No office rate
Use 49500 for an initial reducible inguinal hernia in a child under 5. Use 49501 when the hernia is incarcerated or strangulated.
On this page
CMS RVU26D · Effective 2026-10-01
49501 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$573.50
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.
Pediatric surgery
About 49501: Initial incarcerated inguinal hernia repair in a young child
Reports initial surgical repair of an incarcerated or strangulated inguinal hernia in a child aged 6 months to younger than 5 years.
This code describes initial surgical repair of an inguinal hernia that is incarcerated or strangulated in a child aged 6 months to younger than 5 years. A pediatric or general surgeon typically performs the repair in an operating room, addressing the hernia and its contents through a surgical approach. The defining distinctions are the child’s age, an initial rather than recurrent repair, and documentation that the hernia is incarcerated or strangulated rather than reducible.
The operative report should support the hernia’s location and status, the patient’s age, and that this is the first repair. CMS assigns 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 at 50%. For bilateral repair reported with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49501
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.13 · 52%
- Practice expense (office) RVU5.99 · 34%
- Malpractice RVU2.44 · 14%
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.
49501 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Both codes describe an initial incarcerated or strangulated inguinal hernia repair; 49507 is for patients aged 5 years or older, while 49501 is for children aged 6 months to younger than 5 years.
No office rate
49521 describes repair of a recurrent incarcerated inguinal hernia. Choose 49501 when the incarcerated or strangulated hernia is being repaired for the first time in a child under 5.
The same code, a different location
How does El Centro compare?
49501 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Modesto
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Napa
California · 49501
Office
Unavailable
Facility
$629.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49501
Office
Unavailable
Facility
$600.75
No comparable office rate is available.
Redding
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Rest Of California
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49501
Office
Unavailable
Facility
$599.24
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49501
Office
Unavailable
Facility
$592.29
No comparable office rate is available.
Salinas
California · 49501
Office
Unavailable
Facility
$589.97
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49501
Office
Unavailable
Facility
$597.56
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49501
Office
Unavailable
Facility
$653.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49501
Office
Unavailable
Facility
$650.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49501
Office
Unavailable
Facility
$670.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49501
Office
Unavailable
Facility
$659.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49501
Office
Unavailable
Facility
$581.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49501
Office
Unavailable
Facility
$598.12
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49501
Office
Unavailable
Facility
$590.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49501
Office
Unavailable
Facility
$603.47
No comparable office rate is available.
Stockton
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Vallejo
California · 49501
Office
Unavailable
Facility
$625.26
No comparable office rate is available.
Visalia
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Yuba City
California · 49501
Office
Unavailable
Facility
$573.10
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49501
Office
Unavailable
Facility
$647.81
No comparable office rate is available.
Miami
Florida · 49501
Office
Unavailable
Facility
$719.33
No comparable office rate is available.
Chicago
Illinois · 49501
Office
Unavailable
Facility
$695.19
No comparable office rate is available.
Manhattan
New York · 49501
Office
Unavailable
Facility
$686.21
No comparable office rate is available.
Alaska*
Alaska · 49501
Office
Unavailable
Facility
$715.41
No comparable office rate is available.
Alabama
Alabama · 49501
Office
Unavailable
Facility
$526.14
No comparable office rate is available.
Arkansas
Arkansas · 49501
Office
Unavailable
Facility
$518.78
No comparable office rate is available.
Arizona
Arizona · 49501
Office
Unavailable
Facility
$568.58
No comparable office rate is available.
Colorado
Colorado · 49501
Office
Unavailable
Facility
$585.14
No comparable office rate is available.
Connecticut
Connecticut · 49501
Office
Unavailable
Facility
$625.14
No comparable office rate is available.
Delaware
Delaware · 49501
Office
Unavailable
Facility
$577.41
No comparable office rate is available.
Fort Lauderdale
Florida · 49501
Office
Unavailable
Facility
$654.97
No comparable office rate is available.
Rest Of Florida
Florida · 49501
Office
Unavailable
Facility
$618.71
No comparable office rate is available.
Atlanta
Georgia · 49501
Office
Unavailable
Facility
$607.02
No comparable office rate is available.
Rest Of Georgia
Georgia · 49501
Office
Unavailable
Facility
$580.56
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49501
Office
Unavailable
Facility
$579.62
No comparable office rate is available.
Iowa
Iowa · 49501
Office
Unavailable
Facility
$520.37
No comparable office rate is available.
