$689.60–$723.25
26991 is selected when the drainage targets an infected bursa; 26990 describes a deep abscess or hematoma.
On this page
CMS RVU26D · Effective 2026-10-01
26990 Abscess drainage Medicare reimbursement rates in Maine
Operative drainage of a deep abscess or hematoma in the pelvis or hip region, rather than an infected bursa, bone lesion, or joint space. Compare 26990 office and facility rates across CMS payment localities in Maine.
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 26990 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$611.80–$636.85
2 of 2 localities have a supported rate.
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 drainage
About 26990: Deep pelvic or hip abscess drainage
Operative drainage of a deep abscess or hematoma in the pelvis or hip region, rather than an infected bursa, bone lesion, or joint space.
CPT 26990 describes operative drainage of a deep soft-tissue abscess or hematoma in the pelvis or around the hip. An orthopedic or general surgeon typically performs the procedure in an operating room, where the collection can be reached and drained through a surgical incision. The code is for the deep collection, not drainage of an infected bursa, bone infection, or the hip joint itself.
Select the code based on the documented site and tissue involved, along with the operative findings and work performed. The report should support a deep abscess or hematoma and describe its location and drainage. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26990
- 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
- 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 RVU7.75 · 39%
- Practice expense (office) RVU10.35 · 52%
- Malpractice RVU1.68 · 8%
3.2K
Medicare services in 2024 · #2138 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.
26990 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
26992 is for drainage directed at a bone lesion. Use 26990 when the operative target is a deep abscess or hematoma instead.
No office rate
27030 describes drainage through the hip joint. Use 26990 for a deep collection in the surrounding pelvic or hip region, not within the joint.
$205.60–$214.88
10061 applies to complicated or multiple superficial cutaneous abscesses; 26990 is for a deep pelvic or hip-region abscess or hematoma.
Compare 26990 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$611.80
Southern Maine →
Office / nonfacility
Unavailable
Facility
$636.85
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26990 billing questions
How is 26990 distinguished from 26991 or 26992?
Use 26990 for a deep abscess or hematoma. The neighboring codes describe drainage directed at an infected bursa or a bone lesion, respectively.
Is 26990 appropriate for a hip joint infection?
No. 26990 concerns a deep collection in the pelvis or hip region, not drainage within the joint. Hip-joint drainage is represented by 27030.
Does modifier 50 apply when both sides are involved?
No. CMS identifies bilateral adjustment as inappropriate for 26990; do not append modifier 50.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid for 26990?
CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.
How does the multiple-procedure reduction work?
When 26990 is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
2,70326951,,Amputation of finger/thumb,A,,5.89,13.88,NA,13.88,,1.17,20.94,20.94,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70426952,,Amputation of finger/thumb,A,,6.32,12.44,NA,12.44,,1.23,19.99,19.99,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70526989,,Unlisted px hands/fingers,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70626990,,Drainage of pelvis lesion,A,,7.75,10.35,NA,10.35,,1.68,19.78,19.78,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70726991,,Drainage of pelvis bursa,A,,6.88,14.01,,6.43,,1.41,22.30,14.72,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70826992,,Drainage of bone lesion,A,,13.14,12.28,NA,12.28,,2.87,28.29,28.29,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70927000,,Tenotomy adductor hip perq,A,,5.60,4.67,NA,4.67,,0.58,10.85,10.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00