FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

49407 in Chico

Office / nonfacility

$787.10

Base rate per service

Facility setting

$176.85

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.

Image-guided drainage

About 49407: Image-guided transvaginal fluid drainage

Reports image-guided catheter drainage of a pelvic fluid collection through a transvaginal or transrectal route, such as drainage of a deep pelvic abscess.

This service places a drainage catheter into a pelvic fluid collection using a transvaginal or transrectal approach and image guidance. Interventional radiologists commonly perform it in a hospital or other facility for collections that can be accessed through the vagina or rectum, including selected postoperative pelvic abscesses. The catheter provides ongoing drainage; needle aspiration alone is not the defining service.

Choose this code when the documented access route is transvaginal or transrectal, rather than selecting a code for a visceral, peritoneal, or retroperitoneal collection. The report should identify the collection, its location, the access route, image guidance, and catheter placement. The code includes the image-guided drainage service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. CMS restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery billing for this service.

CMS billing rules for 49407

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.14 · 19%
  • Practice expense (office) RVU17.41 · 79%
  • Malpractice RVU0.51 · 2%

115

Medicare services in 2024 · #4772 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.

49407 compared with similar codes

Office rates for Chico, from the same CMS release.

49405

Visceral drainage

Percutaneous catheter placement

$899.97

49405 addresses drainage of a visceral collection. This code is selected for a pelvic collection accessed transvaginally or transrectally.

49406

Catheter drainage

Peritoneal or retroperitoneal

$899.23

49406 is for a peritoneal or retroperitoneal collection. Select this code when the documented access is transvaginal or transrectal.

49020

Abscess drainage

Open peritoneal approach

No office rate

49020 describes open surgical drainage of a peritoneal abscess. This code describes image-guided catheter drainage through a transvaginal or transrectal route.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 49407 is $788.62—$1.52 higher than the $787.10 rate in Chico. Both use the same code, release and participation basis.

49407 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $787.10

  2. Bakersfield

    $788.62

    $1.52 higher than Chico

  3. El Centro

    $787.18

    $0.08 higher than Chico

  4. Fresno

    $787.10

    The same base rate than Chico

  5. Hanford-Corcoran

    $787.10

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $843.19

    $56.09 higher than Chico

  7. Madera

    $787.10

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 49407 ranges from $646.57 in Arkansas to $1001.16 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Modesto

    California · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Napa

    California · 49407

    Office

    $922.07

    Facility

    $188.22

    $134.97 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 49407

    Office

    $840.11

    Facility

    $181.98

    $53.01 higher than Chico for the office setting.

  • Redding

    California · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 49407

    Office

    $792.63

    Facility

    $182.39

    $5.53 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 49407

    Office

    $828.68

    Facility

    $181.13

    $41.58 higher than Chico for the office setting.

  • Salinas

    California · 49407

    Office

    $825.67

    Facility

    $180.34

    $38.57 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 49407

    Office

    $847.15

    Facility

    $181.22

    $60.05 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 49407

    Office

    $979.16

    Facility

    $194.09

    $192.06 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 49407

    Office

    $978.58

    Facility

    $193.51

    $191.48 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 49407

    Office

    $1001.16

    Facility

    $198.26

    $214.06 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 49407

    Office

    $998.79

    Facility

    $195.89

    $211.69 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 49407

    Office

    $812.10

    Facility

    $177.91

    $25.00 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 49407

    Office

    $856.85

    Facility

    $180.34

    $69.75 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 49407

    Office

    $829.32

    Facility

    $180.10

    $42.22 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 49407

    Office

    $865.65

    Facility

    $181.91

    $78.55 higher than Chico for the office setting.

  • Stockton

    California · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 49407

    Office

    $921.24

    Facility

    $187.39

    $134.14 higher than Chico for the office setting.

  • Visalia

    California · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 49407

    Office

    $787.10

    Facility

    $176.85

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 49407

    Office

    $849.72

    Facility

    $193.82

    $62.62 higher than Chico for the office setting.

