FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

49406 in Wyoming**

Office / nonfacility

$833.38

Base rate per service

Facility setting

$163.02

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.

Interventional radiology

About 49406: Image-guided peritoneal fluid drainage

Report percutaneous, image-guided catheter placement to drain a fluid collection in the peritoneal or retroperitoneal space.

This service places a catheter through the skin into a fluid collection in the peritoneal or retroperitoneal space so the collection can be drained. Typical cases include image-guided drainage of an abdominal abscess, hematoma, or cyst. An interventional radiologist commonly performs the procedure in a hospital imaging suite or other procedural setting, using imaging to guide access and catheter position.

Select this code when the collection is peritoneal or retroperitoneal; collections in a visceral organ or another specified access route belong to different codes. The report should identify the collection’s location and nature, the imaging guidance and access used, and catheter placement and drainage. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 49406

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.90 · 16%
  • Practice expense (office) RVU20.74 · 83%
  • Malpractice RVU0.42 · 2%

27.5K

Medicare services in 2024 · #1004 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.

49406 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

49405

Visceral drainage

Percutaneous catheter placement

$834.05

Choose 49406 for a peritoneal or retroperitoneal collection; choose 49405 when the collection is in a visceral site.

49407

Pelvic drainage

Transvaginal or transrectal

$732.39

Code 49407 describes catheter drainage using a transvaginal or transrectal route, rather than percutaneous access to a peritoneal or retroperitoneal collection.

49083

Paracentesis

With imaging guidance

$282.42

Code 49083 is for image-guided abdominal paracentesis. Use 49406 when a catheter is placed to drain a peritoneal or retroperitoneal collection.

The same code, a different location

How does Wyoming** compare?

49406 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $833.38

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $964.42

    $131.04 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $968.95

    $135.57 higher than Wyoming**

  4. Miami

    $886.88

    $53.50 higher than Wyoming**

  5. Chicago

    $859.57

    $26.19 higher than Wyoming**

  6. Manhattan

    $965.81

    $132.43 higher than Wyoming**

  7. Alaska*

    $940.89

    $107.51 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 49406 ranges from $732.55 in Arkansas to $1151.04 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 49406

    Office

    $744.35

    Facility

    $157.78

    $89.03 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 49406

    Office

    $732.55

    Facility

    $156.71

    $100.83 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 49406

    Office

    $813.53

    Facility

    $163.96

    $19.85 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 49406

    Office

    $900.52

    Facility

    $165.81

    $67.14 higher than Wyoming** for the office setting.

  • Chico

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • El Centro

    California · 49406

    Office

    $899.30

    Facility

    $164.59

    $65.92 higher than Wyoming** for the office setting.

  • Fresno

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Madera

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Merced

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Modesto

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Napa

    California · 49406

    Office

    $1058.62

    Facility

    $175.09

    $225.24 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 49406

    Office

    $961.46

    Facility

    $169.10

    $128.08 higher than Wyoming** for the office setting.

  • Redding

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 49406

    Office

    $903.81

    Facility

    $169.10

    $70.43 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 49406

    Office

    $948.12

    Facility

    $168.50

    $114.74 higher than Wyoming** for the office setting.

  • Salinas

    California · 49406

    Office

    $944.70

    Facility

    $167.76

    $111.32 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 49406

    Office

    $970.29

    Facility

    $168.54

    $136.91 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 49406

    Office

    $1125.83

    Facility

    $180.63

    $292.45 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 49406

    Office

    $1125.36

    Facility

    $180.15

    $291.98 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 49406

    Office

    $1151.04

    Facility

    $184.38

    $317.66 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 49406

    Office

    $1149.09

    Facility

    $182.43

    $315.71 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 49406

    Office

    $929.02

    Facility

    $165.49

    $95.64 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 49406

    Office

    $982.19

    Facility

    $167.71

    $148.81 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 49406

    Office

    $949.16

    Facility

    $167.52

    $115.78 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 49406

    Office

    $992.37

    Facility

    $169.17

    $158.99 higher than Wyoming** for the office setting.

  • Stockton

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Vallejo

    California · 49406

    Office

    $1057.93

    Facility

    $174.40

    $224.55 higher than Wyoming** for the office setting.

