No office rate
Use 49422 for removal of an existing catheter; 49421 describes open placement of a tunneled intraperitoneal catheter for dialysis.
On this page
CMS RVU26D · Effective 2026-10-01
49422 Catheter removal Medicare reimbursement rates in Maine
Removal of a tunneled catheter from the peritoneal cavity, commonly for peritoneal dialysis patients with infection, malfunction, or no further need for access. Compare 49422 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 49422 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
$186.47–$189.55
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.
Peritoneal access surgery
About 49422: Removal of tunneled peritoneal catheter
Removal of a tunneled catheter from the peritoneal cavity, commonly for peritoneal dialysis patients with infection, malfunction, or no further need for access.
This code covers removal of a tunneled catheter that enters the peritoneal cavity, including a peritoneal dialysis catheter. A surgeon or other qualified physician may perform the procedure in an operating room or another procedural setting, such as when catheter-related infection or malfunction requires removal, or when the patient no longer needs peritoneal access. The service is removal of the existing catheter, not placement of a replacement device.
Report the code when the tunneled intraperitoneal catheter is actually removed. The operative note should identify the catheter and document its removal; include the clinical reason when available. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 49422
- 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 RVU3.90 · 65%
- Practice expense (office) RVU1.18 · 20%
- Malpractice RVU0.96 · 16%
9.5K
Medicare services in 2024 · #1502 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.
49422 compared with similar codes
Office rates for Maine, from the same CMS release.
$870.34–$926.98
49418 describes percutaneous placement of a tunneled intraperitoneal catheter, not removal of one already in place.
$507.69–$543.00
49423 describes exchange of a drainage catheter. 49422 is specific to removal of a tunneled intraperitoneal catheter.
No office rate
49402 concerns removal of a foreign body from the abdomen; 49422 is for removal of a tunneled intraperitoneal catheter.
Compare 49422 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
$186.47
Southern Maine →
Office / nonfacility
Unavailable
Facility
$189.55
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49422 billing questions
How does 49422 differ from 49421?
49422 is for removing an existing tunneled intraperitoneal catheter. 49421 describes open placement of a tunneled intraperitoneal catheter for dialysis.
Can catheter insertion be reported during the same session?
When a new catheter is placed during the same session as removal, the insertion service may be reported separately when performed and documented. For example, 49421 describes open placement for dialysis.
Should modifier 50 be used for removal of two catheters?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 does not describe the service.
What global period applies?
The procedure has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery payment is subject to a statutory restriction. CMS also identifies co-surgeon and team-surgery payment as 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.
5,79949418,,Insert tun ip cath perc,A,,3.86,23.83,,0.93,,0.44,28.13,5.23,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80049419,,Insert tun ip cath w/port,A,,6.90,3.23,NA,3.23,,1.59,11.72,11.72,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80149421,,Ins tun ip cath for dial opn,A,,4.10,1.06,NA,1.06,,1.03,6.19,6.19,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80249422,,Remove tunneled ip cath,A,,3.90,1.18,NA,1.18,,0.96,6.04,6.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80349423,,Exchange drainage catheter,A,,1.42,14.87,,0.24,,0.16,16.45,1.82,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80449424,,Assess cyst contrast inject,A,,0.74,4.31,,0.15,,0.07,5.12,0.96,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80549425,,Insert abdomen-venous drain,A,,11.91,7.26,NA,7.26,,3.18,22.35,22.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00