# CPT 49082: Abdom Paracentesis Dx/ther w/o Imaging Guidance

Medicare CPT 49082 pays $245.16 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $214.00 in Arkansas to $283.36 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/49082-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $245.16 |
| National facility | $71.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $283.36 | $78.36 |
| California | $279.85 | $73.94 |
| Alaska | $275.25 | $89.92 |
| Washington | $272.76 | $74.38 |
| New Jersey | $272.75 | $76.81 |
| New York | $272.38 | $78.24 |
| Massachusetts | $269.73 | $74.22 |
| Hawaii | $269.49 | $71.63 |
| Connecticut | $262.62 | $75.21 |
| Colorado | $256.86 | $71.71 |
| Maryland | $254.63 | $73.21 |
| Oregon | $254.24 | $70.91 |
| New Hampshire | $252.45 | $71.29 |
| Florida | $252.15 | $77.55 |
| Rhode Island | $251.75 | $71.98 |
| Puerto Rico | $247.24 | $71.31 |
| Virgin Islands | $247.24 | $71.31 |
| Minnesota | $246.20 | $67.14 |
| Montana | $245.15 | $71.13 |
| Illinois | $244.71 | $76.56 |
| Nevada | $244.25 | $70.05 |
| Wyoming | $243.43 | $69.41 |
| Delaware | $242.31 | $70.38 |
| Pennsylvania | $241.93 | $71.47 |
| Texas | $241.84 | $70.52 |
| North Dakota | $241.19 | $67.18 |
| South Dakota | $240.73 | $66.71 |
| Vermont | $239.88 | $67.60 |
| Virginia | $239.83 | $68.77 |
| Arizona | $238.06 | $69.44 |
| Georgia | $237.43 | $71.41 |
| Michigan | $235.80 | $72.40 |
| Maine | $233.86 | $67.57 |
| Utah | $232.60 | $69.02 |
| Wisconsin | $232.22 | $65.51 |
| New Mexico | $230.07 | $70.49 |
| North Carolina | $229.48 | $67.12 |
| South Carolina | $229.11 | $68.31 |
| Missouri | $228.75 | $69.06 |
| Louisiana | $228.25 | $69.36 |
| Ohio | $227.98 | $69.11 |
| Indiana | $227.27 | $65.95 |
| Idaho | $225.80 | $65.70 |
| Nebraska | $225.76 | $65.14 |
| Iowa | $224.30 | $65.07 |
| Tennessee | $224.05 | $65.86 |
| Kansas | $222.83 | $65.52 |
| Kentucky | $222.61 | $67.91 |
| Oklahoma | $222.48 | $67.08 |
| West Virginia | $222.09 | $70.87 |
| Alabama | $217.50 | $65.24 |
| Mississippi | $215.89 | $66.06 |
| Arkansas | $214.00 | $64.51 |

## 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 49082 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