Billing code 50549Medicare rate & RVUs in Delaware

Compare 50549 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20261 payment locality169 Medicare services in 2024

CMS doesn’t publish an office rate for 50549 in Delaware.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 50549 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Delaware
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

50549 in Delaware

50549 office and facility rates by payment locality
Payment localityOfficeFacility
DelawareUnavailableUnavailable

How the 50549 rate is calculated

Each of 50549’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 50549

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 0.00Malpractice 0.00

0.0000 adjusted RVUs×$33.4009 conversion factor=$0.00

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 50549

The CMS indicators that decide how 50549 is paid alongside other services.

CMS payment indicators · 50549

Code 50549

RuleCMS valueWhat it means
Global periodYYYThe Medicare contractor sets the global period.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

50549 without 50 · national facility

$0.00

50549-50 · Bilateral: 150%

$0.00

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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