No office rate
49002 is for returning through a recent abdominal operative incision. 49000 describes abdominal exploration without that recent-operation context.
On this page
CMS RVU26D · Effective 2026-10-01
49002 Abdominal reoperation Medicare reimbursement rates in Massachusetts
Report reopening a recent abdominal operative incision when the surgeon must return to the abdomen to address a postoperative problem. Compare 49002 office and facility rates across CMS payment localities in Massachusetts.
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 49002 in Massachusetts?
Massachusetts 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
$968.19–$1032.12
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.
Abdominal surgery
About 49002: Reopening a recent abdominal incision
Report reopening a recent abdominal operative incision when the surgeon must return to the abdomen to address a postoperative problem.
The surgeon re-enters the abdomen through a recent operative incision to assess or treat a postoperative problem, such as suspected bleeding or infection. This service is typically performed by a general or other abdominal surgeon in a hospital operating room. It describes a return to the operative site, rather than an initial abdominal exploration in a patient who has not recently undergone laparotomy.
Report the service when the operative note supports reopening the recent incision and describes the reason and work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 49002
- 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 RVU17.19 · 59%
- Practice expense (office) RVU7.71 · 26%
- Malpractice RVU4.27 · 15%
5K
Medicare services in 2024 · #1871 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.
49002 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Choose 49014 when the re-exploration is specifically of a pelvic wound; 49002 applies to reopening a recent abdominal operative incision.
No office rate
49020 describes open drainage of an abdominal abscess. Use 49002 when the documented service is reopening a recent laparotomy, rather than a focused abscess-drainage procedure.
Compare 49002 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1032.12
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$968.19
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49002 billing questions
How is this different from 49000?
Use 49002 when the surgeon returns through a recent abdominal operative incision. Use 49000 for an exploratory abdominal operation that is not a reopening of a recent laparotomy.
Can the surgeon report a separate procedure performed after reopening?
A distinct procedure may be reportable when the operative documentation supports work beyond the re-entry itself. If multiple procedures are performed in the same session, CMS applies the standard multiple procedure reduction to the lower-valued procedures.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service; modifier 50 does not describe reopening an abdominal incision.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,75948556,,Removal allograft pancreas,A,,18.98,13.27,NA,13.27,,5.06,37.31,37.31,0,090,0.09,0.81,0.10,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76048999,,Unlisted procedure pancreas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76149000,,Exploration of abdomen,A,,12.23,6.58,NA,6.58,,3.01,21.82,21.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76249002,,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