  • Miami

    Florida · 49407

    Office

    $786.71

    Facility

    $207.09

    $0.39 lower than Chico for the office setting.

  • Chicago

    Illinois · 49407

    Office

    $762.76

    Facility

    $203.18

    $24.34 lower than Chico for the office setting.

  • Manhattan

    New York · 49407

    Office

    $849.86

    Facility

    $202.87

    $62.76 higher than Chico for the office setting.

  • Alaska*

    Alaska · 49407

    Office

    $836.11

    Facility

    $243.13

    $49.01 higher than Chico for the office setting.

  • Alabama

    Alabama · 49407

    Office

    $656.74

    Facility

    $169.55

    $130.36 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 49407

    Office

    $646.57

    Facility

    $168.28

    $140.53 lower than Chico for the office setting.

  • Arizona

    Arizona · 49407

    Office

    $716.34

    Facility

    $176.81

    $70.76 lower than Chico for the office setting.

  • Colorado

    Colorado · 49407

    Office

    $771.97

    Facility

    $179.54

    $15.13 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 49407

    Office

    $787.94

    Facility

    $188.28

    $0.84 higher than Chico for the office setting.

  • Delaware

    Delaware · 49407

    Office

    $728.82

    Facility

    $178.71

    $58.28 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 49407

    Office

    $758.15

    Facility

    $194.12

    $28.95 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 49407

    Office

    $719.81

    Facility

    $187.51

    $67.29 lower than Chico for the office setting.

  • Atlanta

    Georgia · 49407

    Office

    $749.97

    Facility

    $184.27

    $37.13 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 49407

    Office

    $677.29

    Facility

    $180.63

    $109.81 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 49407

    Office

    $809.32

    Facility

    $176.25

    $22.22 higher than Chico for the office setting.

  • Iowa

    Iowa · 49407

    Office

    $677.12

    Facility

    $167.66

    $109.98 lower than Chico for the office setting.

  • Idaho

    Idaho · 49407

    Office

    $681.33

    Facility

    $169.08

    $105.77 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 49407

    Office

    $707.58

    Facility

    $195.33

    $79.52 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 49407

    Office

    $695.82

    Facility

    $187.47

    $91.28 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 49407

    Office

    $766.64

    Facility

    $194.82

    $20.46 lower than Chico for the office setting.

  • Indiana

    Indiana · 49407

    Office

    $685.62

    Facility

    $169.47

    $101.48 lower than Chico for the office setting.

  • Kansas

    Kansas · 49407

    Office

    $672.55

    Facility

    $169.21

    $114.55 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 49407

    Office

    $670.83

    Facility

    $175.84

    $116.27 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 49407

    Office

    $704.83

    Facility

    $180.89

    $82.27 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 49407

    Office

    $669.23

    Facility

    $176.47

    $117.87 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 49407

    Office

    $853.43

    Facility

    $188.62

    $66.33 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 49407

    Office

    $766.40

    Facility

    $180.10

    $20.70 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 49407

    Office

    $785.52

    Facility

    $188.08

    $1.58 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 49407

    Office

    $743.79

    Facility

    $180.31

    $43.31 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 49407

    Office

    $683.86

    Facility

    $171.61

    $103.24 lower than Chico for the office setting.

  • Southern Maine

    Maine · 49407

    Office

    $725.30

    Facility

    $173.52

    $61.80 lower than Chico for the office setting.

  • Detroit

    Michigan · 49407

    Office

    $728.16

    Facility

    $190.85

    $58.94 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 49407

    Office

    $688.43

    Facility

    $180.08

    $98.67 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 49407

    Office

    $741.70

    Facility

    $168.76

    $45.40 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 49407

    Office

    $700.96

    Facility

    $178.13

    $86.14 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 49407

    Office

    $708.95

    Facility

    $178.88

    $78.15 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 49407

    Office

    $656.13

    Facility

    $176.18

    $130.97 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 49407

    Office

    $651.55

    Facility

    $172.15

    $135.55 lower than Chico for the office setting.

