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CMS RVU26D · Effective 2026-10-01
49215 Tumor excision Medicare reimbursement rates in Kansas
Reports operative removal of a tumor in the presacral space or sacrum, such as a sacral chordoma, rather than an intra-abdominal mass. Compare 49215 office and facility rates across CMS payment localities in Kansas.
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 49215 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1821.30
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Surgical oncology
About 49215: Presacral or sacral tumor excision
Reports operative removal of a tumor in the presacral space or sacrum, such as a sacral chordoma, rather than an intra-abdominal mass.
This service covers operative removal of a tumor arising in the presacral space or sacrum. Examples include a sacral chordoma or a presacral mass requiring excision. Depending on the tumor’s location and extent, the operation may use an abdominal, posterior, or combined approach. Colorectal or general surgeons, surgical oncologists, orthopedic spine surgeons, and neurosurgeons may perform the procedure in a hospital operating room.
Select the code based on the presacral or sacral location, not a size tier used for other intra-abdominal tumor excisions. The operative report should identify the tumor’s site and describe its removal and surgical approach. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49215
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU36.86 · 61%
- Practice expense (office) RVU15.04 · 25%
- Malpractice RVU8.08 · 13%
131
Medicare services in 2024 · #4663 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.
Compare 49215 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$1821.30
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 49215 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,780
- Code
- 49215
- Physician work
- 36.86
- Practice expense
- 15.04
- Malpractice
- 8.08
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.86 | × 1.000 | 36.8600 |
| Practice expense | 15.04 | × 0.904 | 13.5962 |
| Malpractice | 8.08 | × 0.504 | 4.0723 |
| Total RVUs | 54.5285 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1821.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.86 | 1 |
| Practice expense | 15.04 | 0.904 |
| Malpractice | 8.08 | 0.504 |
(36.86 × 1 + 15.04 × 0.904 + 8.08 × 0.504) × $33.4009 = $1821.30
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
49215 billing questions
How is this code distinguished from size-based intra-abdominal tumor excisions?
Use this code for a tumor in the presacral space or sacrum. The intra-abdominal tumor codes are selected for tumors at other covered sites, with size determining the level.
Does tumor size determine code selection?
No. The key distinction is the presacral or sacral location, not a size threshold.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this service and anatomy.
What documentation supports reporting this code?
The operative report should identify the presacral or sacral tumor, its location, the surgical approach, and the excision performed.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.