describing only abdominal exploration without removal does not establish this service.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. Modifier 50 is inappropriate for 49402.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
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.
5,79049327,,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
5,79449405,,Image cath fluid colxn visc,A,,3.90,20.76,,0.67,,0.42,25.08,4.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79549406,,Image cath fluid peri/retro,A,,3.90,20.74,,0.67,,0.42,25.06,4.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79649407,,Image cath fluid trns/vgnl,A,,4.14,17.41,,0.74,,0.51,22.06,5.39,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536