Billing code 49327: Radiation deviceMedicare rate & RVUs in Illinois
Laparoscopic placement of a device for intraperitoneal radiation therapy is reported as an add-on when performed with a qualifying primary procedure.
CMS doesn’t publish an office rate for 49327 in Illinois.
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 49327 covers
This service covers laparoscopic placement of a device intended to support radiation treatment delivered within the peritoneal cavity. It may be performed in the operating room by a surgeon, including a gynecologic oncologist, during treatment of a peritoneal malignancy. The work is placement of the radiation-related device, rather than delivery of the radiation treatment itself.
Report 49327 only with a primary procedure; it is not a stand-alone service. The operative report should identify the laparoscopic placement, the device’s intended role in intraperitoneal radiation therapy, and the associated primary procedure. CMS treats this add-on as paid within the primary procedure’s global period, so it is included in that procedure’s global-period payment context.
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 49327 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $143.59 |
| East St. Louis | Unavailable | $135.73 |
| Rest Of Illinois | Unavailable | $126.41 |
| Suburban Chicago | Unavailable | $133.35 |
How the 49327 rate is calculated
Each of 49327’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 · 49327
RVUs × geographic indexes × conversion factor
Work2.32
2.32 RVUs× 1.000 GPCI
Practice expense0.56
0.56 RVUs× 1.000 GPCI
Malpractice0.61
0.61 RVUs× 1.000 GPCI
Adjusted RVUs
3.4900
Conversion factor
$33.4009
Medicare rate
$116.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 49327
The CMS indicators that decide how 49327 is paid alongside other services.
CMS payment indicators · 49327
Radiation device
| 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
49327 without 80 · national facility
$116.57
Radiation device
49327-80 · Assistant: 16%
$18.65
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
49327 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 49326Omentopexy
- 49326 reports laparoscopic omentopexy as an add-on; 49327 reports laparoscopic placement of a device for intraperitoneal radiation therapy.
- 49324Dialysis catheter placement
- 49324 is for laparoscopic placement of a tunneled intraperitoneal catheter. It is not the radiation-device placement represented by 49327.
- 49325Catheter revision
- 49325 reports revision of a permanent intraperitoneal catheter; 49327 reports placement of a radiation-related device.
49327 billing questions
Can 49327 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports 49327?
The operative note should describe laparoscopic placement of the device and its intended use for intraperitoneal radiation therapy, along with the primary procedure.
Does 49327 report the radiation treatment?
No. It describes the laparoscopic device placement, not the subsequent delivery of radiation.
How is 49327 different from 49326?
49327 is for placing a device for intraperitoneal radiation therapy. 49326 is an add-on for omentopexy, a different operative service.
How is 49327 different from 49324?
49324 describes laparoscopic placement of a tunneled intraperitoneal catheter. Use 49327 for placement of a device intended for intraperitoneal radiation therapy.
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
Fee sheets
Put 49327 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →