No office rate
49020 is the comparison for a peritoneal abscess or localized peritonitis; 49040 applies when the documented abdominal abscess and open procedure fit 49040.
On this page
CMS RVU26D · Effective 2026-10-01
49040 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1007.60
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Abdominal surgery
About 49040: Open abdominal abscess drainage
Reports open surgical drainage of an abdominal abscess when the surgeon treats the collection through an operative approach rather than percutaneous catheter drainage.
CPT 49040 reports operative access to and evacuation of a localized abdominal abscess through an open approach. A surgeon typically performs the procedure in a hospital operating room when the collection requires surgical exposure. The operative report should identify the abscess location and document that drainage was performed through an open approach.
Choose the code based on the documented site and method; compare 49020 for a peritoneal abscess and 49060 for a retroperitoneal abscess. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate, and team surgery is not permitted.
CMS billing rules for 49040
- 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 RVU16.11 · 56%
- Practice expense (office) RVU8.45 · 29%
- Malpractice RVU4.15 · 14%
93
Medicare services in 2024 · #4936 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.
49040 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
Choose 49060 when the abscess is retroperitoneal. For 49040, the documentation must support the abdominal abscess service rather than the retroperitoneal site.
No office rate
49040 describes open operative drainage. Consider 49062 only when the procedure is percutaneous and its site and service match that code.
The same code, a different location
How does Vallejo compare?
49040 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Merced
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Modesto
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Napa
California · 49040
Office
Unavailable
Facility
$1014.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49040
Office
Unavailable
Facility
$973.12
No comparable office rate is available.
Redding
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Rest Of California
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49040
Office
Unavailable
Facility
$975.34
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49040
Office
Unavailable
Facility
$960.00
No comparable office rate is available.
Salinas
California · 49040
Office
Unavailable
Facility
$956.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49040
Office
Unavailable
Facility
$966.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49040
Office
Unavailable
Facility
$1050.79
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49040
Office
Unavailable
Facility
$1046.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49040
Office
Unavailable
Facility
$1078.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49040
Office
Unavailable
Facility
$1059.29
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49040
Office
Unavailable
Facility
$943.00
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49040
Office
Unavailable
Facility
$966.60
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49040
Office
Unavailable
Facility
$956.54
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49040
Office
Unavailable
Facility
$975.12
No comparable office rate is available.
Stockton
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Visalia
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Yuba City
California · 49040
Office
Unavailable
Facility
$930.87
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49040
Office
Unavailable
Facility
$1053.90
No comparable office rate is available.
Miami
Florida · 49040
Office
Unavailable
Facility
$1182.45
No comparable office rate is available.
Chicago
Illinois · 49040
Office
Unavailable
Facility
$1143.62
No comparable office rate is available.
Manhattan
New York · 49040
Office
Unavailable
Facility
$1120.33
No comparable office rate is available.
Alaska*
Alaska · 49040
Office
Unavailable
Facility
$1184.09
No comparable office rate is available.
Alabama
Alabama · 49040
Office
Unavailable
Facility
$863.50
No comparable office rate is available.
Arkansas
Arkansas · 49040
Office
Unavailable
Facility
$851.92
No comparable office rate is available.
Arizona
Arizona · 49040
Office
Unavailable
Facility
$930.23
No comparable office rate is available.
Colorado
Colorado · 49040
Office
Unavailable
Facility
$953.10
No comparable office rate is available.
Connecticut
Connecticut · 49040
Office
Unavailable
Facility
$1020.54
No comparable office rate is available.
Delaware
Delaware · 49040
Office
Unavailable
Facility
$944.24
No comparable office rate is available.
Fort Lauderdale
Florida · 49040
Office
Unavailable
Facility
$1074.61
No comparable office rate is available.
Rest Of Florida
Florida · 49040
Office
Unavailable
Facility
$1016.24
No comparable office rate is available.
Atlanta
Georgia · 49040
Office
Unavailable
Facility
$992.93
No comparable office rate is available.
Rest Of Georgia
Georgia · 49040
Office
Unavailable
Facility
$955.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49040
Office
Unavailable
Facility
$939.25
No comparable office rate is available.
Iowa
Iowa · 49040
Office
Unavailable
Facility
$851.37
No comparable office rate is available.
