No office rate
49323 is for operative drainage of a lymphocele; 49322 is for laparoscopic aspiration of a collection.
On this page
CMS RVU26D · Effective 2026-10-01
49323 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$595.71
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 49323: Laparoscopic lymphocele drainage
Report laparoscopic operative drainage when a surgeon treats a lymphocele, often a symptomatic postoperative collection, through abdominal ports.
This code represents operative laparoscopic treatment of a lymphocele, a postoperative lymphatic fluid collection, by opening the collection to establish drainage. Surgeons may encounter symptomatic pelvic lymphoceles after pelvic lymph-node dissection or in transplant patients; the laparoscope allows inspection and treatment through abdominal ports. General, gynecologic, urologic, or transplant surgeons may perform the procedure in a hospital operating room.
Select 49323 when the operative work is directed to draining a lymphocele, rather than merely sampling it or aspirating a collection. The operative report should identify the collection as a lymphocele, document its location and the laparoscopic approach, and describe the drainage performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy-family pricing applies. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate.
CMS billing rules for 49323
- 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
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.97 · 55%
- Practice expense (office) RVU5.79 · 32%
- Malpractice RVU2.33 · 13%
351
Medicare services in 2024 · #3859 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.
49323 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
49320 describes diagnostic laparoscopic inspection. Choose 49323 when the surgeon performs therapeutic drainage of a lymphocele.
49329
No office rateUnlstd laps px abd pertm&omn
49329 is an unlisted laparoscopic code. Use 49323 when the documented procedure is laparoscopic drainage of a lymphocele.
The same code, a different location
How does Delaware compare?
49323 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 49323
Office
Unavailable
Facility
$546.27
No comparable office rate is available.
Arkansas
Arkansas · 49323
Office
Unavailable
Facility
$539.21
No comparable office rate is available.
Arizona
Arizona · 49323
Office
Unavailable
Facility
$587.02
No comparable office rate is available.
Bakersfield
California · 49323
Office
Unavailable
Facility
$598.69
No comparable office rate is available.
Chico
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
El Centro
California · 49323
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Fresno
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Hanford-Corcoran
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Madera
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Merced
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Modesto
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Napa
California · 49323
Office
Unavailable
Facility
$648.41
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49323
Office
Unavailable
Facility
$619.40
No comparable office rate is available.
Redding
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Rest Of California
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49323
Office
Unavailable
Facility
$617.34
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49323
Office
Unavailable
Facility
$611.62
No comparable office rate is available.
Salinas
California · 49323
Office
Unavailable
Facility
$609.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49323
Office
Unavailable
Facility
$616.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49323
Office
Unavailable
Facility
$673.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49323
Office
Unavailable
Facility
$670.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49323
Office
Unavailable
Facility
$690.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49323
Office
Unavailable
Facility
$679.40
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49323
Office
Unavailable
Facility
$600.65
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49323
Office
Unavailable
Facility
$616.68
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49323
Office
Unavailable
Facility
$609.54
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49323
Office
Unavailable
Facility
$622.20
No comparable office rate is available.
Stockton
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Vallejo
California · 49323
Office
Unavailable
Facility
$644.60
No comparable office rate is available.
Visalia
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Yuba City
California · 49323
Office
Unavailable
Facility
$592.34
No comparable office rate is available.
Colorado
Colorado · 49323
Office
Unavailable
Facility
$603.55
No comparable office rate is available.
Connecticut
Connecticut · 49323
Office
Unavailable
Facility
$642.12
No comparable office rate is available.
Fort Lauderdale
Florida · 49323
Office
Unavailable
Facility
$669.62
No comparable office rate is available.
Rest Of Florida
Florida · 49323
Office
Unavailable
Facility
$634.86
No comparable office rate is available.
Atlanta
Georgia · 49323
Office
Unavailable
Facility
$623.96
No comparable office rate is available.
Rest Of Georgia
Georgia · 49323
Office
Unavailable
Facility
$598.28
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49323
Office
Unavailable
Facility
$597.95
No comparable office rate is available.
Iowa
Iowa · 49323
Office
Unavailable
Facility
$540.86
No comparable office rate is available.
