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CMS RVU26D · Effective 2026-10-01

49418 in Delaware

Office / nonfacility

$929.18

Base rate per service

Facility setting

$173.47

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 procedures

About 49418: Percutaneous tunneled peritoneal catheter placement

Report this service for initial percutaneous placement of a tunneled catheter into the peritoneal cavity when ongoing access, such as ascites drainage, is needed.

This code covers percutaneous placement of a tunneled catheter through the abdominal wall into the peritoneal cavity. It provides ongoing peritoneal access, commonly for drainage of recurrent ascites, including malignant ascites. Interventional radiologists often perform the procedure; surgeons may also place the catheter. The catheter is tunneled, but this service does not include placement of a subcutaneous port.

Select the code when the record supports a new catheter placed percutaneously and tunneled into the peritoneal cavity. Document the indication, access route, tunneling, and final catheter position; distinguish a catheter with a port or an exchange of an existing catheter. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.

CMS billing rules for 49418

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.86 · 14%
  • Practice expense (office) RVU23.83 · 85%
  • Malpractice RVU0.44 · 2%

6.9K

Medicare services in 2024 · #1670 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.

49418 compared with similar codes

Office rates for Delaware, from the same CMS release.

49419

Peritoneal catheter

With subcutaneous port

No office rate

Choose 49418 for percutaneous tunneled placement without a port. Choose 49419 when the catheter is placed with a subcutaneous port.

49421

Dialysis catheter placement

Open, tunneled peritoneal access

No office rate

49421 is for open insertion of a tunneled intraperitoneal catheter for dialysis. This code describes percutaneous placement.

49423

Drain catheter exchange

Fluoroscopic exchange

$543.18

49423 describes exchange of an existing drainage catheter. Use 49418 for initial percutaneous placement of a tunneled intraperitoneal catheter.

49422

Catheter removal

Tunneled intraperitoneal

No office rate

49422 is for removal of a tunneled intraperitoneal catheter; 49418 is for placing one.

The same code, a different location

How does Delaware compare?

49418 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $929.18

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

    $1085.57

    $156.39 higher than Delaware

  3. Dc + Md/Va Suburbs

    $1089.87

    $160.69 higher than Delaware

  4. Miami

    $994.67

    $65.49 higher than Delaware

  5. Chicago

    $963.48

    $34.30 higher than Delaware

  6. Manhattan

    $1085.37

    $156.19 higher than Delaware

  7. Alaska*

    $1049.17

    $119.99 higher than Delaware

Other payment areas listed in Delaware 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, 49418 ranges from $820.21 in Arkansas to $1298.74 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

  • Alabama

    Alabama · 49418

    Office

    $833.70

    Facility

    $164.43

    $95.48 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 49418

    Office

    $820.21

    Facility

    $163.18

    $108.97 lower than Delaware for the office setting.

  • Arizona

    Arizona · 49418

    Office

    $912.78

    Facility

    $171.61

    $16.40 lower than Delaware for the office setting.

  • Bakersfield

    California · 49418

    Office

    $1012.68

    Facility

    $174.37

    $83.50 higher than Delaware for the office setting.

  • Chico

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • El Centro

    California · 49418

    Office

    $1011.42

    Facility

    $173.11

    $82.24 higher than Delaware for the office setting.

  • Fresno

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Madera

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Merced

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Modesto

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Napa

    California · 49418

    Office

    $1193.57

    Facility

    $185.46

    $264.39 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 49418

    Office

    $1082.50

    Facility

    $178.41

    $153.32 higher than Delaware for the office setting.

  • Redding

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Rest Of California

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 49418

    Office

    $1016.14

    Facility

    $177.83

    $86.96 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 49418

    Office

    $1067.13

    Facility

    $177.57

    $137.95 higher than Delaware for the office setting.

  • Salinas

    California · 49418

    Office

    $1063.30

    Facility

    $176.80

    $134.12 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 49418

    Office

    $1092.71

    Facility

    $177.91

    $163.53 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 49418

    Office

    $1270.20

    Facility

    $191.72

    $341.02 higher than Delaware for the office setting.

