No office rate
Use 49324 for laparoscopic insertion of a new tunneled catheter; 49325 describes laparoscopic revision of a previously placed catheter.
On this page
CMS RVU26D · Effective 2026-10-01
49324 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$354.85
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Laparoscopic surgery
About 49324: Laparoscopic tunneled peritoneal catheter placement
Laparoscopic placement of a tunneled intraperitoneal catheter, typically for peritoneal dialysis access, with the catheter positioned under abdominal visualization.
This service places a tunneled catheter into the peritoneal cavity using laparoscopic access, allowing the surgeon to visualize abdominal structures and position the catheter. It is most often performed by a general or minimally invasive surgeon for a patient who needs peritoneal dialysis access. The operative work includes creating the tunnel and inserting the catheter, rather than inspecting the abdomen alone.
Report 49324 when the operative note supports laparoscopic insertion of a new tunneled intraperitoneal catheter. Documentation should identify the indication, laparoscopic approach, and catheter placement. For revision of a previously placed catheter, consider 49325 instead. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate. Assistant-at-surgery payment may be allowed, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 49324
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.16 · 56%
- Practice expense (office) RVU3.19 · 29%
- Malpractice RVU1.61 · 15%
9.6K
Medicare services in 2024 · #1490 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.
49324 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
49421 is the open approach to tunneled intraperitoneal catheter insertion. Use 49324 when the catheter is inserted laparoscopically.
$1,011.35
49418 describes percutaneous catheter insertion, rather than the laparoscopic approach reported with 49324.
No office rate
49320 is for diagnostic abdominal laparoscopy. It does not describe therapeutic catheter insertion.
The same code, a different location
How does Redding compare?
49324 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Merced
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Modesto
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Napa
California · 49324
Office
Unavailable
Facility
$386.46
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49324
Office
Unavailable
Facility
$370.95
No comparable office rate is available.
Rest Of California
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49324
Office
Unavailable
Facility
$372.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49324
Office
Unavailable
Facility
$365.90
No comparable office rate is available.
Salinas
California · 49324
Office
Unavailable
Facility
$364.44
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49324
Office
Unavailable
Facility
$368.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49324
Office
Unavailable
Facility
$400.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49324
Office
Unavailable
Facility
$398.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49324
Office
Unavailable
Facility
$410.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49324
Office
Unavailable
Facility
$403.37
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49324
Office
Unavailable
Facility
$359.43
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49324
Office
Unavailable
Facility
$368.35
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49324
Office
Unavailable
Facility
$364.57
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49324
Office
Unavailable
Facility
$371.59
No comparable office rate is available.
Stockton
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Vallejo
California · 49324
Office
Unavailable
Facility
$383.83
No comparable office rate is available.
Visalia
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Yuba City
California · 49324
Office
Unavailable
Facility
$354.85
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49324
Office
Unavailable
Facility
$402.23
No comparable office rate is available.
Miami
Florida · 49324
Office
Unavailable
Facility
$452.67
No comparable office rate is available.
Chicago
Illinois · 49324
Office
Unavailable
Facility
$437.69
No comparable office rate is available.
Manhattan
New York · 49324
Office
Unavailable
Facility
$428.02
No comparable office rate is available.
Alaska*
Alaska · 49324
Office
Unavailable
Facility
$451.73
No comparable office rate is available.
Alabama
Alabama · 49324
Office
Unavailable
Facility
$329.42
No comparable office rate is available.
Arkansas
Arkansas · 49324
Office
Unavailable
Facility
$324.97
No comparable office rate is available.
Arizona
Arizona · 49324
Office
Unavailable
Facility
$355.03
No comparable office rate is available.
Colorado
Colorado · 49324
Office
Unavailable
Facility
$363.59
No comparable office rate is available.
Connecticut
Connecticut · 49324
Office
Unavailable
Facility
$389.69
No comparable office rate is available.
Delaware
Delaware · 49324
Office
Unavailable
Facility
$360.39
No comparable office rate is available.
Fort Lauderdale
Florida · 49324
Office
Unavailable
Facility
$410.91
No comparable office rate is available.
Rest Of Florida
Florida · 49324
Office
Unavailable
Facility
$388.43
No comparable office rate is available.
Atlanta
Georgia · 49324
Office
Unavailable
Facility
$379.20
No comparable office rate is available.
Rest Of Georgia
Georgia · 49324
Office
Unavailable
Facility
$364.89
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49324
Office
Unavailable
Facility
$358.03
No comparable office rate is available.
