No office rate
Choose 49320 for diagnostic inspection without biopsy; choose 49321 when laparoscopic tissue biopsy is performed.
On this page
CMS RVU26D · Effective 2026-10-01
49320 Diagnostic laparoscopy Medicare reimbursement rates in Florida
A surgeon uses a laparoscope to examine the abdominal and peritoneal cavity when a diagnostic survey is needed without a separately coded operative treatment. Compare 49320 office and facility rates across CMS payment localities in Florida.
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 49320 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$332.22–$383.55
3 of 3 localities have a supported rate.
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.
Where 49320 pays more and less in Florida
Laparoscopic surgery
About 49320: Diagnostic abdominal laparoscopy
A surgeon uses a laparoscope to examine the abdominal and peritoneal cavity when a diagnostic survey is needed without a separately coded operative treatment.
A surgeon, commonly a general surgeon or gynecologic surgeon, uses a laparoscope to inspect the abdominal and peritoneal cavity when the cause of symptoms or an abnormal finding is uncertain. The examination may include the omentum and may involve brushing or washing to collect material for analysis. For example, a diagnostic survey may be performed to evaluate otherwise unexplained abdominal or pelvic pain. This code describes inspection, not a separately performed biopsy, aspiration, or therapeutic procedure.
Report the diagnostic laparoscopy when the examination itself is the service performed; routine inspection that is part of a more extensive laparoscopic operation is not separately reported as a separate procedure. The operative report should support the diagnostic purpose and describe the areas examined and findings. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 49320
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.01 · 53%
- Practice expense (office) RVU3.23 · 34%
- Malpractice RVU1.23 · 13%
7.9K
Medicare services in 2024 · #1596 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.
49320 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
49322 describes laparoscopic aspiration, such as drawing fluid from a target; 49320 describes a diagnostic survey without that separately performed aspiration.
49329
No office rateUnlstd laps px abd pertm&omn
Use 49320 when diagnostic laparoscopy is specifically described. Consider 49329 only when the laparoscopic procedure performed has no specific code.
Compare 49320 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$350.90
Miami →
Office / nonfacility
Unavailable
Facility
$383.55
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$332.22
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49320 billing questions
When should 49320 be chosen over 49321?
Use 49320 for diagnostic inspection without a separately coded biopsy. When tissue is taken by laparoscopic biopsy, consider 49321 instead.
Can 49320 be reported with a definitive laparoscopic operation?
Routine diagnostic inspection that leads into or is part of a more extensive laparoscopic operation is generally included in that operation. Do not separately report 49320 merely because the surgeon first surveyed the cavity.
Does 49320 include collecting material for analysis?
The diagnostic service may include brushing or washing to collect specimens. A separately performed biopsy or aspiration is represented by a different code.
Should modifier 50 be used for both sides?
No. The abdominal and peritoneal survey is not a bilateral service for modifier 50 purposes.
How many units are reported when several areas are inspected?
The code represents the diagnostic laparoscopic examination, not a separate unit for each organ or area viewed during the same procedure.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure's global payment.
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.
5,78049215,,Excise sacral spine tumor,A,,36.86,15.04,NA,15.04,,8.08,59.98,59.98,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,78149250,,Excision of umbilicus,A,,8.78,6.13,NA,6.13,,2.10,17.01,17.01,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,78249255,,Removal of omentum,A,,12.25,7.40,NA,7.40,,2.86,22.51,22.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,78349320,,Diag laparo separate proc,A,,5.01,3.23,NA,3.23,,1.23,9.47,9.47,0,010,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,78449321,,Laparoscopy biopsy,A,,5.30,3.30,NA,3.30,,1.26,9.86,9.86,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78549322,,Laparoscopy aspiration,A,,5.86,3.36,NA,3.36,,1.42,10.64,10.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78649323,,Laparo drain lymphocele,A,,9.97,5.79,NA,5.79,,2.33,18.09,18.09,0,090,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00