$438.95–$489.34
This is the percutaneous counterpart for radiation-guidance device placement; 49412 is for open placement.
On this page
CMS RVU26D · Effective 2026-10-01
49412 Radiation markers Medicare reimbursement rates in Texas
Open placement of interstitial markers in the abdomen, pelvis, or retroperitoneum to guide radiation treatment, reported with a qualifying primary procedure. Compare 49412 office and facility rates across CMS payment localities in Texas.
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 49412 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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 49412 pays more and less in Texas
Surgical procedure
About 49412: Open radiation guidance marker placement
Open placement of interstitial markers in the abdomen, pelvis, or retroperitoneum to guide radiation treatment, reported with a qualifying primary procedure.
A surgeon places interstitial devices, such as fiducial markers, in an intra-abdominal, intrapelvic, or retroperitoneal target to help guide radiation treatment. The open approach involves surgical access rather than percutaneous needle placement. This may occur during an open operation when a tumor or treatment target needs to be localized for radiation planning or delivery.
Report 49412 only as an add-on with a primary procedure; it is not a stand-alone service. The operative report should identify the target site, the devices placed, and the open approach, as well as the qualifying primary procedure performed at the encounter. CMS treats payment for this add-on within the primary procedure’s global period, so it is not paid as a separate episode outside that period.
CMS billing rules for 49412
- 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 RVU1.46 · 66%
- Practice expense (office) RVU0.36 · 16%
- Malpractice RVU0.39 · 18%
70
Medicare services in 2024 · #5146 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.
49412 compared with similar codes
Office rates for Texas, from the same CMS release.
$774.29–$876.57
49405 concerns image-guided catheter drainage of a visceral fluid collection, not marker placement for radiation guidance.
$773.68–$875.87
49406 concerns image-guided drainage catheter placement for a peritoneal or retroperitoneal fluid collection, not radiation-guidance markers.
Compare 49412 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $73.13 |
| Beaumont | Office Unavailable | Facility $71.81 |
| Brazoria | Office Unavailable | Facility $71.23 |
| Dallas | Office Unavailable | Facility $72.36 |
| Fort Worth | Office Unavailable | Facility $72.41 |
| Galveston | Office Unavailable | Facility $71.88 |
| Houston | Office Unavailable | Facility $79.02 |
| Rest Of Texas | Office Unavailable | Facility $71.94 |
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49412 billing questions
How does 49412 differ from 49411?
49412 describes open placement of radiation-guidance markers. Use 49411 when the devices are placed percutaneously; the access method distinguishes the codes.
Can 49412 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports 49412?
Document the abdominal, pelvic, or retroperitoneal target, the interstitial devices placed, the open surgical approach, and the primary procedure reported with the add-on.
Is payment for 49412 separate from the primary procedure's global period?
No. CMS identifies payment for this add-on as within the primary procedure's global period.
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.
5,79549406,,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
5,80149421,,Ins tun ip cath for dial opn,A,,4.10,1.06,NA,1.06,,1.03,6.19,6.19,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00