Iowa
Iowa · 49324
Office
Unavailable
Facility
$324.59
No comparable office rate is available.
Idaho
Idaho · 49324
Office
Unavailable
Facility
$329.21
No comparable office rate is available.
East St. Louis
Illinois · 49324
Office
Unavailable
Facility
$412.08
No comparable office rate is available.
Rest Of Illinois
Illinois · 49324
Office
Unavailable
Facility
$387.08
No comparable office rate is available.
Suburban Chicago
Illinois · 49324
Office
Unavailable
Facility
$411.91
No comparable office rate is available.
Indiana
Indiana · 49324
Office
Unavailable
Facility
$330.66
No comparable office rate is available.
Kansas
Kansas · 49324
Office
Unavailable
Facility
$329.17
No comparable office rate is available.
Kentucky
Kentucky · 49324
Office
Unavailable
Facility
$349.68
No comparable office rate is available.
New Orleans
Louisiana · 49324
Office
Unavailable
Facility
$367.10
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49324
Office
Unavailable
Facility
$351.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49324
Office
Unavailable
Facility
$389.26
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49324
Office
Unavailable
Facility
$364.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49324
Office
Unavailable
Facility
$389.89
No comparable office rate is available.
Rest Of Maryland
Maryland · 49324
Office
Unavailable
Facility
$365.00
No comparable office rate is available.
Rest Of Maine
Maine · 49324
Office
Unavailable
Facility
$337.22
No comparable office rate is available.
Southern Maine
Maine · 49324
Office
Unavailable
Facility
$345.27
No comparable office rate is available.
Detroit
Michigan · 49324
Office
Unavailable
Facility
$399.23
No comparable office rate is available.
Rest Of Michigan
Michigan · 49324
Office
Unavailable
Facility
$363.74
No comparable office rate is available.
Minnesota
Minnesota · 49324
Office
Unavailable
Facility
$331.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49324
Office
Unavailable
Facility
$358.34
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49324
Office
Unavailable
Facility
$361.07
No comparable office rate is available.
Rest Of Missouri
Missouri · 49324
Office
Unavailable
Facility
$349.97
No comparable office rate is available.
Mississippi
Mississippi · 49324
Office
Unavailable
Facility
$337.23
No comparable office rate is available.
Montana**
Montana · 49324
Office
Unavailable
Facility
$365.97
No comparable office rate is available.
North Carolina
North Carolina · 49324
Office
Unavailable
Facility
$339.52
No comparable office rate is available.
North Dakota**
North Dakota · 49324
Office
Unavailable
Facility
$334.13
No comparable office rate is available.
Nebraska
Nebraska · 49324
Office
Unavailable
Facility
$324.42
No comparable office rate is available.
New Hampshire
New Hampshire · 49324
Office
Unavailable
Facility
$363.72
No comparable office rate is available.
Northern Nj
New Jersey · 49324
Office
Unavailable
Facility
$399.74
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49324
Office
Unavailable
Facility
$389.32
No comparable office rate is available.
New Mexico
New Mexico · 49324
Office
Unavailable
Facility
$368.04
No comparable office rate is available.
Nevada**
Nevada · 49324
Office
Unavailable
Facility
$357.20
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49324
Office
Unavailable
Facility
$445.47
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49324
Office
Unavailable
Facility
$396.75
No comparable office rate is available.
Queens
New York · 49324
Office
Unavailable
Facility
$422.40
No comparable office rate is available.
Rest Of New York
New York · 49324
Office
Unavailable
Facility
$344.78
No comparable office rate is available.
Ohio
Ohio · 49324
Office
Unavailable
Facility
$357.23
No comparable office rate is available.
Oklahoma
Oklahoma · 49324
Office
Unavailable
Facility
$342.68
No comparable office rate is available.
Portland
Oregon · 49324
Office
Unavailable
Facility
$367.43
No comparable office rate is available.
Rest Of Oregon
Oregon · 49324
Office
Unavailable
Facility
$349.68
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49324
Office
Unavailable
Facility
$384.52
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49324
Office
Unavailable
Facility
$354.38
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49324
Office
Unavailable
Facility
$366.44
No comparable office rate is available.
Rhode Island
Rhode Island · 49324
Office
Unavailable
Facility
$367.69
No comparable office rate is available.
South Carolina
South Carolina · 49324
Office
Unavailable
Facility
$349.91
No comparable office rate is available.
South Dakota**
South Dakota · 49324
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Tennessee
Tennessee · 49324
Office
Unavailable
Facility
$331.48
No comparable office rate is available.
