No office rate
49000 is for operative abdominal exploration to assess intra-abdominal pathology. Choose 49013 for preperitoneal pelvic packing directed at traumatic pelvic hemorrhage.
On this page
CMS RVU26D · Effective 2026-10-01
49013 Pelvic packing Medicare reimbursement rates in Virginia
Reports preperitoneal pelvic packing to control traumatic hemorrhage, typically during operative management of a hemodynamically unstable pelvic fracture. Compare 49013 office and facility rates across CMS payment localities in Virginia.
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 49013 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$387.74–$444.75
2 of 2 localities have a 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.
Trauma surgery
About 49013: Preperitoneal pelvic packing for traumatic hemorrhage
Reports preperitoneal pelvic packing to control traumatic hemorrhage, typically during operative management of a hemodynamically unstable pelvic fracture.
This code describes operative packing through a preperitoneal approach to tamponade bleeding in the pelvis after trauma. A trauma or acute care surgeon typically performs it in the operating room for a patient with severe pelvic bleeding, often associated with an unstable pelvic fracture. The approach targets pelvic hemorrhage; it is distinct from opening the abdomen to investigate intra-abdominal injuries or from angiographic embolization.
Report the code when the documented procedure includes preperitoneal pelvic packing for traumatic hemorrhage. The operative report should support the traumatic indication, approach, and packing performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 49013
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU8.14 · 66%
- Practice expense (office) RVU1.97 · 16%
- Malpractice RVU2.17 · 18%
62
Medicare services in 2024 · #5222 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.
49013 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
49014 describes re-exploration of a pelvic wound, including removal of packing when performed. It represents a subsequent operative stage rather than the initial packing.
$5,996.66–$7,135.21
37244 reports vascular embolization or occlusion for hemorrhage. It describes an endovascular approach, rather than operative preperitoneal pelvic packing.
Compare 49013 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$444.75
Virginia →
Office / nonfacility
Unavailable
Facility
$387.74
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.
49013 billing questions
When should this code be chosen instead of 49000?
Use this code for preperitoneal pelvic packing to control traumatic pelvic hemorrhage. Code 49000 describes abdominal exploration; it is appropriate when a separate intra-abdominal injury requires exploration.
How does 49014 differ?
Code 49014 describes re-exploration of a pelvic wound, including removal of packing when performed. It is for a subsequent re-exploration, not the initial packing reported with 49013.
Can modifier 50 be used?
No. The anatomy and procedure make bilateral adjustment inappropriate.
Is an assistant surgeon payable?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are also not permitted.
How does the multiple-procedure reduction affect payment?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
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.
5,76149000,,Exploration of abdomen,A,,12.23,6.58,NA,6.58,,3.01,21.82,21.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76249002,,Reopening of abdomen,A,,17.19,7.71,NA,7.71,,4.27,29.17,29.17,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76349010,,Exploration behind abdomen,A,,15.66,6.34,NA,6.34,,3.88,25.88,25.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76449013,,Prpertl pel pack hemrrg trma,A,,8.14,1.97,NA,1.97,,2.17,12.28,12.28,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76549014,,Reexploration pelvic wound,A,,6.56,2.05,NA,2.05,,1.75,10.36,10.36,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76649020,,Drainage abdom abscess open,A,,26.00,12.21,NA,12.21,,6.34,44.55,44.55,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76749040,,Drain open abdom abscess,A,,16.11,8.45,NA,8.45,,4.15,28.71,28.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00