Idaho
Idaho · 49040
Office
Unavailable
Facility
$863.31
No comparable office rate is available.
East St. Louis
Illinois · 49040
Office
Unavailable
Facility
$1076.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 49040
Office
Unavailable
Facility
$1012.42
No comparable office rate is available.
Suburban Chicago
Illinois · 49040
Office
Unavailable
Facility
$1077.34
No comparable office rate is available.
Indiana
Indiana · 49040
Office
Unavailable
Facility
$867.09
No comparable office rate is available.
Kansas
Kansas · 49040
Office
Unavailable
Facility
$863.09
No comparable office rate is available.
Kentucky
Kentucky · 49040
Office
Unavailable
Facility
$915.83
No comparable office rate is available.
New Orleans
Louisiana · 49040
Office
Unavailable
Facility
$961.14
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49040
Office
Unavailable
Facility
$920.66
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49040
Office
Unavailable
Facility
$1020.51
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49040
Office
Unavailable
Facility
$954.37
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49040
Office
Unavailable
Facility
$1021.00
No comparable office rate is available.
Rest Of Maryland
Maryland · 49040
Office
Unavailable
Facility
$956.34
No comparable office rate is available.
Rest Of Maine
Maine · 49040
Office
Unavailable
Facility
$883.96
No comparable office rate is available.
Southern Maine
Maine · 49040
Office
Unavailable
Facility
$905.25
No comparable office rate is available.
Detroit
Michigan · 49040
Office
Unavailable
Facility
$1044.15
No comparable office rate is available.
Rest Of Michigan
Michigan · 49040
Office
Unavailable
Facility
$952.27
No comparable office rate is available.
Minnesota
Minnesota · 49040
Office
Unavailable
Facility
$869.54
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49040
Office
Unavailable
Facility
$938.54
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49040
Office
Unavailable
Facility
$945.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 49040
Office
Unavailable
Facility
$916.39
No comparable office rate is available.
Mississippi
Mississippi · 49040
Office
Unavailable
Facility
$883.53
No comparable office rate is available.
Montana**
Montana · 49040
Office
Unavailable
Facility
$958.66
No comparable office rate is available.
North Carolina
North Carolina · 49040
Office
Unavailable
Facility
$889.99
No comparable office rate is available.
North Dakota**
North Dakota · 49040
Office
Unavailable
Facility
$876.60
No comparable office rate is available.
Nebraska
Nebraska · 49040
Office
Unavailable
Facility
$850.99
No comparable office rate is available.
New Hampshire
New Hampshire · 49040
Office
Unavailable
Facility
$953.18
No comparable office rate is available.
Northern Nj
New Jersey · 49040
Office
Unavailable
Facility
$1047.42
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49040
Office
Unavailable
Facility
$1019.87
No comparable office rate is available.
New Mexico
New Mexico · 49040
Office
Unavailable
Facility
$963.38
No comparable office rate is available.
Nevada**
Nevada · 49040
Office
Unavailable
Facility
$936.07
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49040
Office
Unavailable
Facility
$1165.51
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49040
Office
Unavailable
Facility
$1039.08
No comparable office rate is available.
Queens
New York · 49040
Office
Unavailable
Facility
$1106.01
No comparable office rate is available.
Rest Of New York
New York · 49040
Office
Unavailable
Facility
$903.66
No comparable office rate is available.
Ohio
Ohio · 49040
Office
Unavailable
Facility
$935.49
No comparable office rate is available.
Oklahoma
Oklahoma · 49040
Office
Unavailable
Facility
$897.83
No comparable office rate is available.
Portland
Oregon · 49040
Office
Unavailable
Facility
$963.39
No comparable office rate is available.
Rest Of Oregon
Oregon · 49040
Office
Unavailable
Facility
$916.64
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49040
Office
Unavailable
Facility
$1006.95
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49040
Office
Unavailable
Facility
$928.17
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49040
Office
Unavailable
Facility
$959.97
No comparable office rate is available.
Rhode Island
Rhode Island · 49040
Office
Unavailable
Facility
$963.51
No comparable office rate is available.
South Carolina
South Carolina · 49040
Office
Unavailable
Facility
$916.70
No comparable office rate is available.
South Dakota**
South Dakota · 49040
Office
Unavailable
Facility
$866.90
No comparable office rate is available.
