CPT code 49402: Foreign body removal2026 Medicare rate & RVUs in Oklahoma
Reports open surgical removal of a foreign object from the peritoneal cavity, such as a retained item requiring laparotomy.
CMS doesn’t publish an office rate for 49402 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 49402 covers
This service involves surgically entering the abdomen through a laparotomy to locate and remove a foreign object from the peritoneal cavity. A general surgeon or another surgeon experienced in abdominal operations typically performs it in an operating room. A retained surgical item is a recognizable example; the operative report should identify the object and its intraperitoneal location, and describe its removal through the open approach.
Report the code when the documented service is removal of a foreign body from the peritoneal cavity by laparotomy, rather than removal of a specifically coded catheter or shunt. The record should support the target, location, approach, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
49402 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $750.30 |
How the 49402 rate is calculated
Each of 49402’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 49402
RVUs × geographic indexes × conversion factor
Work13.74
13.74 RVUs× 1.000 GPCI
Practice expense6.88
6.88 RVUs× 1.000 GPCI
Malpractice3.32
3.32 RVUs× 1.000 GPCI
Adjusted RVUs
23.9400
Conversion factor
$33.4009
Medicare rate
$799.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 49402
49402 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49402
Foreign body removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 49402
Foreign body removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
49402 without 51 · national facility
$799.62
Foreign body removal
49402-51 · Second procedure: 50%
$399.81
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
49402 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 49000Abdominal exploration
- 49000 is an exploratory laparotomy. Report 49402 when the documented operation includes removal of a foreign body from the peritoneal cavity.
- 49002Abdominal reoperation
- 49002 describes reopening a recent laparotomy. It is not the foreign-body removal service described by 49402.
- 49422Catheter removal
- 49422 is for removing a tunneled intraperitoneal catheter. Use 49402 for a different foreign object removed from the peritoneal cavity by laparotomy.
- 49429Shunt removal
- 49429 is specifically for removal of a peritoneovenous shunt; 49402 concerns other foreign bodies removed from the peritoneal cavity.
49402 billing questions
When should 49402 be chosen instead of a catheter-removal code?
Use 49402 for open removal of a foreign body from the peritoneal cavity. A tunneled intraperitoneal catheter or a peritoneovenous shunt has a specific removal code, such as 49422 or 49429.
Does the code include the laparotomy?
The service is removal through a laparotomy. The operative documentation should show the open approach and removal; do not treat the laparotomy as a separate exploratory service solely because the abdomen was entered.
What documentation supports reporting 49402?
Document the foreign object, its location in the peritoneal cavity, the laparotomy approach, and the removal performed. A record describing only abdominal exploration without removal does not establish this service.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. Modifier 50 is inappropriate for 49402.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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