Billing code 49507: Inguinal hernia repairMedicare rate & RVUs in Georgia
Open repair of an initial inguinal hernia in a patient age five or older when the hernia is incarcerated or strangulated.
CMS doesn’t publish an office rate for 49507 in Georgia.
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 49507 covers
This code describes open repair of an initial inguinal hernia in a patient age five or older when the hernia is incarcerated or strangulated. Incarceration means the hernia contents cannot be returned to the abdomen; strangulation involves compromised blood supply and may require urgent surgery. General surgeons commonly perform the repair in a hospital operating room or ambulatory surgery center. The operative report should identify the inguinal hernia, the patient’s age, and the incarcerated or strangulated status.
Choose this code instead of the reducible-hernia code when the operative documentation supports incarceration or strangulation. Use a recurrent-repair code when the hernia is at a previously repaired site. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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 49507 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $587.73 |
| Rest Of Georgia | Unavailable | $562.00 |
How the 49507 rate is calculated
Each of 49507’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 · 49507
RVUs × geographic indexes × conversion factor
Work8.86
8.86 RVUs× 1.000 GPCI
Practice expense5.83
5.83 RVUs× 1.000 GPCI
Malpractice2.32
2.32 RVUs× 1.000 GPCI
Adjusted RVUs
17.0100
Conversion factor
$33.4009
Medicare rate
$568.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 49507
49507 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49507
Inguinal hernia repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 49507
Inguinal hernia repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
49507 without 50 · national facility
$568.15
Inguinal hernia repair
49507-50 · Bilateral: 150%
$852.23
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).
49507 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 49505Inguinal hernia repair
- Use 49505 for an initial, reducible inguinal hernia in a patient age five or older; 49507 requires incarceration or strangulation.
- 49501Inguinal hernia repair
- Both codes address an initial incarcerated or strangulated inguinal hernia, but 49501 is for a younger patient and 49507 is for age five or older.
- 49520Inguinal hernia repair
- Use 49520 for a recurrent, reducible inguinal hernia. 49507 is for an initial incarcerated or strangulated hernia.
- 49521Inguinal hernia repair
- Use 49521 for a recurrent incarcerated or strangulated inguinal hernia; 49507 is for an initial repair.
49507 billing questions
How does 49507 differ from 49505?
49507 is for an initial inguinal hernia documented as incarcerated or strangulated in a patient age five or older. 49505 is the corresponding code when the hernia is reducible.
Does 49507 apply to a recurrent hernia?
No. Use the recurrent-repair code that matches the hernia’s status when the same site has been repaired before.
Can mesh be reported separately?
Mesh placement is part of the inguinal hernia repair service; there is no separate mesh add-on for this repair.
How is a bilateral repair reported?
Report modifier 50 for the bilateral procedure. CMS pays this code at 150% under its bilateral rule.
What documentation supports 49507?
Document that this is an initial inguinal hernia repair, the patient’s age, and the incarcerated or strangulated status. The operative note should support the condition treated.
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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