Idaho
Idaho · 49501
Office
Unavailable
Facility
$527.56
No comparable office rate is available.
East St. Louis
Illinois · 49501
Office
Unavailable
Facility
$653.15
No comparable office rate is available.
Rest Of Illinois
Illinois · 49501
Office
Unavailable
Facility
$615.00
No comparable office rate is available.
Suburban Chicago
Illinois · 49501
Office
Unavailable
Facility
$656.97
No comparable office rate is available.
Indiana
Indiana · 49501
Office
Unavailable
Facility
$530.02
No comparable office rate is available.
Kansas
Kansas · 49501
Office
Unavailable
Facility
$526.89
No comparable office rate is available.
Kentucky
Kentucky · 49501
Office
Unavailable
Facility
$557.38
No comparable office rate is available.
New Orleans
Louisiana · 49501
Office
Unavailable
Facility
$585.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49501
Office
Unavailable
Facility
$560.09
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49501
Office
Unavailable
Facility
$628.87
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49501
Office
Unavailable
Facility
$585.46
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49501
Office
Unavailable
Facility
$625.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 49501
Office
Unavailable
Facility
$585.29
No comparable office rate is available.
Rest Of Maine
Maine · 49501
Office
Unavailable
Facility
$539.71
No comparable office rate is available.
Southern Maine
Maine · 49501
Office
Unavailable
Facility
$554.65
No comparable office rate is available.
Detroit
Michigan · 49501
Office
Unavailable
Facility
$635.43
No comparable office rate is available.
Rest Of Michigan
Michigan · 49501
Office
Unavailable
Facility
$579.63
No comparable office rate is available.
Minnesota
Minnesota · 49501
Office
Unavailable
Facility
$534.95
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49501
Office
Unavailable
Facility
$572.44
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49501
Office
Unavailable
Facility
$577.08
No comparable office rate is available.
Rest Of Missouri
Missouri · 49501
Office
Unavailable
Facility
$556.79
No comparable office rate is available.
Mississippi
Mississippi · 49501
Office
Unavailable
Facility
$537.44
No comparable office rate is available.
Montana**
Montana · 49501
Office
Unavailable
Facility
$586.36
No comparable office rate is available.
North Carolina
North Carolina · 49501
Office
Unavailable
Facility
$543.69
No comparable office rate is available.
North Dakota**
North Dakota · 49501
Office
Unavailable
Facility
$538.11
No comparable office rate is available.
Nebraska
Nebraska · 49501
Office
Unavailable
Facility
$520.42
No comparable office rate is available.
New Hampshire
New Hampshire · 49501
Office
Unavailable
Facility
$584.54
No comparable office rate is available.
Northern Nj
New Jersey · 49501
Office
Unavailable
Facility
$643.28
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49501
Office
Unavailable
Facility
$625.03
No comparable office rate is available.
New Mexico
New Mexico · 49501
Office
Unavailable
Facility
$586.30
No comparable office rate is available.
Nevada**
Nevada · 49501
Office
Unavailable
Facility
$573.11
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49501
Office
Unavailable
Facility
$713.69
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49501
Office
Unavailable
Facility
$636.36
No comparable office rate is available.
Queens
New York · 49501
Office
Unavailable
Facility
$678.47
No comparable office rate is available.
Rest Of New York
New York · 49501
Office
Unavailable
Facility
$552.31
No comparable office rate is available.
Ohio
Ohio · 49501
Office
Unavailable
Facility
$569.77
No comparable office rate is available.
Oklahoma
Oklahoma · 49501
Office
Unavailable
Facility
$546.94
No comparable office rate is available.
Portland
Oregon · 49501
Office
Unavailable
Facility
$592.74
No comparable office rate is available.
Rest Of Oregon
Oregon · 49501
Office
Unavailable
Facility
$561.51
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49501
Office
Unavailable
Facility
$615.94
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49501
Office
Unavailable
Facility
$565.63
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49501
Office
Unavailable
Facility
$587.50
No comparable office rate is available.
Rhode Island
Rhode Island · 49501
Office
Unavailable
Facility
$590.11
No comparable office rate is available.
South Carolina
South Carolina · 49501
Office
Unavailable
Facility
$559.09
No comparable office rate is available.
South Dakota**
South Dakota · 49501
Office
Unavailable
Facility
$532.41
No comparable office rate is available.
Tennessee
Tennessee · 49501
Office
Unavailable
Facility
$530.58
No comparable office rate is available.
