$924.35
Choose 49419 when the tunneled intraperitoneal catheter is connected to a subcutaneous port. Code 49418 describes percutaneous placement without that port configuration.
On this page
CMS RVU26D · Effective 2026-10-01
49419 Peritoneal catheter Medicare reimbursement rates in Vermont
Reports placement of a tunneled catheter with an implanted subcutaneous port for repeated access to the peritoneal cavity, commonly for intraperitoneal therapy. Compare 49419 office and facility rates across CMS payment localities in Vermont.
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 49419 in Vermont?
Vermont 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
$364.14
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Peritoneal surgery
About 49419: Tunneled intraperitoneal catheter with port
Reports placement of a tunneled catheter with an implanted subcutaneous port for repeated access to the peritoneal cavity, commonly for intraperitoneal therapy.
This service places a tunneled catheter into the peritoneal cavity and connects it to a port implanted beneath the skin. The port allows repeated access without leaving an external catheter segment. A surgeon, often working with a gynecologic oncology team, may place it to support repeated intraperitoneal chemotherapy. Placement is generally performed in an operative setting; the operative report should identify the catheter and port, their placement, and the clinical purpose.
Select this code for the tunneled intraperitoneal catheter-and-port configuration, rather than a percutaneous tunneled catheter without a port or a catheter placed for peritoneal dialysis. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 49419
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.90 · 59%
- Practice expense (office) RVU3.23 · 28%
- Malpractice RVU1.59 · 14%
86
Medicare services in 2024 · #4991 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.
49419 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Code 49421 describes open placement of a tunneled intraperitoneal catheter for dialysis. This code is for a catheter with a subcutaneous port, commonly used for repeated intraperitoneal therapy.
No office rate
Code 49422 is for removal of a tunneled intraperitoneal catheter. Use 49419 for placement of the catheter-and-port system, not its later removal.
Compare 49419 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
Vermont →
Office / nonfacility
Unavailable
Facility
$364.14
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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 49419 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
5,800
- Code
- 49419
- Physician work
- 6.90
- Practice expense
- 3.23
- Malpractice
- 1.59
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.90 | × 1.000 | 6.9000 |
| Practice expense | 3.23 | × 0.990 | 3.1977 |
| Malpractice | 1.59 | × 0.506 | 0.8045 |
| Total RVUs | 10.9022 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$364.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.9 | 1 |
| Practice expense | 3.23 | 0.99 |
| Malpractice | 1.59 | 0.506 |
(6.9 × 1 + 3.23 × 0.99 + 1.59 × 0.506) × $33.4009 = $364.14
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.
49419 billing questions
How does this differ from 49418?
49419 describes a tunneled intraperitoneal catheter connected to a subcutaneous port. Code 49418 is for a percutaneous tunneled intraperitoneal catheter without that port configuration.
Is the port included in this service?
Yes. The port is part of the catheter-and-port placement described by this code; it is not a separate service merely because it is implanted beneath the skin.
What documentation supports reporting 49419?
The operative note should support placement of a tunneled intraperitoneal catheter with a subcutaneous port and state the clinical purpose, such as repeated intraperitoneal therapy.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,79749411,,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
5,80249422,,Remove tunneled ip cath,A,,3.90,1.18,NA,1.18,,0.96,6.04,6.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,80349423,,Exchange drainage catheter,A,,1.42,14.87,,0.24,,0.16,16.45,1.82,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817