No office rate
49326 reports laparoscopic omentopexy as an add-on; 49327 reports laparoscopic placement of a device for intraperitoneal radiation therapy.
On this page
CMS RVU26D · Effective 2026-10-01
49327 Radiation device Medicare reimbursement rates in Alaska
Laparoscopic placement of a device for intraperitoneal radiation therapy is reported as an add-on when performed with a qualifying primary procedure. Compare 49327 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 49327 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$147.38
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Laparoscopic surgery
About 49327: Laparoscopic radiation device placement
Laparoscopic placement of a device for intraperitoneal radiation therapy is reported as an add-on when performed with a qualifying primary procedure.
This service covers laparoscopic placement of a device intended to support radiation treatment delivered within the peritoneal cavity. It may be performed in the operating room by a surgeon, including a gynecologic oncologist, during treatment of a peritoneal malignancy. The work is placement of the radiation-related device, rather than delivery of the radiation treatment itself.
Report 49327 only with a primary procedure; it is not a stand-alone service. The operative report should identify the laparoscopic placement, the device’s intended role in intraperitoneal radiation therapy, and the associated primary procedure. CMS treats this add-on as paid within the primary procedure’s global period, so it is included in that procedure’s global-period payment context.
CMS billing rules for 49327
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.32 · 66%
- Practice expense (office) RVU0.56 · 16%
- Malpractice RVU0.61 · 17%
21
Medicare services in 2024 · #5898 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.
49327 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
49324 is for laparoscopic placement of a tunneled intraperitoneal catheter. It is not the radiation-device placement represented by 49327.
No office rate
49325 reports revision of a permanent intraperitoneal catheter; 49327 reports placement of a radiation-related device.
Compare 49327 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$147.38
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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 49327 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
5,790
- Code
- 49327
- Physician work
- 2.32
- Practice expense
- 0.56
- Malpractice
- 0.61
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.32 | × 1.500 | 3.4800 |
| Practice expense | 0.56 | × 1.065 | 0.5964 |
| Malpractice | 0.61 | × 0.551 | 0.3361 |
| Total RVUs | 4.4125 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$147.38
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.32 | 1.5 |
| Practice expense | 0.56 | 1.065 |
| Malpractice | 0.61 | 0.551 |
(2.32 × 1.5 + 0.56 × 1.065 + 0.61 × 0.551) × $33.4009 = $147.38
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.
49327 billing questions
Can 49327 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports 49327?
The operative note should describe laparoscopic placement of the device and its intended use for intraperitoneal radiation therapy, along with the primary procedure.
Does 49327 report the radiation treatment?
No. It describes the laparoscopic device placement, not the subsequent delivery of radiation.
How is 49327 different from 49326?
49327 is for placing a device for intraperitoneal radiation therapy. 49326 is an add-on for omentopexy, a different operative service.
How is 49327 different from 49324?
49324 describes laparoscopic placement of a tunneled intraperitoneal catheter. Use 49327 for placement of a device intended for intraperitoneal radiation therapy.
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.
5,78749324,,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
5,79149329,,Unlstd laps px abd pertm&omn,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
5,79249400,,Air injection into abdomen,A,,1.83,2.47,,0.31,,0.21,4.51,2.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79349402,,Remove foreign body adbomen,A,,13.74,6.88,NA,6.88,,3.32,23.94,23.94,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609