Tennessee
Tennessee · 49040
Office
Unavailable
Facility
$869.08
No comparable office rate is available.
Austin
Texas · 49040
Office
Unavailable
Facility
$960.58
No comparable office rate is available.
Beaumont
Texas · 49040
Office
Unavailable
Facility
$923.70
No comparable office rate is available.
Brazoria
Texas · 49040
Office
Unavailable
Facility
$930.21
No comparable office rate is available.
Dallas
Texas · 49040
Office
Unavailable
Facility
$942.97
No comparable office rate is available.
Fort Worth
Texas · 49040
Office
Unavailable
Facility
$941.95
No comparable office rate is available.
Galveston
Texas · 49040
Office
Unavailable
Facility
$937.43
No comparable office rate is available.
Houston
Texas · 49040
Office
Unavailable
Facility
$1013.39
No comparable office rate is available.
Rest Of Texas
Texas · 49040
Office
Unavailable
Facility
$931.10
No comparable office rate is available.
Utah
Utah · 49040
Office
Unavailable
Facility
$927.87
No comparable office rate is available.
Virginia
Virginia · 49040
Office
Unavailable
Facility
$913.39
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49040
Office
Unavailable
Facility
$959.97
No comparable office rate is available.
Vermont
Vermont · 49040
Office
Unavailable
Facility
$887.64
No comparable office rate is available.
Rest Of Washington
Washington · 49040
Office
Unavailable
Facility
$947.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49040
Office
Unavailable
Facility
$1024.55
No comparable office rate is available.
Wisconsin
Wisconsin · 49040
Office
Unavailable
Facility
$851.17
No comparable office rate is available.
West Virginia
West Virginia · 49040
Office
Unavailable
Facility
$981.71
No comparable office rate is available.
Wyoming**
Wyoming · 49040
Office
Unavailable
Facility
$922.90
No comparable office rate is available.
See how rates vary across the country
49040 · 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?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 49040 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1108.36
$1007.60 × 110% = $1108.36
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 49040 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
5,767
- Code
- 49040
- Physician work
- 16.11
- Practice expense
- 8.45
- Malpractice
- 4.15
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.11 | × 1.063 | 17.1249 |
| Practice expense | 8.45 | × 1.318 | 11.1371 |
| Malpractice | 4.15 | × 0.459 | 1.9049 |
| Total RVUs | 30.1669 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$1007.60
Open 49040 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.11 | 1.063 |
| Practice expense | 8.45 | 1.318 |
| Malpractice | 4.15 | 0.459 |
(16.11 × 1.063 + 8.45 × 1.318 + 4.15 × 0.459) × $33.4009 = $1007.60
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
49040 · 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 | $1007.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $1007.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $1007.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $1007.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $1046.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $1046.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $1046.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $1046.00 | RVU25A |
49040 billing questions
How does 49040 differ from 49020?
Use 49040 for open drainage of an abdominal abscess when its documented site and circumstances fit that code. Compare 49020 when the operative documentation identifies a peritoneal abscess or localized peritonitis.
When should 49060 be considered instead?
49060 is the code to compare when the abscess is documented as retroperitoneal. The operative report should support the anatomic site.
Does percutaneous catheter drainage qualify for 49040?
No. 49040 describes an open operative approach; a percutaneous procedure requires a code that matches its method and documented site.
How does the 90-day global period affect billing?
The day-before preoperative visit and related postoperative care through day 90 are included in the major-surgery global period.
Can assistant or co-surgeon services be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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.
5,76449013,,Prpertl pel pack hemrrg trma,A,,8.14,1.97,NA,1.97,,2.17,12.28,12.28,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76549014,,Reexploration pelvic wound,A,,6.56,2.05,NA,2.05,,1.75,10.36,10.36,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76649020,,Drainage abdom abscess open,A,,26.00,12.21,NA,12.21,,6.34,44.55,44.55,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76749040,,Drain open abdom abscess,A,,16.11,8.45,NA,8.45,,4.15,28.71,28.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76849060,,Drain open retroperi abscess,A,,18.07,8.41,NA,8.41,,4.24,30.72,30.72,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76949062,,Drain to peritoneal cavity,A,,11.91,6.87,NA,6.87,,3.18,21.96,21.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77049082,,Abd paracentesis,A,,1.21,5.93,,0.72,,0.20,7.34,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536