  • Montana**

    Montana · 49407

    Office

    $736.79

    Facility

    $180.00

    $50.31 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 49407

    Office

    $691.71

    Facility

    $172.23

    $95.39 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 49407

    Office

    $726.71

    Facility

    $169.91

    $60.39 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 49407

    Office

    $681.45

    Facility

    $167.53

    $105.65 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 49407

    Office

    $758.54

    Facility

    $178.91

    $28.56 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 49407

    Office

    $839.74

    Facility

    $193.86

    $52.64 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 49407

    Office

    $797.51

    Facility

    $189.49

    $10.41 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 49407

    Office

    $691.98

    Facility

    $181.40

    $95.12 lower than Chico for the office setting.

  • Nevada**

    Nevada · 49407

    Office

    $734.56

    Facility

    $177.21

    $52.54 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 49407

    Office

    $870.18

    Facility

    $208.15

    $83.08 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 49407

    Office

    $801.87

    Facility

    $192.18

    $14.77 higher than Chico for the office setting.

  • Queens

    New York · 49407

    Office

    $859.04

    Facility

    $200.91

    $71.94 higher than Chico for the office setting.

  • Rest Of New York

    New York · 49407

    Office

    $702.69

    Facility

    $173.74

    $84.41 lower than Chico for the office setting.

  • Ohio

    Ohio · 49407

    Office

    $686.37

    Facility

    $178.02

    $100.73 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 49407

    Office

    $670.80

    Facility

    $173.59

    $116.30 lower than Chico for the office setting.

  • Portland

    Oregon · 49407

    Office

    $799.22

    Facility

    $180.63

    $12.12 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 49407

    Office

    $729.44

    Facility

    $174.87

    $57.66 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 49407

    Office

    $766.44

    Facility

    $186.82

    $20.66 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 49407

    Office

    $688.20

    Facility

    $177.07

    $98.90 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 49407

    Office

    $742.96

    Facility

    $180.05

    $44.14 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 49407

    Office

    $756.80

    Facility

    $181.63

    $30.30 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 49407

    Office

    $690.07

    Facility

    $175.60

    $97.03 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 49407

    Office

    $725.51

    Facility

    $168.72

    $61.59 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 49407

    Office

    $676.02

    Facility

    $169.89

    $111.08 lower than Chico for the office setting.

  • Austin

    Texas · 49407

    Office

    $768.89

    Facility

    $179.80

    $18.21 lower than Chico for the office setting.

  • Beaumont

    Texas · 49407

    Office

    $683.28

    Facility

    $176.60

    $103.82 lower than Chico for the office setting.

  • Brazoria

    Texas · 49407

    Office

    $728.95

    Facility

    $177.17

    $58.15 lower than Chico for the office setting.

  • Dallas

    Texas · 49407

    Office

    $733.32

    Facility

    $178.76

    $53.78 lower than Chico for the office setting.

  • Fort Worth

    Texas · 49407

    Office

    $727.73

    Facility

    $178.73

    $59.37 lower than Chico for the office setting.

  • Galveston

    Texas · 49407

    Office

    $730.93

    Facility

    $178.03

    $56.17 lower than Chico for the office setting.

  • Houston

    Texas · 49407

    Office

    $740.26

    Facility

    $187.37

    $46.84 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 49407

    Office

    $705.51

    Facility

    $177.12

    $81.59 lower than Chico for the office setting.

  • Utah

    Utah · 49407

    Office

    $700.20

    Facility

    $176.81

    $86.90 lower than Chico for the office setting.

  • Virginia

    Virginia · 49407

    Office

    $721.93

    Facility

    $174.60

    $65.17 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 49407

    Office

    $742.96

    Facility

    $180.05

    $44.14 lower than Chico for the office setting.

  • Vermont

    Vermont · 49407

    Office

    $722.59

    Facility

    $171.37

    $64.51 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 49407

    Office

    $765.37

    Facility

    $179.07

    $21.73 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 49407

    Office

    $872.62

    Facility

    $189.44

    $85.52 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 49407

    Office

    $700.61

    Facility

    $167.20

    $86.49 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 49407

    Office

    $667.99

    Facility

    $184.13

    $119.11 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 49407

    Office

    $732.39

    Facility

    $175.60

    $54.71 lower than Chico for the office setting.

