49020 is for open drainage of a peritoneal abscess. Use 49062 when the documented service is open drainage of the peritoneal cavity rather than drainage of a defined abscess.
On this page
CMS RVU26D · Effective 2026-10-01
49062 Peritoneal drainage Medicare reimbursement rates in Mississippi
Reports operative drainage of the peritoneal cavity through an open approach, rather than needle-based fluid removal or drainage of a defined abscess. Compare 49062 office and facility rates across CMS payment localities in Mississippi.
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 49062 in Mississippi?
Mississippi 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
$673.87
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 49062: Open Peritoneal Cavity Drainage
Reports operative drainage of the peritoneal cavity through an open approach, rather than needle-based fluid removal or drainage of a defined abscess.
This service involves surgically opening the abdomen to drain fluid from the peritoneal cavity. It is performed by a surgeon in an operating room when treatment requires operative access and drainage, rather than a needle tap. The operative report should identify the approach, the cavity drained, the reason for drainage, and the work performed. Drainage directed at a defined abscess may fall under a more specific abscess-drainage code instead.
Report the service when the documented procedure supports open drainage of the peritoneal cavity. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49062
- 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 RVU11.91 · 54%
- Practice expense (office) RVU6.87 · 31%
- Malpractice RVU3.18 · 14%
43
Medicare services in 2024 · #5453 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.
49062 compared with similar codes
Office rates for Mississippi, from the same CMS release.
49082 describes abdominal paracentesis without imaging guidance, not open operative drainage.
49083 describes abdominal paracentesis with imaging guidance; 49062 represents open surgical drainage.
49084 is peritoneal lavage. It is not the code for open drainage of the peritoneal cavity.
Compare 49062 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
Mississippi →
Office / nonfacility
Unavailable
Facility
$673.87
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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 49062 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
5,769
- Code
- 49062
- Physician work
- 11.91
- Practice expense
- 6.87
- Malpractice
- 3.18
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.91 | × 1.000 | 11.9100 |
| Practice expense | 6.87 | × 0.861 | 5.9151 |
| Malpractice | 3.18 | × 0.739 | 2.3500 |
| Total RVUs | 20.1751 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$673.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.91 | 1 |
| Practice expense | 6.87 | 0.861 |
| Malpractice | 3.18 | 0.739 |
(11.91 × 1 + 6.87 × 0.861 + 3.18 × 0.739) × $33.4009 = $673.87
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.
49062 billing questions
How is this different from paracentesis?
This code describes open operative drainage of the peritoneal cavity. Use 49082 or 49083 for abdominal paracentesis, depending on whether imaging guidance is used.
When would an abscess-drainage code be more appropriate?
When the operative target is a defined peritoneal abscess, consider the code specific to drainage of that abscess, such as 49020 or 49040, according to the documented approach and procedure.
Does the 90-day global include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple-procedure reduction affect another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% reduction when performed in the same session.
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.
