No office rate
49013 applies when packing is performed in the abdomen for traumatic hemorrhage; 49014 is specific to pelvic packing.
On this page
CMS RVU26D · Effective 2026-10-01
49014 Pelvic re-exploration Medicare reimbursement rates in Kentucky
Reports urgent re-exploration of a recent laparotomy for traumatic pelvic bleeding when pelvic packing is performed to control hemorrhage. Compare 49014 office and facility rates across CMS payment localities in Kentucky.
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 49014 in Kentucky?
Kentucky 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
$333.46
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Abdominal surgery
About 49014: Traumatic pelvic hemorrhage re-exploration and packing
Reports urgent re-exploration of a recent laparotomy for traumatic pelvic bleeding when pelvic packing is performed to control hemorrhage.
A surgeon reopens a recent laparotomy and re-explores the pelvis to control hemorrhage from trauma, using pelvic packing as part of the procedure. This is generally an urgent hospital operating-room service, often performed during damage-control surgery when bleeding must be controlled before definitive treatment can be completed. The operative report should establish the traumatic indication, the recent laparotomy, the pelvic focus, and the packing performed.
Report this code for the trauma-related pelvic re-exploration and packing, not for an initial abdominal exploration or a general reopening without this specific service. The 0-day global period includes same-day preoperative and postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 49014
- 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 RVU6.56 · 63%
- Practice expense (office) RVU2.05 · 20%
- Malpractice RVU1.75 · 17%
60
Medicare services in 2024 · #5238 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.
49014 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
49002 describes reopening a recent laparotomy more generally. Choose 49014 when the case is trauma-related pelvic hemorrhage treated with pelvic packing.
No office rate
49000 is an initial abdominal exploration. 49014 is a return to a recent laparotomy for traumatic pelvic bleeding with packing.
Compare 49014 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$333.46
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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 49014 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,765
- Code
- 49014
- Physician work
- 6.56
- Practice expense
- 2.05
- Malpractice
- 1.75
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.56 | × 1.000 | 6.5600 |
| Practice expense | 2.05 | × 0.889 | 1.8224 |
| Malpractice | 1.75 | × 0.915 | 1.6013 |
| Total RVUs | 9.9837 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$333.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.56 | 1 |
| Practice expense | 2.05 | 0.889 |
| Malpractice | 1.75 | 0.915 |
(6.56 × 1 + 2.05 × 0.889 + 1.75 × 0.915) × $33.4009 = $333.46
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.
49014 billing questions
How does this differ from 49013?
Both involve re-exploration for traumatic hemorrhage with packing, but 49014 is for pelvic packing; 49013 is for abdominal packing. The operative note should make the packed site clear.
When would 49002 be more appropriate?
Use 49002 for reopening a recent laparotomy when the service is not the trauma-related pelvic hemorrhage procedure with packing represented by 49014.
Does the code include same-day preoperative and postoperative care?
Yes. The CMS global period is 0 days, and same-day preoperative and postoperative care is included.
Can modifier 50 be reported?
No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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.
5,76249002,,Reopening of abdomen,A,,17.19,7.71,NA,7.71,,4.27,29.17,29.17,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76349010,,Exploration behind abdomen,A,,15.66,6.34,NA,6.34,,3.88,25.88,25.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76449013,,Prpertl pel pack hemrrg trma,A,,8.14,1.97,NA,1.97,,2.17,12.28,12.28,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76549014,,Reexploration pelvic wound,A,,6.56,2.05,NA,2.05,,1.75,10.36,10.36,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76649020,,Drainage abdom abscess open,A,,26.00,12.21,NA,12.21,,6.34,44.55,44.55,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76749040,,Drain open abdom abscess,A,,16.11,8.45,NA,8.45,,4.15,28.71,28.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76849060,,Drain open retroperi abscess,A,,18.07,8.41,NA,8.41,,4.24,30.72,30.72,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631