See how rates vary across the country

49407 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$646.57

$894.13

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$836.111
AL$656.741
AR$646.571
AZ$716.341
CA$787.10–$1,001.1629
CO$771.971
CT$787.941
DC$849.721
DE$728.821
FL$719.81–$786.713
GA$677.29–$749.972
GU$809.321
HI$809.321
IA$677.121
ID$681.331
IL$695.82–$766.644
IN$685.621
KS$672.551
KY$670.831
LA$669.23–$704.832
MA$766.40–$853.432
MD$743.79–$849.723
ME$683.86–$725.302
MI$688.43–$728.162
MN$741.701
MO$656.13–$708.953
MS$651.551
MT$736.791
NC$691.711
ND$726.711
NE$681.451
NH$758.541
NJ$797.51–$839.742
NM$691.981
NV$734.561
NY$702.69–$870.185
OH$686.371
OK$670.801
OR$729.44–$799.222
PA$688.20–$766.442
PR$742.961
RI$756.801
SC$690.071
SD$725.511
TN$676.021
TX$683.28–$768.898
UT$700.201
VA$721.93–$849.722
VI$742.961
VT$722.591
WA$765.37–$872.622
WI$700.611
WV$667.991
WY$732.391

Explore 49407 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 49407 in Chico, the physician’s office rate is $787.10 and the facility-setting rate is $176.85: a difference of $610.25.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 49407 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$865.81

$787.10 × 110% = $865.81

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.

Compare your contract offer →

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 49407 in Chico.

PPRRVU2026_Oct_nonQPP.csv

5,796

Code
49407
Physician work
4.14
Practice expense
17.41
Malpractice
0.51

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 49407 in Chico
ComponentRVULocality factorAdjusted
Physician work4.14× 1.0174.2104
Practice expense17.41× 1.09619.0814
Malpractice0.51× 0.5360.2734
Total RVUs23.5651
Conversion factor× 33.4009

Office / nonfacility rate, Chico$787.10

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 49407 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.141.017
Practice expense17.411.096
Malpractice0.510.536

(4.14 × 1.017 + 17.41 × 1.096 + 0.51 × 0.536) × $33.4009 = $787.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.141.017
Practice expense0.741.096
Malpractice0.510.536

(4.14 × 1.017 + 0.74 × 1.096 + 0.51 × 0.536) × $33.4009 = $176.85

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

49407 · Office / nonfacility

$787.10

Effective 2026-10-01

The base rate is $35.32 higher than on 2025-10-01, moving from $751.78 to $787.10 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $751.78changed to$787.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.25 changed to 4.14
    • Practice expense RVU 17.07 changed to 17.41
    • Malpractice RVU 0.49 changed to 0.51
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $751.78

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$787.10$176.85RVU26D
2026-07-01$787.10$176.85RVU26C
2026-04-01$787.10$176.85RVU26B
2026-01-01$787.10$176.85RVU26A
2025-10-01$751.78$195.29RVU25D
2025-07-01$751.78$195.29RVU25C
2025-04-01$751.78$195.29RVU25B
2025-01-01$751.78$195.29RVU25A

49407 billing questions

When should this code be selected instead of 49406?

Use this code when the catheter reaches the pelvic collection through a transvaginal or transrectal route. Code 49406 is for image-guided drainage of a peritoneal or retroperitoneal collection.

Does the code include image guidance?

Yes. Image guidance is part of this catheter drainage service; documentation should identify the guidance used and the catheter placement.

Can modifier 50 be used for drainage on both sides?

Modifier 50 is inappropriate for this service. Report the procedure based on the documented collection and transvaginal or transrectal access.

How are other procedures in the same session paid?

CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures performed in that session.

Is same-day recovery care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be billed?

CMS restricts assistant-at-surgery payment for this service and does not permit co-surgeon or team-surgery billing.

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.

RVUs for 49407PPRRVU2026_Oct_nonQPP.csv, line 5,796 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet