$929.18
Choose 49419 when the tunneled intraperitoneal catheter is connected to a subcutaneous port. Code 49418 describes percutaneous placement without that port configuration.
On this page
CMS RVU26D · Effective 2026-10-01
49419 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$385.95
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.
Peritoneal surgery
About 49419: Tunneled intraperitoneal catheter with port
Reports placement of a tunneled catheter with an implanted subcutaneous port for repeated access to the peritoneal cavity, commonly for intraperitoneal therapy.
This service places a tunneled catheter into the peritoneal cavity and connects it to a port implanted beneath the skin. The port allows repeated access without leaving an external catheter segment. A surgeon, often working with a gynecologic oncology team, may place it to support repeated intraperitoneal chemotherapy. Placement is generally performed in an operative setting; the operative report should identify the catheter and port, their placement, and the clinical purpose.
Select this code for the tunneled intraperitoneal catheter-and-port configuration, rather than a percutaneous tunneled catheter without a port or a catheter placed for peritoneal dialysis. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 49419
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.90 · 59%
- Practice expense (office) RVU3.23 · 28%
- Malpractice RVU1.59 · 14%
86
Medicare services in 2024 · #4991 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.
49419 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Code 49421 describes open placement of a tunneled intraperitoneal catheter for dialysis. This code is for a catheter with a subcutaneous port, commonly used for repeated intraperitoneal therapy.
No office rate
Code 49422 is for removal of a tunneled intraperitoneal catheter. Use 49419 for placement of the catheter-and-port system, not its later removal.
The same code, a different location
How does Delaware compare?
49419 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 · 49419
Office
Unavailable
Facility
$354.92
No comparable office rate is available.
Arkansas
Arkansas · 49419
Office
Unavailable
Facility
$350.49
No comparable office rate is available.
Arizona
Arizona · 49419
Office
Unavailable
Facility
$380.47
No comparable office rate is available.
Bakersfield
California · 49419
Office
Unavailable
Facility
$385.43
No comparable office rate is available.
Chico
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
El Centro
California · 49419
Office
Unavailable
Facility
$381.36
No comparable office rate is available.
Fresno
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Hanford-Corcoran
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Madera
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Merced
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Modesto
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Napa
California · 49419
Office
Unavailable
Facility
$414.16
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49419
Office
Unavailable
Facility
$397.53
No comparable office rate is available.
Redding
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Rest Of California
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49419
Office
Unavailable
Facility
$398.16
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49419
Office
Unavailable
Facility
$392.70
No comparable office rate is available.
Salinas
California · 49419
Office
Unavailable
Facility
$391.11
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49419
Office
Unavailable
Facility
$395.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49419
Office
Unavailable
Facility
$428.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49419
Office
Unavailable
Facility
$427.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49419
Office
Unavailable
Facility
$439.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49419
Office
Unavailable
Facility
$432.47
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49419
Office
Unavailable
Facility
$385.73
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49419
Office
Unavailable
Facility
$394.85
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49419
Office
Unavailable
Facility
$391.18
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49419
Office
Unavailable
Facility
$398.33
No comparable office rate is available.
Stockton
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Vallejo
California · 49419
Office
Unavailable
Facility
$411.55
No comparable office rate is available.
Visalia
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Yuba City
California · 49419
Office
Unavailable
Facility
$381.09
No comparable office rate is available.
Colorado
Colorado · 49419
Office
Unavailable
Facility
$389.50
No comparable office rate is available.
Connecticut
Connecticut · 49419
Office
Unavailable
Facility
$415.53
No comparable office rate is available.
Fort Lauderdale
Florida · 49419
Office
Unavailable
Facility
$435.77
No comparable office rate is available.
Rest Of Florida
Florida · 49419
Office
Unavailable
Facility
$413.42
No comparable office rate is available.
Atlanta
Georgia · 49419
Office
Unavailable
Facility
$404.55
No comparable office rate is available.
Rest Of Georgia
Georgia · 49419
Office
Unavailable
Facility
$390.00
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49419
Office
Unavailable
Facility
$383.88
No comparable office rate is available.
Iowa
Iowa · 49419
Office
Unavailable
Facility
$350.26
No comparable office rate is available.
Idaho
Idaho · 49419
Office
Unavailable
Facility
$354.84
No comparable office rate is available.
East St. Louis
Illinois · 49419
Office
Unavailable
Facility
$436.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 49419
Office
Unavailable
Facility
$411.97
No comparable office rate is available.
Suburban Chicago
Illinois · 49419
Office
Unavailable
Facility
$436.98
No comparable office rate is available.
Indiana
Indiana · 49419
Office
Unavailable
Facility
$356.29
No comparable office rate is available.
Kansas
Kansas · 49419
Office
Unavailable
Facility
$354.76
No comparable office rate is available.
Kentucky
Kentucky · 49419
Office
Unavailable
Facility
$374.97
No comparable office rate is available.
New Orleans
Louisiana · 49419
Office
Unavailable
Facility
$392.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49419
Office
Unavailable
Facility
$376.82
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49419
Office
Unavailable
Facility
$416.00
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49419
Office
Unavailable
Facility
$390.08
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49419
Office
Unavailable
Facility
$415.61
No comparable office rate is available.
Rest Of Maryland
Maryland · 49419
Office
Unavailable
Facility
$390.70
No comparable office rate is available.
Rest Of Maine
Maine · 49419
Office
Unavailable
Facility
$362.75
No comparable office rate is available.
Southern Maine
Maine · 49419
Office
Unavailable
Facility
$370.89
No comparable office rate is available.
Detroit
Michigan · 49419
Office
Unavailable
Facility
$424.11
No comparable office rate is available.
Rest Of Michigan
Michigan · 49419
Office
Unavailable
Facility
$388.92
No comparable office rate is available.
Minnesota
Minnesota · 49419
Office
Unavailable
Facility
$357.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49419
Office
Unavailable
Facility
$383.66
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49419
Office
Unavailable
Facility
$386.39
No comparable office rate is available.
Rest Of Missouri
Missouri · 49419
Office
Unavailable
Facility
$375.19
No comparable office rate is available.
Mississippi
Mississippi · 49419
Office
Unavailable
Facility
$362.60
No comparable office rate is available.
Montana**
Montana · 49419
Office
Unavailable
Facility
$391.35
No comparable office rate is available.
North Carolina
North Carolina · 49419
Office
Unavailable
Facility
$365.06
No comparable office rate is available.
North Dakota**
North Dakota · 49419
Office
Unavailable
Facility
$359.91
No comparable office rate is available.
Nebraska
Nebraska · 49419
Office
Unavailable
Facility
$350.12
No comparable office rate is available.
New Hampshire
New Hampshire · 49419
Office
Unavailable
Facility
$389.24
No comparable office rate is available.
Northern Nj
New Jersey · 49419
Office
Unavailable
Facility
$426.85
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49419
Office
Unavailable
Facility
$415.75
No comparable office rate is available.
New Mexico
New Mexico · 49419
Office
Unavailable
Facility
$393.18
No comparable office rate is available.
Nevada**
Nevada · 49419
Office
Unavailable
Facility
$382.70
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49419
Office
Unavailable
Facility
$472.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49419
Office
Unavailable
Facility
$423.23
No comparable office rate is available.
Queens
New York · 49419
Office
Unavailable
Facility
$449.32
No comparable office rate is available.
Rest Of New York
New York · 49419
Office
Unavailable
Facility
$370.29
No comparable office rate is available.
Ohio
Ohio · 49419
Office
Unavailable
Facility
$382.50
No comparable office rate is available.
Oklahoma
Oklahoma · 49419
Office
Unavailable
Facility
$368.07
No comparable office rate is available.
Portland
Oregon · 49419
Office
Unavailable
Facility
$393.53
No comparable office rate is available.
Rest Of Oregon
Oregon · 49419
Office
Unavailable
Facility
$375.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49419
Office
Unavailable
Facility
$410.28
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49419
Office
Unavailable
Facility
$379.69
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49419
Office
Unavailable
Facility
$391.85
No comparable office rate is available.
Rhode Island
Rhode Island · 49419
Office
Unavailable
Facility
$393.66
No comparable office rate is available.
South Carolina
South Carolina · 49419
Office
Unavailable
Facility
$375.29
No comparable office rate is available.
South Dakota**
South Dakota · 49419
Office
Unavailable
Facility
$356.20
No comparable office rate is available.
Tennessee
Tennessee · 49419
Office
Unavailable
Facility
$357.05
No comparable office rate is available.