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

    California · 49418

    Office

    $1269.70

    Facility

    $191.22

    $340.52 higher than Delaware for the office setting.

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

    California · 49418

    Office

    $1298.74

    Facility

    $195.78

    $369.56 higher than Delaware for the office setting.

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

    California · 49418

    Office

    $1296.69

    Facility

    $193.74

    $367.51 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 49418

    Office

    $1045.58

    Facility

    $174.38

    $116.40 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 49418

    Office

    $1106.58

    Facility

    $177.25

    $177.40 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 49418

    Office

    $1068.48

    Facility

    $176.63

    $139.30 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 49418

    Office

    $1118.09

    Facility

    $178.82

    $188.91 higher than Delaware for the office setting.

  • Stockton

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Vallejo

    California · 49418

    Office

    $1192.85

    Facility

    $184.74

    $263.67 higher than Delaware for the office setting.

  • Visalia

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Yuba City

    California · 49418

    Office

    $1011.35

    Facility

    $173.04

    $82.17 higher than Delaware for the office setting.

  • Colorado

    Colorado · 49418

    Office

    $988.84

    Facility

    $175.00

    $59.66 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 49418

    Office

    $1006.52

    Facility

    $182.74

    $77.34 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 49418

    Office

    $961.79

    Facility

    $186.97

    $32.61 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 49418

    Office

    $911.94

    Facility

    $180.71

    $17.24 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 49418

    Office

    $955.64

    Facility

    $178.52

    $26.46 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 49418

    Office

    $856.43

    Facility

    $174.15

    $72.75 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 49418

    Office

    $1042.42

    Facility

    $172.76

    $113.24 higher than Delaware for the office setting.

  • Iowa

    Iowa · 49418

    Office

    $863.05

    Facility

    $163.18

    $66.13 lower than Delaware for the office setting.

  • Idaho

    Idaho · 49418

    Office

    $868.15

    Facility

    $164.46

    $61.03 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 49418

    Office

    $890.79

    Facility

    $187.10

    $38.39 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 49418

    Office

    $878.59

    Facility

    $180.26

    $50.59 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 49418

    Office

    $973.31

    Facility

    $187.77

    $44.13 higher than Delaware for the office setting.

  • Indiana

    Indiana · 49418

    Office

    $873.91

    Facility

    $164.87

    $55.27 lower than Delaware for the office setting.

  • Kansas

    Kansas · 49418

    Office

    $855.87

    Facility

    $164.42

    $73.31 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 49418

    Office

    $849.97

    Facility

    $169.99

    $79.21 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 49418

    Office

    $894.61

    Facility

    $174.85

    $34.57 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 49418

    Office

    $847.42

    Facility

    $170.50

    $81.76 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 49418

    Office

    $1097.65

    Facility

    $184.38

    $168.47 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 49418

    Office

    $980.83

    Facility

    $175.41

    $51.65 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 49418

    Office

    $1003.22

    Facility

    $182.50

    $74.04 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 49418

    Office

    $949.20

    Facility

    $175.14

    $20.02 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 49418

    Office

    $870.34

    Facility

    $166.65

    $58.84 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 49418

    Office

    $926.98

    Facility

    $168.98

    $2.20 lower than Delaware for the office setting.

  • Detroit

    Michigan · 49418

    Office

    $921.79

    Facility

    $183.68

    $7.39 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 49418

    Office

    $872.22

    Facility

    $173.88

    $56.96 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 49418

    Office

    $952.30

    Facility

    $165.24

    $23.12 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 49418

    Office

    $890.68

    Facility

    $172.45

    $38.50 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 49418

    Office

    $901.39

    Facility

    $173.23

    $27.79 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 49418

    Office

    $829.35

    Facility

    $170.02

    $99.83 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 49418

    Office

    $825.10

    Facility

    $166.53

    $104.08 lower than Delaware for the office setting.