Idaho
Idaho · 49323
Office
Unavailable
Facility
$547.74
No comparable office rate is available.
East St. Louis
Illinois · 49323
Office
Unavailable
Facility
$667.66
No comparable office rate is available.
Rest Of Illinois
Illinois · 49323
Office
Unavailable
Facility
$631.21
No comparable office rate is available.
Suburban Chicago
Illinois · 49323
Office
Unavailable
Facility
$671.86
No comparable office rate is available.
Indiana
Indiana · 49323
Office
Unavailable
Facility
$550.10
No comparable office rate is available.
Kansas
Kansas · 49323
Office
Unavailable
Facility
$547.06
No comparable office rate is available.
Kentucky
Kentucky · 49323
Office
Unavailable
Facility
$576.14
No comparable office rate is available.
New Orleans
Louisiana · 49323
Office
Unavailable
Facility
$603.40
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49323
Office
Unavailable
Facility
$578.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49323
Office
Unavailable
Facility
$646.83
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49323
Office
Unavailable
Facility
$604.00
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49323
Office
Unavailable
Facility
$642.11
No comparable office rate is available.
Rest Of Maryland
Maryland · 49323
Office
Unavailable
Facility
$603.49
No comparable office rate is available.
Rest Of Maine
Maine · 49323
Office
Unavailable
Facility
$559.33
No comparable office rate is available.
Southern Maine
Maine · 49323
Office
Unavailable
Facility
$573.76
No comparable office rate is available.
Detroit
Michigan · 49323
Office
Unavailable
Facility
$650.84
No comparable office rate is available.
Rest Of Michigan
Michigan · 49323
Office
Unavailable
Facility
$597.44
No comparable office rate is available.
Minnesota
Minnesota · 49323
Office
Unavailable
Facility
$555.04
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49323
Office
Unavailable
Facility
$590.64
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49323
Office
Unavailable
Facility
$595.10
No comparable office rate is available.
Rest Of Missouri
Missouri · 49323
Office
Unavailable
Facility
$575.51
No comparable office rate is available.
Mississippi
Mississippi · 49323
Office
Unavailable
Facility
$557.03
No comparable office rate is available.
Montana**
Montana · 49323
Office
Unavailable
Facility
$604.07
No comparable office rate is available.
North Carolina
North Carolina · 49323
Office
Unavailable
Facility
$563.17
No comparable office rate is available.
North Dakota**
North Dakota · 49323
Office
Unavailable
Facility
$557.99
No comparable office rate is available.
Nebraska
Nebraska · 49323
Office
Unavailable
Facility
$540.92
No comparable office rate is available.
New Hampshire
New Hampshire · 49323
Office
Unavailable
Facility
$602.42
No comparable office rate is available.
Northern Nj
New Jersey · 49323
Office
Unavailable
Facility
$661.44
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49323
Office
Unavailable
Facility
$642.88
No comparable office rate is available.
New Mexico
New Mexico · 49323
Office
Unavailable
Facility
$603.81
No comparable office rate is available.
Nevada**
Nevada · 49323
Office
Unavailable
Facility
$591.42
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49323
Office
Unavailable
Facility
$728.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49323
Office
Unavailable
Facility
$653.92
No comparable office rate is available.
Queens
New York · 49323
Office
Unavailable
Facility
$695.13
No comparable office rate is available.
Rest Of New York
New York · 49323
Office
Unavailable
Facility
$571.44
No comparable office rate is available.
Ohio
Ohio · 49323
Office
Unavailable
Facility
$588.02
No comparable office rate is available.
Oklahoma
Oklahoma · 49323
Office
Unavailable
Facility
$566.17
No comparable office rate is available.
Portland
Oregon · 49323
Office
Unavailable
Facility
$611.09
No comparable office rate is available.
Rest Of Oregon
Oregon · 49323
Office
Unavailable
Facility
$580.33
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49323
Office
Unavailable
Facility
$633.17
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49323
Office
Unavailable
Facility
$584.08
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49323
Office
Unavailable
Facility
$605.18
No comparable office rate is available.
Rhode Island
Rhode Island · 49323
Office
Unavailable
Facility
$608.53
No comparable office rate is available.
