# CPT 49002: Reopening Recent Laparotomy

Medicare CPT 49002 pays $974.30 in a non-facility setting and $974.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $864.79 in Wisconsin to $1,214.09 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/49002-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $974.30 |
| National facility | $974.30 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,214.09 | $1,214.09 |
| Florida | $1,110.18 | $1,110.18 |
| Illinois | $1,097.55 | $1,097.55 |
| New York | $1,082.58 | $1,082.58 |
| District of Columbia | $1,067.26 | $1,067.26 |
| New Jersey | $1,048.09 | $1,048.09 |
| Connecticut | $1,035.57 | $1,035.57 |
| Michigan | $1,016.72 | $1,016.72 |
| Maryland | $1,003.77 | $1,003.77 |
| West Virginia | $1,002.04 | $1,002.04 |
| Massachusetts | $1,000.16 | $1,000.16 |
| Washington | $998.35 | $998.35 |
| Georgia | $991.35 | $991.35 |
| Pennsylvania | $984.03 | $984.03 |
| New Mexico | $981.60 | $981.60 |
| Rhode Island | $978.31 | $978.31 |
| California | $976.80 | $976.80 |
| Puerto Rico | $975.00 | $975.00 |
| Virgin Islands | $975.00 | $975.00 |
| Montana | $974.02 | $974.02 |
| New Hampshire | $967.03 | $967.03 |
| Colorado | $966.44 | $966.44 |
| Texas | $963.33 | $963.33 |
| Delaware | $959.68 | $959.68 |
| Louisiana | $958.61 | $958.61 |
| Oregon | $953.24 | $953.24 |
| Ohio | $953.04 | $953.04 |
| Missouri | $950.87 | $950.87 |
| Nevada | $950.74 | $950.74 |
| Hawaii | $949.54 | $949.54 |
| Arizona | $945.78 | $945.78 |
| Utah | $944.31 | $944.31 |
| Wyoming | $937.22 | $937.22 |
| Kentucky | $933.60 | $933.60 |
| South Carolina | $933.34 | $933.34 |
| Virginia | $928.00 | $928.00 |
| Oklahoma | $914.94 | $914.94 |
| Maine | $909.58 | $909.58 |
| North Carolina | $905.56 | $905.56 |
| Mississippi | $901.28 | $901.28 |
| Vermont | $901.27 | $901.27 |
| North Dakota | $889.59 | $889.59 |
| Tennessee | $884.84 | $884.84 |
| Indiana | $882.20 | $882.20 |
| Minnesota | $881.37 | $881.37 |
| Alabama | $880.22 | $880.22 |
| South Dakota | $879.60 | $879.60 |
| Kansas | $878.84 | $878.84 |
| Idaho | $878.54 | $878.54 |
| Arkansas | $868.82 | $868.82 |
| Iowa | $866.41 | $866.41 |
| Nebraska | $865.76 | $865.76 |
| Wisconsin | $864.79 | $864.79 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 49002 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules