$225.05–$249.80
Choose 49082 for abdominal paracentesis without imaging when existing fluid is aspirated. Use 49084 for instillation and retrieval of fluid as a lavage.
On this page
CMS RVU26D · Effective 2026-10-01
49084 Peritoneal lavage Medicare reimbursement rates in Georgia
Diagnostic peritoneal lavage evaluates suspected intraperitoneal bleeding or contamination, most often during acute trauma assessment when fluid recovery may guide management. Compare 49084 office and facility rates across CMS payment localities in Georgia.
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 49084 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$97.15–$99.39
2 of 2 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.
Abdominal surgery
About 49084: Diagnostic peritoneal fluid lavage
Diagnostic peritoneal lavage evaluates suspected intraperitoneal bleeding or contamination, most often during acute trauma assessment when fluid recovery may guide management.
Peritoneal lavage is a diagnostic abdominal procedure in which the clinician accesses the peritoneal cavity, instills sterile fluid, and retrieves it to assess for blood or other abnormal contents. It is most associated with acute trauma evaluation when intraperitoneal injury remains a concern; a trauma or general surgeon typically performs it in a hospital setting. Imaging guidance, when used, is included in this code.
Report 49084 for the lavage itself, rather than simple removal of ascitic fluid by paracentesis. Documentation should support the clinical concern, the access and lavage performed, and the recovered fluid or findings. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 49084
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.95 · 68%
- Practice expense (office) RVU0.46 · 16%
- Malpractice RVU0.46 · 16%
1.3K
Medicare services in 2024 · #2748 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.
49084 compared with similar codes
Office rates for Georgia, from the same CMS release.
$262.68–$289.24
Choose 49083 for paracentesis performed with imaging guidance. Imaging guidance used during peritoneal lavage is included in 49084.
No office rate
49000 represents open abdominal exploration. 49084 represents peritoneal lavage for fluid assessment, not an open exploration of the abdomen.
Compare 49084 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$99.39
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$97.15
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49084 billing questions
How is lavage different from paracentesis?
Lavage involves instilling and retrieving fluid to assess the peritoneal cavity, often in trauma evaluation. Paracentesis removes existing abdominal fluid for diagnostic or therapeutic purposes.
Is imaging guidance separately reported with 49084?
No. Imaging guidance, when performed as part of the lavage, is included in this code.
Can modifier 50 be used?
No. The descriptor and anatomy make modifier 50 inappropriate; report the lavage service without bilateral reporting.
How does Medicare handle other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
5,76949062,,Drain to peritoneal cavity,A,,11.91,6.87,NA,6.87,,3.18,21.96,21.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77049082,,Abd paracentesis,A,,1.21,5.93,,0.72,,0.20,7.34,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77149083,,Abd paracentesis w/imaging,A,,1.95,6.35,,0.62,,0.21,8.51,2.78,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77249084,,Peritoneal lavage,A,,1.95,0.46,NA,0.46,,0.46,2.87,2.87,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77349180,,Biopsy abdominal mass,A,,1.69,3.23,,0.26,,0.18,5.10,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77449185,,Sclerotx fluid collection,A,,2.29,33.53,,0.56,,0.30,36.12,3.15,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,77549186,,Opn exc/dstr ntra-abd 5 cm/<,A,,21.45,10.28,NA,10.28,,4.84,36.57,36.57,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00