No office rate
Use 49411 for percutaneous placement at an abdominal, pelvic, or retroperitoneal site; 49412 describes open placement.
On this page
CMS RVU26D · Effective 2026-10-01
49411 Fiducial placement Medicare reimbursement rates in Missouri
Percutaneous placement of radiation-guidance markers in an abdominal, pelvic, or retroperitoneal target supports precise treatment planning and delivery. Compare 49411 office and facility rates across CMS payment localities in Missouri.
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 49411 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$423.06–$454.21
3 of 3 localities have a supported rate.
Facility setting
$153.86–$156.90
3 of 3 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.
Where 49411 pays more and less in Missouri
3 payment localities
$423.06 to $454.21
Image-guided intervention
About 49411: Percutaneous radiation guidance marker placement
Percutaneous placement of radiation-guidance markers in an abdominal, pelvic, or retroperitoneal target supports precise treatment planning and delivery.
This service places one or more small markers, such as fiducials, through the skin into an abdominal, pelvic, or retroperitoneal target so the radiation oncology team can localize it for treatment. Interventional radiologists commonly perform the placement, often using imaging to guide the needle. Examples include marking a tumor or treatment target before focused radiation such as stereotactic body radiation therapy.
Report 49411 for percutaneous placement at the specified sites, whether one or multiple devices are placed. The record should identify the target, percutaneous approach, and placement for radiation guidance. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 49411
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.48 · 25%
- Practice expense (office) RVU10.25 · 73%
- Malpractice RVU0.36 · 3%
1.2K
Medicare services in 2024 · #2862 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.
49411 compared with similar codes
Office rates for Missouri, from the same CMS release.
$138.93–$147.07
This code is for prostate-target marker placement. Use 49411 for the covered abdominal, pelvic, or retroperitoneal targets outside that prostate-specific service.
$440.89–$473.93
This code addresses percutaneous placement for an intrathoracic target; 49411 is for an abdominal, pelvic, or retroperitoneal target.
$768.65–$834.54
31626 places fiducials through bronchoscopy for a pulmonary target. 49411 uses a percutaneous approach for an abdominal, pelvic, or retroperitoneal target.
Compare 49411 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$449.46
Facility
$156.21
Metropolitan St. Louis →
Office / nonfacility
$454.21
Facility
$156.90
Rest Of Missouri →
Office / nonfacility
$423.06
Facility
$153.86
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49411 billing questions
How does 49411 differ from 49412?
49411 is for percutaneous marker placement in an abdominal, pelvic, or retroperitoneal target. 49412 is the open approach.
Is the code reported per marker?
No. The service covers placement of one or more devices; the code is not reported once for each marker.
What documentation supports 49411?
Document the target location, the percutaneous approach, the device placement, and its purpose in radiation guidance.
Can modifier 50 be used when markers are placed on both sides?
No. Modifier 50 is inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are 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.
5,79449405,,Image cath fluid colxn visc,A,,3.90,20.76,,0.67,,0.42,25.08,4.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79549406,,Image cath fluid peri/retro,A,,3.90,20.74,,0.67,,0.42,25.06,4.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79649407,,Image cath fluid trns/vgnl,A,,4.14,17.41,,0.74,,0.51,22.06,5.39,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79749411,,Ins mark abd/pel for rt perq,A,,3.48,10.25,,0.90,,0.36,14.09,4.74,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79849412,,Ins device for rt guide open,A,,1.46,0.36,NA,0.36,,0.39,2.21,2.21,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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