Austin
Texas · 49501
Office
Unavailable
Facility
$589.44
No comparable office rate is available.
Beaumont
Texas · 49501
Office
Unavailable
Facility
$562.73
No comparable office rate is available.
Brazoria
Texas · 49501
Office
Unavailable
Facility
$569.23
No comparable office rate is available.
Dallas
Texas · 49501
Office
Unavailable
Facility
$576.89
No comparable office rate is available.
Fort Worth
Texas · 49501
Office
Unavailable
Facility
$575.95
No comparable office rate is available.
Galveston
Texas · 49501
Office
Unavailable
Facility
$573.54
No comparable office rate is available.
Houston
Texas · 49501
Office
Unavailable
Facility
$618.20
No comparable office rate is available.
Rest Of Texas
Texas · 49501
Office
Unavailable
Facility
$568.41
No comparable office rate is available.
Utah
Utah · 49501
Office
Unavailable
Facility
$566.20
No comparable office rate is available.
Virginia
Virginia · 49501
Office
Unavailable
Facility
$559.16
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49501
Office
Unavailable
Facility
$587.50
No comparable office rate is available.
Vermont
Vermont · 49501
Office
Unavailable
Facility
$544.26
No comparable office rate is available.
Rest Of Washington
Washington · 49501
Office
Unavailable
Facility
$581.61
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49501
Office
Unavailable
Facility
$632.27
No comparable office rate is available.
Wisconsin
Wisconsin · 49501
Office
Unavailable
Facility
$521.72
No comparable office rate is available.
West Virginia
West Virginia · 49501
Office
Unavailable
Facility
$595.44
No comparable office rate is available.
Wyoming**
Wyoming · 49501
Office
Unavailable
Facility
$565.33
No comparable office rate is available.
See how rates vary across the country
49501 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 49501 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$630.85
$573.50 × 110% = $630.85
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 49501 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,826
- Code
- 49501
- Physician work
- 9.13
- Practice expense
- 5.99
- Malpractice
- 2.44
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.13 | × 1.017 | 9.2852 |
| Practice expense | 5.99 | × 1.096 | 6.5650 |
| Malpractice | 2.44 | × 0.541 | 1.3200 |
| Total RVUs | 17.1703 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$573.50
Open 49501 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.13 | 1.017 |
| Practice expense | 5.99 | 1.096 |
| Malpractice | 2.44 | 0.541 |
(9.13 × 1.017 + 5.99 × 1.096 + 2.44 × 0.541) × $33.4009 = $573.50
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
49501 · 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 | $573.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $573.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $573.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $573.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $589.36 | RVU25D |
| 2025-07-01 | Not available in this setting | $589.36 | RVU25C |
| 2025-04-01 | Not available in this setting | $589.36 | RVU25B |
| 2025-01-01 | Not available in this setting | $589.36 | RVU25A |
49501 billing questions
How does this code differ from 49500?
Both describe an initial inguinal hernia repair in a child younger than 5 years. Use 49501 when the hernia is incarcerated or strangulated; 49500 is for a reducible hernia.
When is 49507 used instead?
49507 describes an initial incarcerated or strangulated inguinal hernia repair in a patient aged 5 years or older. This code is for a child aged 6 months to younger than 5 years.
What documentation supports reporting 49501?
The operative record should identify the inguinal hernia as incarcerated or strangulated, establish that the repair is initial, and support the patient’s age.
How are bilateral repairs handled?
For bilateral repair reported with modifier 50, CMS pays at 150%. The record should support repair on both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment 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.
5,82349495,,Rpr ing hernia baby reduc,A,,6.05,4.29,NA,4.29,,1.62,11.96,11.96,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82449496,,Rpr ing hernia baby blocked,A,,9.18,6.21,NA,6.21,,2.46,17.85,17.85,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82549500,,Rpr ing hernia init reduce,A,,5.69,5.15,NA,5.15,,1.51,12.35,12.35,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82649501,,Rpr ing hernia init blocked,A,,9.13,5.99,NA,5.99,,2.44,17.56,17.56,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82749505,,Prp i/hern init reduc >5 yr,A,,7.76,5.40,NA,5.40,,2.05,15.21,15.21,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82849507,,Prp i/hern init block >5 yr,A,,8.86,5.83,NA,5.83,,2.32,17.01,17.01,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82949520,,Rerepair ing hernia reduce,A,,9.74,5.91,NA,5.91,,2.56,18.21,18.21,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664