  • Montana**

    Montana · 49418

    Office

    $939.54

    Facility

    $174.66

    $10.36 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 49418

    Office

    $880.93

    Facility

    $167.30

    $48.25 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 49418

    Office

    $930.84

    Facility

    $165.96

    $1.66 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 49418

    Office

    $869.14

    Facility

    $163.15

    $60.04 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 49418

    Office

    $970.36

    Facility

    $174.12

    $41.18 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 49418

    Office

    $1076.04

    Facility

    $188.78

    $146.86 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 49418

    Office

    $1019.38

    Facility

    $184.13

    $90.20 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 49418

    Office

    $876.46

    Facility

    $175.06

    $52.72 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 49418

    Office

    $937.91

    Facility

    $172.26

    $8.73 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 49418

    Office

    $1110.85

    Facility

    $201.40

    $181.67 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 49418

    Office

    $1024.07

    Facility

    $186.53

    $94.89 higher than Delaware for the office setting.

  • Queens

    New York · 49418

    Office

    $1099.18

    Facility

    $195.09

    $170.00 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 49418

    Office

    $895.41

    Facility

    $168.77

    $33.77 lower than Delaware for the office setting.

  • Ohio

    Ohio · 49418

    Office

    $870.44

    Facility

    $172.10

    $58.74 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 49418

    Office

    $851.12

    Facility

    $168.09

    $78.06 lower than Delaware for the office setting.

  • Portland

    Oregon · 49418

    Office

    $1026.22

    Facility

    $176.44

    $97.04 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 49418

    Office

    $932.02

    Facility

    $170.20

    $2.84 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 49418

    Office

    $977.36

    Facility

    $181.12

    $48.18 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 49418

    Office

    $873.49

    Facility

    $171.33

    $55.69 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 49418

    Office

    $948.10

    Facility

    $174.81

    $18.92 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 49418

    Office

    $966.70

    Facility

    $176.57

    $37.52 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 49418

    Office

    $876.87

    Facility

    $170.12

    $52.31 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 49418

    Office

    $929.81

    Facility

    $164.93

    $0.63 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 49418

    Office

    $860.33

    Facility

    $165.06

    $68.85 lower than Delaware for the office setting.

  • Austin

    Texas · 49418

    Office

    $984.31

    Facility

    $175.07

    $55.13 higher than Delaware for the office setting.

  • Beaumont

    Texas · 49418

    Office

    $866.89

    Facility

    $170.85

    $62.29 lower than Delaware for the office setting.

  • Brazoria

    Texas · 49418

    Office

    $930.20

    Facility

    $172.21

    $1.02 higher than Delaware for the office setting.

  • Dallas

    Texas · 49418

    Office

    $935.46

    Facility

    $173.64

    $6.28 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 49418

    Office

    $927.69

    Facility

    $173.52

    $1.49 lower than Delaware for the office setting.

  • Galveston

    Texas · 49418

    Office

    $932.50

    Facility

    $172.97

    $3.32 higher than Delaware for the office setting.

  • Houston

    Texas · 49418

    Office

    $940.55

    Facility

    $181.03

    $11.37 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 49418

    Office

    $897.55

    Facility

    $171.68

    $31.63 lower than Delaware for the office setting.

  • Utah

    Utah · 49418

    Office

    $890.31

    Facility

    $171.32

    $38.87 lower than Delaware for the office setting.

  • Virginia

    Virginia · 49418

    Office

    $921.72

    Facility

    $169.84

    $7.46 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 49418

    Office

    $948.10

    Facility

    $174.81

    $18.92 higher than Delaware for the office setting.

  • Vermont

    Vermont · 49418

    Office

    $924.35

    Facility

    $167.12

    $4.83 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 49418

    Office

    $979.92

    Facility

    $174.50

    $50.74 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 49418

    Office

    $1124.00

    Facility

    $185.49

    $194.82 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 49418

    Office

    $895.97

    Facility

    $163.21

    $33.21 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 49418

    Office

    $841.63

    Facility

    $176.95

    $87.55 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 49418

    Office

    $935.75

    Facility

    $170.87

    $6.57 higher than Delaware for the office setting.

