No office rate
Both are initial femoral hernia repairs. Choose 49553 for an incarcerated or strangulated hernia and 49550 for a reducible one.
On this page
CMS RVU26D · Effective 2026-10-01
49553 Femoral hernia repair Medicare reimbursement rates in Oklahoma
Repair a first-time femoral hernia when the hernia is incarcerated or strangulated, with operative treatment of the trapped contents and femoral defect. Compare 49553 office and facility rates across CMS payment localities in Oklahoma.
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 49553 in Oklahoma?
Oklahoma 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
$568.54
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Hernia surgery
About 49553: Initial incarcerated femoral hernia repair
Repair a first-time femoral hernia when the hernia is incarcerated or strangulated, with operative treatment of the trapped contents and femoral defect.
This code describes surgical repair of a femoral hernia that is incarcerated or strangulated and has not been repaired previously. The surgeon addresses the hernia at the femoral canal, reduces the trapped contents when possible, assesses the involved tissue, and repairs the defect. These repairs are commonly performed in a hospital or other surgical facility, including when a patient presents with a painful, nonreducible groin mass or concern for compromised bowel.
Report this code when the operative record supports both the femoral location and incarcerated or strangulated status, and identifies the repair as the initial repair rather than a recurrence. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For bilateral repair, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 49553
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU9.67 · 53%
- Practice expense (office) RVU6.04 · 33%
- Malpractice RVU2.52 · 14%
1.9K
Medicare services in 2024 · #2493 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.
49553 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
This is for a recurrent, reducible femoral hernia. 49553 is for an initial repair when the hernia is incarcerated or strangulated.
No office rate
Both describe incarcerated or strangulated femoral hernia repair; 49557 is for a recurrence, while 49553 is for an initial repair.
No office rate
This describes an initial incarcerated or strangulated inguinal hernia repair. Use 49553 when the operative diagnosis and findings identify a femoral hernia.
Compare 49553 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$568.54
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 49553 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
5,834
- Code
- 49553
- Physician work
- 9.67
- Practice expense
- 6.04
- Malpractice
- 2.52
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.67 | × 1.000 | 9.6700 |
| Practice expense | 6.04 | × 0.893 | 5.3937 |
| Malpractice | 2.52 | × 0.777 | 1.9580 |
| Total RVUs | 17.0218 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$568.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.67 | 1 |
| Practice expense | 6.04 | 0.893 |
| Malpractice | 2.52 | 0.777 |
(9.67 × 1 + 6.04 × 0.893 + 2.52 × 0.777) × $33.4009 = $568.54
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.
49553 billing questions
How does this differ from 49550?
Both codes describe an initial femoral hernia repair. Use 49553 when the hernia is incarcerated or strangulated; 49550 is for a reducible femoral hernia.
Can this code be used for a recurrent femoral hernia?
No. This code is for an initial repair. A recurrent incarcerated or strangulated femoral hernia is represented by 49557.
What documentation supports reporting 49553?
The operative record should identify the femoral hernia, document its incarcerated or strangulated status, and support that this is the initial repair.
How is a bilateral repair handled?
For bilateral repair, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; 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 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.
5,83149525,,Repair ing hernia sliding,A,,8.71,5.61,NA,5.61,,2.28,16.60,16.60,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,83249540,,Repair lumbar hernia,A,,10.47,6.10,NA,6.10,,2.70,19.27,19.27,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,83349550,,Rpr rem hernia init reduce,A,,8.77,5.65,NA,5.65,,2.30,16.72,16.72,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,83449553,,Rpr fem hernia init blocked,A,,9.67,6.04,NA,6.04,,2.52,18.23,18.23,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,83549555,,Rerepair fem hernia reduce,A,,9.16,5.85,NA,5.85,,2.46,17.47,17.47,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,83649557,,Rerepair fem hernia blocked,A,,11.33,6.45,NA,6.45,,2.95,20.73,20.73,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,83749591,,Rpr aa hrn 1st < 3 cm rdc,A,,5.81,2.15,NA,2.15,,1.49,9.45,9.45,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193