No office rate
Use 49324 for laparoscopic insertion of a tunneled intraperitoneal catheter. Use 49325 when the catheter was already placed and is being revised.
On this page
CMS RVU26D · Effective 2026-10-01
49325 Catheter revision Medicare reimbursement rates in Kentucky
Reports laparoscopic correction of a previously placed permanent intraperitoneal catheter, commonly to restore function of peritoneal dialysis access. Compare 49325 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 49325 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
$371.79
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.
Laparoscopic surgery
About 49325: Laparoscopic revision of peritoneal catheter
Reports laparoscopic correction of a previously placed permanent intraperitoneal catheter, commonly to restore function of peritoneal dialysis access.
A surgeon uses laparoscopy to correct a problem with an existing permanent catheter in the peritoneal cavity, rather than placing a new catheter. This service is commonly performed for a malfunctioning peritoneal dialysis catheter, such as one whose position or surrounding tissue interferes with drainage or inflow. The work may include laparoscopic assessment and corrective maneuvers on the catheter or nearby tissue in the abdominal cavity.
Choose this code when the operative report supports laparoscopic revision of a previously placed catheter. Document the catheter’s existing status, the reason it required revision, and the corrective work performed. Related endoscopies performed together are subject to endoscopy-family pricing. The 10-day global period includes related postoperative visits during that period. Modifier 50 is inappropriate. CMS permits payment for an assistant at surgery and recognizes co-surgeons; team surgery is not permitted.
CMS billing rules for 49325
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.65 · 57%
- Practice expense (office) RVU3.26 · 28%
- Malpractice RVU1.73 · 15%
2.5K
Medicare services in 2024 · #2300 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.
49325 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
49320 describes diagnostic laparoscopy as a separate procedure. 49325 reports operative revision of an existing catheter.
No office rate
49422 reports removal of a tunneled intraperitoneal catheter. 49325 reports laparoscopic revision, not catheter removal.
Compare 49325 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
$371.79
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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 49325 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,788
- Code
- 49325
- Physician work
- 6.65
- Practice expense
- 3.26
- Malpractice
- 1.73
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.65 | × 1.000 | 6.6500 |
| Practice expense | 3.26 | × 0.889 | 2.8981 |
| Malpractice | 1.73 | × 0.915 | 1.5830 |
| Total RVUs | 11.1311 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$371.79
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.65 | 1 |
| Practice expense | 3.26 | 0.889 |
| Malpractice | 1.73 | 0.915 |
(6.65 × 1 + 3.26 × 0.889 + 1.73 × 0.915) × $33.4009 = $371.79
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.
49325 billing questions
How does this differ from 49324?
49325 is for laparoscopic revision of a catheter already in place. 49324 describes laparoscopic insertion of a tunneled intraperitoneal catheter.
What documentation supports reporting 49325?
The operative report should identify the existing catheter, explain the problem prompting revision, and describe the laparoscopic corrective work performed.
Are related postoperative visits included?
Yes. The 10-day global period includes related postoperative visits during those 10 days.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this service.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code. Team surgery is not permitted.
How is this handled with another related endoscopy?
When related endoscopies are performed together, endoscopy-family pricing applies.
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.
5,78549322,,Laparoscopy aspiration,A,,5.86,3.36,NA,3.36,,1.42,10.64,10.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78649323,,Laparo drain lymphocele,A,,9.97,5.79,NA,5.79,,2.33,18.09,18.09,0,090,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78749324,,Lap insert tunnel ip cath,A,,6.16,3.19,NA,3.19,,1.61,10.96,10.96,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78849325,,Lap revision perm ip cath,A,,6.65,3.26,NA,3.26,,1.73,11.64,11.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78949326,,Lap w/omentopexy add-on,A,,3.41,0.76,NA,0.76,,0.90,5.07,5.07,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79049327,,Lap ins device for rt,A,,2.32,0.56,NA,0.56,,0.61,3.49,3.49,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79149329,,Unlstd laps px abd pertm&omn,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,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