No office rate
Both codes describe parastomal hernia repair. Choose 49622 for an incarcerated or strangulated hernia and 49621 for a reducible one.
On this page
CMS RVU26D · Effective 2026-10-01
49622 Parastomal hernia repair Medicare reimbursement rates in Connecticut
Repair an incarcerated or strangulated hernia at a stoma site; select this code rather than the reducible parastomal hernia repair code. Compare 49622 office and facility rates across CMS payment localities in Connecticut.
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 49622 in Connecticut?
Connecticut 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
$901.70
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
General surgery
About 49622: Parastomal hernia repair, nonreducible
Repair an incarcerated or strangulated hernia at a stoma site; select this code rather than the reducible parastomal hernia repair code.
This code covers operative repair of a parastomal hernia when the hernia is incarcerated or strangulated. The defect is in the abdominal wall around a stoma, such as a colostomy or ileostomy. General or colorectal surgeons commonly perform the repair in a hospital or other surgical facility. The code applies to the hernia repair whether the surgeon uses an open or minimally invasive approach; mesh may be used to reinforce the repair.
Choose this code based on the hernia’s parastomal location and incarcerated or strangulated status, not on the approach. A reducible parastomal hernia is reported with 49621. Document the stoma site and the finding that the hernia is incarcerated or strangulated. CMS assigns 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 procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49622
- 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
- 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 RVU16.63 · 65%
- Practice expense (office) RVU4.71 · 19%
- Malpractice RVU4.10 · 16%
1.4K
Medicare services in 2024 · #2735 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.
49622 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This add-on addresses removal of noninfected mesh during a hernia repair; it does not replace the primary repair code.
No office rate
This code is for a qualifying anterior abdominal hernia, not a defect around a stoma. Use 49622 when the repaired hernia is parastomal and incarcerated or strangulated.
Compare 49622 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$901.70
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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 49622 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
5,855
- Code
- 49622
- Physician work
- 16.63
- Practice expense
- 4.71
- Malpractice
- 4.10
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.63 | × 1.020 | 16.9626 |
| Practice expense | 4.71 | × 1.077 | 5.0727 |
| Malpractice | 4.10 | × 1.210 | 4.9610 |
| Total RVUs | 26.9963 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$901.70
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.63 | 1.02 |
| Practice expense | 4.71 | 1.077 |
| Malpractice | 4.1 | 1.21 |
(16.63 × 1.02 + 4.71 × 1.077 + 4.1 × 1.21) × $33.4009 = $901.70
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.
49622 billing questions
When should 49622 be chosen over 49621?
Use 49622 for a parastomal hernia that is incarcerated or strangulated. Use 49621 when the parastomal hernia is reducible.
Is mesh placement separately reported?
Mesh used to reinforce the hernia repair is included in the repair code. Noninfected mesh removal at the time of repair may be reported with add-on code 49623 when applicable.
Can modifier 50 be reported?
No. The parastomal anatomy makes bilateral adjustment and modifier 50 inappropriate.
Does this code have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and the other procedures at 50% when performed in the same session.
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.
5,85249617,,Rpr aa hrn rcr > 10 rdc,A,,15.63,4.57,NA,4.57,,4.00,24.20,24.20,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85349618,,Rpr aa hrn rcr > 10 ncr/strn,A,,22.10,6.09,NA,6.09,,5.69,33.88,33.88,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85449621,,Rpr parastomal hernia rdc,A,,13.36,3.94,NA,3.94,,3.16,20.46,20.46,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85549622,,Rpr parastomal hrna ncr/strn,A,,16.63,4.71,NA,4.71,,4.10,25.44,25.44,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85649623,,Rmvl ninfct mesh hernia rpr,A,,3.66,0.90,NA,0.90,,0.95,5.51,5.51,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,85749650,,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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808