Austin
Texas · 49324
Office
Unavailable
Facility
$366.53
No comparable office rate is available.
Beaumont
Texas · 49324
Office
Unavailable
Facility
$352.67
No comparable office rate is available.
Brazoria
Texas · 49324
Office
Unavailable
Facility
$354.93
No comparable office rate is available.
Dallas
Texas · 49324
Office
Unavailable
Facility
$359.86
No comparable office rate is available.
Fort Worth
Texas · 49324
Office
Unavailable
Facility
$359.50
No comparable office rate is available.
Galveston
Texas · 49324
Office
Unavailable
Facility
$357.72
No comparable office rate is available.
Houston
Texas · 49324
Office
Unavailable
Facility
$387.19
No comparable office rate is available.
Rest Of Texas
Texas · 49324
Office
Unavailable
Facility
$355.42
No comparable office rate is available.
Utah
Utah · 49324
Office
Unavailable
Facility
$354.20
No comparable office rate is available.
Virginia
Virginia · 49324
Office
Unavailable
Facility
$348.45
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49324
Office
Unavailable
Facility
$366.44
No comparable office rate is available.
Vermont
Vermont · 49324
Office
Unavailable
Facility
$338.44
No comparable office rate is available.
Rest Of Washington
Washington · 49324
Office
Unavailable
Facility
$361.54
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49324
Office
Unavailable
Facility
$390.71
No comparable office rate is available.
Wisconsin
Wisconsin · 49324
Office
Unavailable
Facility
$324.39
No comparable office rate is available.
West Virginia
West Virginia · 49324
Office
Unavailable
Facility
$375.29
No comparable office rate is available.
Wyoming**
Wyoming · 49324
Office
Unavailable
Facility
$352.09
No comparable office rate is available.
See how rates vary across the country
49324 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 49324 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$390.34
$354.85 × 110% = $390.34
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 49324 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,787
- Code
- 49324
- Physician work
- 6.16
- Practice expense
- 3.19
- Malpractice
- 1.61
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.16 | × 1.017 | 6.2647 |
| Practice expense | 3.19 | × 1.096 | 3.4962 |
| Malpractice | 1.61 | × 0.536 | 0.8630 |
| Total RVUs | 10.6239 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$354.85
Open 49324 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.16 | 1.017 |
| Practice expense | 3.19 | 1.096 |
| Malpractice | 1.61 | 0.536 |
(6.16 × 1.017 + 3.19 × 1.096 + 1.61 × 0.536) × $33.4009 = $354.85
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
49324 · 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 | $354.85 | RVU26D |
| 2026-07-01 | Not available in this setting | $354.85 | RVU26C |
| 2026-04-01 | Not available in this setting | $354.85 | RVU26B |
| 2026-01-01 | Not available in this setting | $354.85 | RVU26A |
| 2025-10-01 | Not available in this setting | $369.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $369.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $369.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $369.02 | RVU25A |
49324 billing questions
How does 49324 differ from 49325?
49324 describes laparoscopic insertion of a new tunneled intraperitoneal catheter. 49325 is for laparoscopic revision of a catheter that was previously placed.
How does 49324 differ from open catheter placement?
49324 is for laparoscopic insertion. The open approach is represented by 49421, while 49418 describes percutaneous insertion.
Can diagnostic laparoscopy be billed separately with 49324?
The abdominal inspection used to perform the catheter placement is part of the surgical service. A separate diagnostic laparoscopy code should not be used to report that integral work.
Can 49326 be reported with 49324?
49326 is an add-on code for omentopexy and may be reported with 49324 when that additional procedure is performed and documented.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in 49324.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this service. Team surgery is not permitted.
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.
5,78449321,,Laparoscopy biopsy,A,,5.30,3.30,NA,3.30,,1.26,9.86,9.86,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78549322,,Laparoscopy aspiration,A,,5.86,3.36,NA,3.36,,1.42,10.64,10.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78649323,,Laparo drain lymphocele,A,,9.97,5.79,NA,5.79,,2.33,18.09,18.09,0,090,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78749324,,Lap insert tunnel ip cath,A,,6.16,3.19,NA,3.19,,1.61,10.96,10.96,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78849325,,Lap revision perm ip cath,A,,6.65,3.26,NA,3.26,,1.73,11.64,11.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78949326,,Lap w/omentopexy add-on,A,,3.41,0.76,NA,0.76,,0.90,5.07,5.07,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79049327,,Lap ins device for rt,A,,2.32,0.56,NA,0.56,,0.61,3.49,3.49,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536