  • Visalia

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Yuba City

    California · 49406

    Office

    $899.23

    Facility

    $164.52

    $65.85 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 49406

    Office

    $879.85

    Facility

    $166.59

    $46.47 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 49406

    Office

    $895.92

    Facility

    $173.94

    $62.54 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 49406

    Office

    $827.95

    Facility

    $165.64

    $5.43 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 49406

    Office

    $857.37

    Facility

    $178.30

    $23.99 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 49406

    Office

    $813.60

    Facility

    $172.74

    $19.78 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 49406

    Office

    $851.32

    Facility

    $170.24

    $17.94 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 49406

    Office

    $764.90

    Facility

    $166.95

    $68.48 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 49406

    Office

    $926.03

    Facility

    $163.83

    $92.65 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 49406

    Office

    $769.68

    Facility

    $156.31

    $63.70 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 49406

    Office

    $774.21

    Facility

    $157.49

    $59.17 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 49406

    Office

    $795.83

    Facility

    $179.10

    $37.55 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 49406

    Office

    $784.66

    Facility

    $172.62

    $48.72 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 49406

    Office

    $867.47

    Facility

    $179.02

    $34.09 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 49406

    Office

    $779.25

    Facility

    $157.83

    $54.13 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 49406

    Office

    $763.57

    Facility

    $157.56

    $69.81 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 49406

    Office

    $758.94

    Facility

    $162.99

    $74.44 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 49406

    Office

    $798.06

    Facility

    $167.26

    $35.32 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 49406

    Office

    $756.77

    Facility

    $163.51

    $76.61 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 49406

    Office

    $975.21

    Facility

    $174.81

    $141.83 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 49406

    Office

    $872.98

    Facility

    $167.09

    $39.60 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 49406

    Office

    $893.01

    Facility

    $173.71

    $59.63 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 49406

    Office

    $845.49

    Facility

    $167.09

    $12.11 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 49406

    Office

    $776.31

    Facility

    $159.58

    $57.07 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 49406

    Office

    $825.62

    Facility

    $161.29

    $7.76 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 49406

    Office

    $822.40

    Facility

    $175.51

    $10.98 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 49406

    Office

    $778.57

    Facility

    $166.53

    $54.81 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 49406

    Office

    $847.24

    Facility

    $157.44

    $13.86 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 49406

    Office

    $794.45

    Facility

    $164.98

    $38.93 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 49406

    Office

    $803.80

    Facility

    $165.62

    $29.58 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 49406

    Office

    $741.06

    Facility

    $163.22

    $92.32 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 49406

    Office

    $737.08

    Facility

    $159.90

    $96.30 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 49406

    Office

    $837.00

    Facility

    $166.64

    $3.62 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 49406

    Office

    $785.55

    Facility

    $160.11

    $47.83 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 49406

    Office

    $828.69

    Facility

    $158.34

    $4.69 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 49406

    Office

    $774.96

    Facility

    $156.22

    $58.42 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 49406

    Office

    $863.68

    Facility

    $165.83

    $30.30 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 49406

    Office

    $957.02

    Facility

    $179.41

    $123.64 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 49406

    Office

    $907.33

    Facility

    $175.30

    $73.95 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 49406

    Office

    $782.35

    Facility

    $167.63

    $51.03 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 49406

    Office

    $835.38

    Facility

    $164.35

    $2.00 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 49406

    Office

    $988.31

    Facility

    $191.26

    $154.93 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 49406

    Office

    $911.64

    Facility

    $177.60

    $78.26 higher than Wyoming** for the office setting.

  • Queens

    New York · 49406

    Office

    $977.64

    Facility

    $185.28

    $144.26 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 49406

    Office

    $798.22

    Facility

    $161.39

    $35.16 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 49406

    Office

    $776.87

    Facility

    $164.84

    $56.51 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 49406

    Office

    $759.78

    Facility

    $161.15

    $73.60 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 49406

    Office

    $912.41

    Facility

    $167.65

    $79.03 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 49406

    Office

    $830.09

    Facility

    $162.41

    $3.29 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 49406

    Office

    $870.48

    Facility

    $172.64

    $37.10 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 49406

    Office

    $779.45

    Facility

    $164.06

    $53.93 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 49406

    Office

    $844.44

    Facility

    $166.71

    $11.06 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 49406

    Office

    $860.85

    Facility

    $168.37

    $27.47 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 49406

    Office

    $782.27

    Facility

    $162.87

    $51.11 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 49406

    Office

    $827.71

    Facility

    $157.36

    $5.67 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 49406

    Office

    $767.49

    Facility

    $158.14

    $65.89 lower than Wyoming** for the office setting.

  • Austin

    Texas · 49406

    Office

    $875.87

    Facility

    $166.63

    $42.49 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 49406

    Office

    $773.68

    Facility

    $163.66

    $59.70 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 49406

    Office

    $828.75

    Facility

    $164.42

    $4.63 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 49406

    Office

    $833.44

    Facility

    $165.76

    $0.06 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 49406

    Office

    $826.69

    Facility

    $165.72

    $6.69 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 49406

    Office

    $830.81

    Facility

    $165.14

    $2.57 lower than Wyoming** for the office setting.

  • Houston

    Texas · 49406

    Office

    $838.49

    Facility

    $172.83

    $5.11 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 49406

    Office

    $800.34

    Facility

    $164.17

    $33.04 lower than Wyoming** for the office setting.

  • Utah

    Utah · 49406

    Office

    $794.03

    Facility

    $163.90

    $39.35 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 49406

    Office

    $821.13

    Facility

    $162.17

    $12.25 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 49406

    Office

    $844.44

    Facility

    $166.71

    $11.06 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 49406

    Office

    $823.17

    Facility

    $159.52

    $10.21 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 49406

    Office

    $872.08

    Facility

    $166.20

    $38.70 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 49406

    Office

    $998.22

    Facility

    $175.70

    $164.84 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 49406

    Office

    $798.22

    Facility

    $156.02

    $35.16 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 49406

    Office

    $752.32

    Facility

    $169.79

    $81.06 lower than Wyoming** for the office setting.

See how rates vary across the country

49406 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$732.55

$1,025.14

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$940.891
AL$744.351
AR$732.551
AZ$813.531
CA$899.23–$1,151.0429
CO$879.851
CT$895.921
DC$968.951
DE$827.951
FL$813.60–$886.883
GA$764.90–$851.322
GU$926.031
HI$926.031
IA$769.681
ID$774.211
IL$784.66–$867.474
IN$779.251
KS$763.571
KY$758.941
LA$756.77–$798.062
MA$872.98–$975.212
MD$845.49–$968.953
ME$776.31–$825.622
MI$778.57–$822.402
MN$847.241
MO$741.06–$803.803
MS$737.081
MT$837.001
NC$785.551
ND$828.691
NE$774.961
NH$863.681
NJ$907.33–$957.022
NM$782.351
NV$835.381
NY$798.22–$988.315
OH$776.871
OK$759.781
OR$830.09–$912.412
PA$779.45–$870.482
PR$844.441
RI$860.851
SC$782.271
SD$827.711
TN$767.491
TX$773.68–$875.878
UT$794.031
VA$821.13–$968.952
VI$844.441
VT$823.171
WA$872.08–$998.222
WI$798.221
WV$752.321
WY$833.381

Explore 49406 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 49406 in Wyoming**, the physician’s office rate is $833.38 and the facility-setting rate is $163.02: a difference of $670.36.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 49406 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$916.72

$833.38 × 110% = $916.72

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.

Compare your contract offer →

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 49406 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

5,795

Code
49406
Physician work
3.90
Practice expense
20.74
Malpractice
0.42

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 49406 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense20.74× 1.00020.7400
Malpractice0.42× 0.7400.3108
Total RVUs24.9508
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$833.38

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 49406 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.91
Practice expense20.741
Malpractice0.420.74

(3.9 × 1 + 20.74 × 1 + 0.42 × 0.74) × $33.4009 = $833.38

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.91
Practice expense0.671
Malpractice0.420.74

(3.9 × 1 + 0.67 × 1 + 0.42 × 0.74) × $33.4009 = $163.02

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

49406 · Office / nonfacility

$833.38

Effective 2026-10-01

The base rate is $12.57 higher than on 2025-10-01, moving from $820.81 to $833.38 (1.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $820.81changed to$833.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.00 changed to 3.90
    • Practice expense RVU 21.08 changed to 20.74
    • Malpractice RVU 0.40 changed to 0.42
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $820.81

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$833.38$163.02RVU26D
2026-07-01$833.38$163.02RVU26C
2026-04-01$833.38$163.02RVU26B
2026-01-01$833.38$163.02RVU26A
2025-10-01$820.81$181.32RVU25D
2025-07-01$820.81$181.32RVU25C
2025-04-01$820.81$181.32RVU25B
2025-01-01$820.81$181.32RVU25A

49406 billing questions

How does this differ from 49405?

Use 49406 for a peritoneal or retroperitoneal collection. Code 49405 is for a collection in a visceral site, such as an organ.

When is 49407 more appropriate?

Code 49407 is for catheter drainage reached through a transvaginal or transrectal route. Code 49406 covers percutaneous drainage of a peritoneal or retroperitoneal collection.

Can the imaging guidance be billed separately?

Image guidance is part of this catheter-drainage service. The procedure documentation should identify the guidance used and how it directed access and catheter placement.

Can modifier 50 be used for collections on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

How does the multiple-procedure rule affect another procedure in the same session?

The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard 50% reduction.

Is an assistant or co-surgeon payable for this procedure?

Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules provided 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.

RVUs for 49406PPRRVU2026_Oct_nonQPP.csv, line 5,795 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet