No office rate
49002 represents reopening a recent laparotomy. Report 49900 for the abdominal wall repair when the incision has disrupted; both services may be relevant when both procedures are performed.
On this page
CMS RVU26D · Effective 2026-10-01
49900 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$788.83
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.
General surgery
About 49900: Secondary abdominal wall closure
Reports operative reclosure of an abdominal incision after wound separation or evisceration, rather than repair of an abdominal hernia.
CPT 49900 describes operative reclosure of an abdominal incision when the abdominal wall has separated, including cases with evisceration. A surgeon typically performs the repair in an operating room, often after a patient returns following recent abdominal surgery. The operative report should identify the wound disruption and describe the repair of the abdominal wall; routine dressing care or superficial skin closure alone does not establish this service.
Report 49900 when the surgeon repairs the disrupted abdominal wall, not when the procedure is an incisional hernia repair. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one 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 may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49900
- 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
- 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 RVU12.10 · 51%
- Practice expense (office) RVU8.82 · 37%
- Malpractice RVU3.04 · 13%
920
Medicare services in 2024 · #3031 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.
49900 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
49591 is for repair of a qualifying anterior abdominal hernia. Use 49900 for reclosure of a disrupted abdominal incision, not a hernia repair.
49999
No office rateUnlisted px abd pertm&omn
49999 is an unlisted abdominal procedure code for a service without a specific code. Use 49900 when the service is the described repair of a disrupted abdominal wall.
The same code, a different location
How does El Centro compare?
49900 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 · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Modesto
California · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Napa
California · 49900
Office
Unavailable
Facility
$869.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49900
Office
Unavailable
Facility
$826.94
No comparable office rate is available.
Redding
California · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Rest Of California
California · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49900
Office
Unavailable
Facility
$820.92
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49900
Office
Unavailable
Facility
$815.74
No comparable office rate is available.
Salinas
California · 49900
Office
Unavailable
Facility
$812.54
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49900
Office
Unavailable
Facility
$823.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49900
Office
Unavailable
Facility
$904.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49900
Office
Unavailable
Facility
$901.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49900
Office
Unavailable
Facility
$927.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49900
Office
Unavailable
Facility
$913.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49900
Office
Unavailable
Facility
$800.99
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49900
Office
Unavailable
Facility
$825.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49900
Office
Unavailable
Facility
$813.39
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49900
Office
Unavailable
Facility
$832.46
No comparable office rate is available.
Stockton
California · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Vallejo
California · 49900
Office
Unavailable
Facility
$864.50
No comparable office rate is available.
Visalia
California · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Yuba City
California · 49900
Office
Unavailable
Facility
$788.32
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49900
Office
Unavailable
Facility
$886.02
No comparable office rate is available.
Miami
Florida · 49900
Office
Unavailable
Facility
$967.62
No comparable office rate is available.
Chicago
Illinois · 49900
Office
Unavailable
Facility
$936.08
No comparable office rate is available.
Manhattan
New York · 49900
Office
Unavailable
Facility
$933.38
No comparable office rate is available.
Alaska*
Alaska · 49900
Office
Unavailable
Facility
$975.92
No comparable office rate is available.
Alabama
Alabama · 49900
Office
Unavailable
Facility
$719.39
No comparable office rate is available.
Arkansas
Arkansas · 49900
Office
Unavailable
Facility
$709.50
No comparable office rate is available.
Arizona
Arizona · 49900
Office
Unavailable
Facility
$776.53
No comparable office rate is available.
Colorado
Colorado · 49900
Office
Unavailable
Facility
$801.75
No comparable office rate is available.
Connecticut
Connecticut · 49900
Office
Unavailable
Facility
$852.38
No comparable office rate is available.
Delaware
Delaware · 49900
Office
Unavailable
Facility
$788.52
No comparable office rate is available.
Fort Lauderdale
Florida · 49900
Office
Unavailable
Facility
$886.16
No comparable office rate is available.
Rest Of Florida
Florida · 49900
Office
Unavailable
Facility
$838.40
No comparable office rate is available.
Atlanta
Georgia · 49900
Office
Unavailable
Facility
$826.62
No comparable office rate is available.
Rest Of Georgia
Georgia · 49900
Office
Unavailable
Facility
$787.96
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49900
Office
Unavailable
Facility
$797.90
No comparable office rate is available.
Iowa
Iowa · 49900
Office
Unavailable
Facility
$714.02
No comparable office rate is available.
Idaho
Idaho · 49900
Office
Unavailable
Facility
$723.21
No comparable office rate is available.
East St. Louis
Illinois · 49900
Office
Unavailable
Facility
$879.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 49900
Office
Unavailable
Facility
$831.82
No comparable office rate is available.
Suburban Chicago
Illinois · 49900
Office
Unavailable
Facility
$889.46
No comparable office rate is available.
Indiana
Indiana · 49900
Office
Unavailable
Facility
$726.59
No comparable office rate is available.
Kansas
Kansas · 49900
Office
Unavailable
Facility
$721.64
No comparable office rate is available.
Kentucky
Kentucky · 49900
Office
Unavailable
Facility
$758.95
No comparable office rate is available.
New Orleans
Louisiana · 49900
Office
Unavailable
Facility
$796.71
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49900
Office
Unavailable
Facility
$762.14
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49900
Office
Unavailable
Facility
$862.84
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49900
Office
Unavailable
Facility
$801.75
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49900
Office
Unavailable
Facility
$852.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 49900
Office
Unavailable
Facility
$799.54
No comparable office rate is available.
Rest Of Maine
Maine · 49900
Office
Unavailable
Facility
$738.34
No comparable office rate is available.
Southern Maine
Maine · 49900
Office
Unavailable
Facility
$760.17
No comparable office rate is available.
Detroit
Michigan · 49900
Office
Unavailable
Facility
$859.63
No comparable office rate is available.
Rest Of Michigan
Michigan · 49900
Office
Unavailable
Facility
$787.75
No comparable office rate is available.
Minnesota
Minnesota · 49900
Office
Unavailable
Facility
$737.35
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49900
Office
Unavailable
Facility
$779.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49900
Office
Unavailable
Facility
$786.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 49900
Office
Unavailable
Facility
$756.99
No comparable office rate is available.
Mississippi
Mississippi · 49900
Office
Unavailable
Facility
$732.84
No comparable office rate is available.
Montana**
Montana · 49900
Office
Unavailable
Facility
$800.08
No comparable office rate is available.
North Carolina
North Carolina · 49900
Office
Unavailable
Facility
$743.89
No comparable office rate is available.
North Dakota**
North Dakota · 49900
Office
Unavailable
Facility
$739.97
No comparable office rate is available.
Nebraska
Nebraska · 49900
Office
Unavailable
Facility
$714.44
No comparable office rate is available.
New Hampshire
New Hampshire · 49900
Office
Unavailable
Facility
$799.67
No comparable office rate is available.
Northern Nj
New Jersey · 49900
Office
Unavailable
Facility
$879.79
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49900
Office
Unavailable
Facility
$853.40
No comparable office rate is available.
New Mexico
New Mexico · 49900
Office
Unavailable
Facility
$796.24
No comparable office rate is available.
Nevada**
Nevada · 49900
Office
Unavailable
Facility
$783.62
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49900
Office
Unavailable
Facility
$968.85
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49900
Office
Unavailable
Facility
$867.78
No comparable office rate is available.
Queens
New York · 49900
Office
Unavailable
Facility
$924.65
No comparable office rate is available.
Rest Of New York
New York · 49900
Office
Unavailable
Facility
$755.40
No comparable office rate is available.
Ohio
Ohio · 49900
Office
Unavailable
Facility
$775.47
No comparable office rate is available.
Oklahoma
Oklahoma · 49900
Office
Unavailable
Facility
$746.12
No comparable office rate is available.
Portland
Oregon · 49900
Office
Unavailable
Facility
$813.46
No comparable office rate is available.
Rest Of Oregon
Oregon · 49900
Office
Unavailable
Facility
$768.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49900
Office
Unavailable
Facility
$839.24
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49900
Office
Unavailable
Facility
$770.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49900
Office
Unavailable
Facility
$802.00
No comparable office rate is available.
Rhode Island
Rhode Island · 49900
Office
Unavailable
Facility
$806.72
No comparable office rate is available.
South Carolina
South Carolina · 49900
Office
Unavailable
Facility
$762.67
No comparable office rate is available.
South Dakota**
South Dakota · 49900
Office
Unavailable
Facility
$732.86
No comparable office rate is available.
