No office rate
Use 49324 for laparoscopic placement of a permanent intraperitoneal catheter. Add 49326 only when the surgeon also performs and documents omentopexy.
On this page
CMS RVU26D · Effective 2026-10-01
49326 Omentopexy Medicare reimbursement rates in Rhode Island
Reports laparoscopic fixation of the omentum, commonly performed during peritoneal dialysis catheter placement to help keep omentum from obstructing the catheter. Compare 49326 office and facility rates across CMS payment localities in Rhode Island.
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 49326 in Rhode Island?
Rhode Island 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
$169.10
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Laparoscopic surgery
About 49326: Laparoscopic omentum fixation
Reports laparoscopic fixation of the omentum, commonly performed during peritoneal dialysis catheter placement to help keep omentum from obstructing the catheter.
During laparoscopic omentopexy, the surgeon secures the omentum within the abdomen, often to reduce the chance that it will wrap around or block a peritoneal dialysis catheter. The surgeon may perform this during laparoscopic catheter placement, using visualization through the laparoscope to position and fix the omentum. The service is generally performed in an operating room by a surgeon as part of an abdominal laparoscopic procedure.
Report 49326 only as an add-on with the primary procedure; it is not a standalone service. For example, omentopexy performed during laparoscopic placement of a permanent intraperitoneal catheter may be reported with 49324 when the work is documented. The operative report should identify the omentopexy and its purpose, rather than documenting catheter placement alone. CMS treats payment for this add-on as included within the primary procedure’s global period.
CMS billing rules for 49326
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.41 · 67%
- Practice expense (office) RVU0.76 · 15%
- Malpractice RVU0.90 · 18%
1.4K
Medicare services in 2024 · #2705 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.
49326 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Use 49325 for laparoscopic revision of an existing intraperitoneal catheter; 49326 identifies accompanying omentopexy, not the catheter revision itself.
No office rate
49320 describes diagnostic laparoscopy as a separate procedure. It does not identify the therapeutic work of fixing the omentum.
Compare 49326 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$169.10
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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 49326 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,789
- Code
- 49326
- Physician work
- 3.41
- Practice expense
- 0.76
- Malpractice
- 0.90
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.019 | 3.4748 |
| Practice expense | 0.76 | × 1.033 | 0.7851 |
| Malpractice | 0.90 | × 0.892 | 0.8028 |
| Total RVUs | 5.0627 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$169.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1.019 |
| Practice expense | 0.76 | 1.033 |
| Malpractice | 0.9 | 0.892 |
(3.41 × 1.019 + 0.76 × 1.033 + 0.9 × 0.892) × $33.4009 = $169.10
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.
49326 billing questions
Can 49326 be reported by itself?
No. It is an add-on code and must be billed with a primary procedure. A common pairing is laparoscopic permanent intraperitoneal catheter placement, reported with 49324.
What documentation supports reporting omentopexy with catheter placement?
The operative report should describe the separate work of securing the omentum and explain its role in the procedure, such as helping prevent obstruction of a peritoneal dialysis catheter.
Is omentopexy included in the catheter placement code?
When the surgeon performs and documents omentopexy as an additional service, 49326 identifies that work alongside the primary procedure. Catheter placement documentation alone does not establish that omentopexy was performed.
How does 49326 relate to the primary procedure’s global period?
CMS treats this add-on as paid within the primary procedure’s global period. It is not a separately paid service outside that primary procedure.
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.
5,78649323,,Laparo drain lymphocele,A,,9.97,5.79,NA,5.79,,2.33,18.09,18.09,0,090,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78749324,,Lap insert tunnel ip cath,A,,6.16,3.19,NA,3.19,,1.61,10.96,10.96,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78849325,,Lap revision perm ip cath,A,,6.65,3.26,NA,3.26,,1.73,11.64,11.64,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
5,78949326,,Lap w/omentopexy add-on,A,,3.41,0.76,NA,0.76,,0.90,5.07,5.07,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79049327,,Lap ins device for rt,A,,2.32,0.56,NA,0.56,,0.61,3.49,3.49,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79149329,,Unlstd laps px abd pertm&omn,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,79249400,,Air injection into abdomen,A,,1.83,2.47,,0.31,,0.21,4.51,2.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537