Austin
Texas · 49419
Office
Unavailable
Facility
$392.12
No comparable office rate is available.
Beaumont
Texas · 49419
Office
Unavailable
Facility
$377.98
No comparable office rate is available.
Brazoria
Texas · 49419
Office
Unavailable
Facility
$380.65
No comparable office rate is available.
Dallas
Texas · 49419
Office
Unavailable
Facility
$385.56
No comparable office rate is available.
Fort Worth
Texas · 49419
Office
Unavailable
Facility
$385.17
No comparable office rate is available.
Galveston
Texas · 49419
Office
Unavailable
Facility
$383.41
No comparable office rate is available.
Houston
Texas · 49419
Office
Unavailable
Facility
$412.52
No comparable office rate is available.
Rest Of Texas
Texas · 49419
Office
Unavailable
Facility
$380.80
No comparable office rate is available.
Utah
Utah · 49419
Office
Unavailable
Facility
$379.57
No comparable office rate is available.
Virginia
Virginia · 49419
Office
Unavailable
Facility
$374.01
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49419
Office
Unavailable
Facility
$391.85
No comparable office rate is available.
Vermont
Vermont · 49419
Office
Unavailable
Facility
$364.14
No comparable office rate is available.
Rest Of Washington
Washington · 49419
Office
Unavailable
Facility
$387.48
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49419
Office
Unavailable
Facility
$417.75
No comparable office rate is available.
Wisconsin
Wisconsin · 49419
Office
Unavailable
Facility
$350.18
No comparable office rate is available.
West Virginia
West Virginia · 49419
Office
Unavailable
Facility
$400.21
No comparable office rate is available.
Wyoming**
Wyoming · 49419
Office
Unavailable
Facility
$377.65
No comparable office rate is available.
See how rates vary across the country
49419 · 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 49419 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$424.55
$385.95 × 110% = $424.55
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 49419 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,800
- Code
- 49419
- Physician work
- 6.90
- Practice expense
- 3.23
- Malpractice
- 1.59
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.90 | × 1.005 | 6.9345 |
| Practice expense | 3.23 | × 0.988 | 3.1912 |
| Malpractice | 1.59 | × 0.899 | 1.4294 |
| Total RVUs | 11.5552 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$385.95
Open 49419 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.9 | 1.005 |
| Practice expense | 3.23 | 0.988 |
| Malpractice | 1.59 | 0.899 |
(6.9 × 1.005 + 3.23 × 0.988 + 1.59 × 0.899) × $33.4009 = $385.95
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
49419 · 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 | $385.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $385.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $385.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $385.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $401.56 | RVU25D |
| 2025-07-01 | Not available in this setting | $401.56 | RVU25C |
| 2025-04-01 | Not available in this setting | $401.56 | RVU25B |
| 2025-01-01 | Not available in this setting | $401.56 | RVU25A |
49419 billing questions
How does this differ from 49418?
49419 describes a tunneled intraperitoneal catheter connected to a subcutaneous port. Code 49418 is for a percutaneous tunneled intraperitoneal catheter without that port configuration.
Is the port included in this service?
Yes. The port is part of the catheter-and-port placement described by this code; it is not a separate service merely because it is implanted beneath the skin.
What documentation supports reporting 49419?
The operative note should support placement of a tunneled intraperitoneal catheter with a subcutaneous port and state the clinical purpose, such as repeated intraperitoneal therapy.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,79749411,,Ins mark abd/pel for rt perq,A,,3.48,10.25,,0.90,,0.36,14.09,4.74,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79849412,,Ins device for rt guide open,A,,1.46,0.36,NA,0.36,,0.39,2.21,2.21,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79949418,,Insert tun ip cath perc,A,,3.86,23.83,,0.93,,0.44,28.13,5.23,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80049419,,Insert tun ip cath w/port,A,,6.90,3.23,NA,3.23,,1.59,11.72,11.72,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80149421,,Ins tun ip cath for dial opn,A,,4.10,1.06,NA,1.06,,1.03,6.19,6.19,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80249422,,Remove tunneled ip cath,A,,3.90,1.18,NA,1.18,,0.96,6.04,6.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80349423,,Exchange drainage catheter,A,,1.42,14.87,,0.24,,0.16,16.45,1.82,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,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