Tennessee
Tennessee · 49900
Office
Unavailable
Facility
$726.46
No comparable office rate is available.
Austin
Texas · 49900
Office
Unavailable
Facility
$806.61
No comparable office rate is available.
Beaumont
Texas · 49900
Office
Unavailable
Facility
$766.56
No comparable office rate is available.
Brazoria
Texas · 49900
Office
Unavailable
Facility
$778.53
No comparable office rate is available.
Dallas
Texas · 49900
Office
Unavailable
Facility
$788.33
No comparable office rate is available.
Fort Worth
Texas · 49900
Office
Unavailable
Facility
$786.70
No comparable office rate is available.
Galveston
Texas · 49900
Office
Unavailable
Facility
$783.99
No comparable office rate is available.
Houston
Texas · 49900
Office
Unavailable
Facility
$839.64
No comparable office rate is available.
Rest Of Texas
Texas · 49900
Office
Unavailable
Facility
$775.41
No comparable office rate is available.
Utah
Utah · 49900
Office
Unavailable
Facility
$772.25
No comparable office rate is available.
Virginia
Virginia · 49900
Office
Unavailable
Facility
$765.43
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49900
Office
Unavailable
Facility
$802.00
No comparable office rate is available.
Vermont
Vermont · 49900
Office
Unavailable
Facility
$747.18
No comparable office rate is available.
Rest Of Washington
Washington · 49900
Office
Unavailable
Facility
$796.89
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49900
Office
Unavailable
Facility
$868.78
No comparable office rate is available.
Wisconsin
Wisconsin · 49900
Office
Unavailable
Facility
$717.65
No comparable office rate is available.
West Virginia
West Virginia · 49900
Office
Unavailable
Facility
$805.46
No comparable office rate is available.
Wyoming**
Wyoming · 49900
Office
Unavailable
Facility
$773.89
No comparable office rate is available.
See how rates vary across the country
49900 · 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 49900 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$867.71
$788.83 × 110% = $867.71
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 49900 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,860
- Code
- 49900
- Physician work
- 12.10
- Practice expense
- 8.82
- Malpractice
- 3.04
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.10 | × 1.017 | 12.3057 |
| Practice expense | 8.82 | × 1.096 | 9.6667 |
| Malpractice | 3.04 | × 0.541 | 1.6446 |
| Total RVUs | 23.6171 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$788.83
Open 49900 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.1 | 1.017 |
| Practice expense | 8.82 | 1.096 |
| Malpractice | 3.04 | 0.541 |
(12.1 × 1.017 + 8.82 × 1.096 + 3.04 × 0.541) × $33.4009 = $788.83
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
49900 · 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 | $788.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $788.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $788.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $788.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $804.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $804.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $804.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $804.88 | RVU25A |
49900 billing questions
When should 49900 be chosen instead of an abdominal hernia repair code?
Use 49900 for operative repair of a disrupted abdominal incision, such as fascial separation or evisceration. Use a hernia repair code when the operative service repairs a hernia.
Can 49900 be reported with 49002?
49002 describes reopening a recent laparotomy, while 49900 describes repair of the disrupted abdominal wall. Both may be relevant when the surgeon reopens the incision and performs a distinct repair; the operative report should support each service.
Is modifier 50 appropriate for bilateral repair?
No. The abdominal wall repair is not reported with a bilateral adjustment under the CMS rule for this code.
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 payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What should the operative note document?
Document the abdominal wound disruption, whether evisceration occurred, and the operative repair performed on the abdominal wall. This helps distinguish the service from superficial wound care or hernia repair.
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.
5,85749650,,Lap ing hernia repair init,A,,6.20,4.87,NA,4.87,,1.63,12.70,12.70,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85849651,,Lap ing hernia repair recur,A,,8.17,6.15,NA,6.15,,2.15,16.47,16.47,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85949659,,Unlstd laps px hrnap hrnrphy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86049900,,Repair of abdominal wall,A,,12.10,8.82,NA,8.82,,3.04,23.96,23.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86149904,,Omental flap extra-abdom,A,,21.79,11.77,NA,11.77,,5.01,38.57,38.57,0,090,0.10,0.80,0.10,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86249905,,Omental flap intra-abdom,A,,6.38,1.57,NA,1.57,,1.48,9.43,9.43,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86349906,,Free omental flap microvasc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,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