South Carolina
South Carolina · 49323
Office
Unavailable
Facility
$577.85
No comparable office rate is available.
South Dakota**
South Dakota · 49323
Office
Unavailable
Facility
$552.55
No comparable office rate is available.
Tennessee
Tennessee · 49323
Office
Unavailable
Facility
$550.59
No comparable office rate is available.
Austin
Texas · 49323
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Beaumont
Texas · 49323
Office
Unavailable
Facility
$581.29
No comparable office rate is available.
Brazoria
Texas · 49323
Office
Unavailable
Facility
$588.02
No comparable office rate is available.
Dallas
Texas · 49323
Office
Unavailable
Facility
$595.39
No comparable office rate is available.
Fort Worth
Texas · 49323
Office
Unavailable
Facility
$594.47
No comparable office rate is available.
Galveston
Texas · 49323
Office
Unavailable
Facility
$592.15
No comparable office rate is available.
Houston
Texas · 49323
Office
Unavailable
Facility
$634.79
No comparable office rate is available.
Rest Of Texas
Texas · 49323
Office
Unavailable
Facility
$586.81
No comparable office rate is available.
Utah
Utah · 49323
Office
Unavailable
Facility
$584.68
No comparable office rate is available.
Virginia
Virginia · 49323
Office
Unavailable
Facility
$578.05
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49323
Office
Unavailable
Facility
$605.18
No comparable office rate is available.
Vermont
Vermont · 49323
Office
Unavailable
Facility
$563.84
No comparable office rate is available.
Rest Of Washington
Washington · 49323
Office
Unavailable
Facility
$600.20
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49323
Office
Unavailable
Facility
$650.53
No comparable office rate is available.
Wisconsin
Wisconsin · 49323
Office
Unavailable
Facility
$542.25
No comparable office rate is available.
West Virginia
West Virginia · 49323
Office
Unavailable
Facility
$612.43
No comparable office rate is available.
Wyoming**
Wyoming · 49323
Office
Unavailable
Facility
$583.99
No comparable office rate is available.
See how rates vary across the country
49323 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 49323 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$655.28
$595.71 × 110% = $655.28
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 49323 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,786
- Code
- 49323
- Physician work
- 9.97
- Practice expense
- 5.79
- Malpractice
- 2.33
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.97 | × 1.005 | 10.0198 |
| Practice expense | 5.79 | × 0.988 | 5.7205 |
| Malpractice | 2.33 | × 0.899 | 2.0947 |
| Total RVUs | 17.8350 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$595.71
Open 49323 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.97 | 1.005 |
| Practice expense | 5.79 | 0.988 |
| Malpractice | 2.33 | 0.899 |
(9.97 × 1.005 + 5.79 × 0.988 + 2.33 × 0.899) × $33.4009 = $595.71
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
49323 · 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 | $595.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $595.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $595.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $595.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $624.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $624.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $624.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $624.89 | RVU25A |
49323 billing questions
When should 49323 be chosen over 49322?
Use 49323 for operative laparoscopic drainage of a lymphocele. Code 49322 describes laparoscopic aspiration, which removes fluid by suction rather than establishing operative drainage.
Can diagnostic laparoscopy be reported separately with 49323?
Do not separately report diagnostic laparoscopy solely for inspection or access during the same operative session in which the lymphocele is drained.
What documentation supports 49323?
Document that the treated collection is a lymphocele, its location, the laparoscopic approach, and the operative steps used to drain it.
Does modifier 50 apply to bilateral lymphoceles?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
How does the 90-day global affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted for this code.
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.
5,78349320,,Diag laparo separate proc,A,,5.01,3.23,NA,3.23,,1.23,9.47,9.47,0,010,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,78449321,,Laparoscopy biopsy,A,,5.30,3.30,NA,3.30,,1.26,9.86,9.86,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78549322,,Laparoscopy aspiration,A,,5.86,3.36,NA,3.36,,1.42,10.64,10.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78649323,,Laparo drain lymphocele,A,,9.97,5.79,NA,5.79,,2.33,18.09,18.09,0,090,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78749324,,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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503