Billing code 49326: OmentopexyMedicare rate & RVUs in Florida
Reports laparoscopic fixation of the omentum, commonly performed during peritoneal dialysis catheter placement to help keep omentum from obstructing the catheter.
CMS doesn’t publish an office rate for 49326 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 49326 covers
During laparoscopic omentopexy, the surgeon secures the omentum within the abdomen, often to reduce the chance that it will wrap around or block a peritoneal dialysis catheter. The surgeon may perform this during laparoscopic catheter placement, using visualization through the laparoscope to position and fix the omentum. The service is generally performed in an operating room by a surgeon as part of an abdominal laparoscopic procedure.
Report 49326 only as an add-on with the primary procedure; it is not a standalone service. For example, omentopexy performed during laparoscopic placement of a permanent intraperitoneal catheter may be reported with 49324 when the work is documented. The operative report should identify the omentopexy and its purpose, rather than documenting catheter placement alone. CMS treats payment for this add-on as included within the primary procedure’s global period.
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.
Where 49326 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $193.96 |
| Miami | Unavailable | $216.35 |
| Rest Of Florida | Unavailable | $183.35 |
How the 49326 rate is calculated
Each of 49326’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 · 49326
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.41Practice expense 0.76Malpractice 0.90
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 49326
The CMS indicators that decide how 49326 is paid alongside other services.
CMS payment indicators · 49326
Omentopexy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
49326 without 80 · national facility
$169.34
Omentopexy
49326-80 · Assistant: 16%
$27.09
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
49326 compared with similar codes
Compare codes
49326 vs 49324 vs 49325 vs 49320: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 49324Dialysis catheter placement
- Use 49324 for laparoscopic placement of a permanent intraperitoneal catheter. Add 49326 only when the surgeon also performs and documents omentopexy.
- 49325Catheter revision
- Use 49325 for laparoscopic revision of an existing intraperitoneal catheter; 49326 identifies accompanying omentopexy, not the catheter revision itself.
- 49320Diagnostic laparoscopy
- 49320 describes diagnostic laparoscopy as a separate procedure. It does not identify the therapeutic work of fixing the omentum.
49326 billing questions
Can 49326 be reported by itself?
No. It is an add-on code and must be billed with a primary procedure. A common pairing is laparoscopic permanent intraperitoneal catheter placement, reported with 49324.
What documentation supports reporting omentopexy with catheter placement?
The operative report should describe the separate work of securing the omentum and explain its role in the procedure, such as helping prevent obstruction of a peritoneal dialysis catheter.
Is omentopexy included in the catheter placement code?
When the surgeon performs and documents omentopexy as an additional service, 49326 identifies that work alongside the primary procedure. Catheter placement documentation alone does not establish that omentopexy was performed.
How does 49326 relate to the primary procedure’s global period?
CMS treats this add-on as paid within the primary procedure’s global period. It is not a separately paid service outside that primary procedure.
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
Show the CMS file lines behind this rate
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