See how rates vary across the country

49418 · 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.

$820.21

$1,155.05

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,049.171
AL$833.701
AR$820.211
AZ$912.781
CA$1,011.35–$1,298.7429
CO$988.841
CT$1,006.521
DC$1,089.871
DE$929.181
FL$911.94–$994.673
GA$856.43–$955.642
GU$1,042.421
HI$1,042.421
IA$863.051
ID$868.151
IL$878.59–$973.314
IN$873.911
KS$855.871
KY$849.971
LA$847.42–$894.612
MA$980.83–$1,097.652
MD$949.20–$1,089.873
ME$870.34–$926.982
MI$872.22–$921.792
MN$952.301
MO$829.35–$901.393
MS$825.101
MT$939.541
NC$880.931
ND$930.841
NE$869.141
NH$970.361
NJ$1,019.38–$1,076.042
NM$876.461
NV$937.911
NY$895.41–$1,110.855
OH$870.441
OK$851.121
OR$932.02–$1,026.222
PA$873.49–$977.362
PR$948.101
RI$966.701
SC$876.871
SD$929.811
TN$860.331
TX$866.89–$984.318
UT$890.311
VA$921.72–$1,089.872
VI$948.101
VT$924.351
WA$979.92–$1,124.002
WI$895.971
WV$841.631
WY$935.751

Explore 49418 on the national rate map →

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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 49418 in Delaware, the physician’s office rate is $929.18 and the facility-setting rate is $173.47: a difference of $755.71.

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 49418 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1022.10

$929.18 × 110% = $1022.10

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 49418 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

5,799

Code
49418
Physician work
3.86
Practice expense
23.83
Malpractice
0.44

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 49418 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.86× 1.0053.8793
Practice expense23.83× 0.98823.5440
Malpractice0.44× 0.8990.3956
Total RVUs27.8189
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$929.18

Open 49418 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.861.005
Practice expense23.830.988
Malpractice0.440.899

(3.86 × 1.005 + 23.83 × 0.988 + 0.44 × 0.899) × $33.4009 = $929.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.861.005
Practice expense0.930.988
Malpractice0.440.899

(3.86 × 1.005 + 0.93 × 0.988 + 0.44 × 0.899) × $33.4009 = $173.47

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

49418 · Office / nonfacility

$929.18

Effective 2026-10-01

The base rate is $22.74 higher than on 2025-10-01, moving from $906.44 to $929.18 (2.5%).

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

    $906.44changed to$929.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.96 changed to 3.86
    • Practice expense RVU 23.80 changed to 23.83
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $906.44

    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$929.18$173.47RVU26D
2026-07-01$929.18$173.47RVU26C
2026-04-01$929.18$173.47RVU26B
2026-01-01$929.18$173.47RVU26A
2025-10-01$906.44$191.52RVU25D
2025-07-01$906.44$191.52RVU25C
2025-04-01$906.44$191.52RVU25B
2025-01-01$906.44$191.52RVU25A

49418 billing questions

How is this code distinguished from 49419?

49418 describes percutaneous placement of a tunneled intraperitoneal catheter without a port. Use 49419 when the placement includes a subcutaneous port.

Is this the code for an open peritoneal dialysis catheter placement?

No. 49421 describes open insertion of a tunneled intraperitoneal catheter for dialysis; 49418 is for percutaneous placement.

Can catheter imaging or guidance be billed separately?

The submitted facts do not specify separate reporting for imaging or guidance. The record should clearly support the percutaneous catheter placement and its final position.

Can modifier 50 be used for bilateral placement?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports reporting 49418 rather than an exchange code?

Document that a new tunneled catheter was placed percutaneously, including the indication, route, and final position. An exchange of an existing drainage catheter is a different service.

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 49418PPRRVU2026_Oct_nonQPP.csv, line 5,799 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet