# CPT 49083: Abdom Paracentesis Dx/ther W/imaging Guidance

Medicare CPT 49083 pays $284.24 in a non-facility setting and $92.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $250.93 in Arkansas to $327.44 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/49083-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $284.24 |
| National facility | $92.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $327.44 | $123.62 |
| District of Columbia | $326.30 | $100.85 |
| California | $322.24 | $95.78 |
| New Jersey | $314.90 | $99.40 |
| Washington | $314.51 | $96.33 |
| New York | $314.37 | $100.86 |
| Massachusetts | $311.20 | $96.17 |
| Hawaii | $310.35 | $92.74 |
| Connecticut | $303.35 | $97.22 |
| Colorado | $297.06 | $93.43 |
| Maryland | $294.65 | $95.13 |
| Oregon | $294.17 | $92.55 |
| New Hampshire | $292.06 | $92.83 |
| Rhode Island | $291.72 | $94.02 |
| Florida | $291.59 | $99.56 |
| Puerto Rico | $286.47 | $92.98 |
| Virgin Islands | $286.47 | $92.98 |
| Minnesota | $285.45 | $88.52 |
| Montana | $284.23 | $92.84 |
| Illinois | $283.70 | $98.77 |
| Nevada | $283.28 | $91.70 |
| Wyoming | $282.42 | $91.03 |
| Delaware | $281.31 | $92.22 |
| Pennsylvania | $280.96 | $93.50 |
| Texas | $280.81 | $92.39 |
| North Dakota | $280.08 | $88.69 |
| South Dakota | $279.58 | $88.20 |
| Vermont | $278.66 | $89.18 |
| Virginia | $278.57 | $90.44 |
| Arizona | $276.66 | $91.20 |
| Georgia | $275.96 | $93.38 |
| Michigan | $274.16 | $94.45 |
| Maine | $272.18 | $89.32 |
| Utah | $270.80 | $90.90 |
| Wisconsin | $270.48 | $87.13 |
| New Mexico | $268.05 | $92.55 |
| North Carolina | $267.50 | $88.93 |
| South Carolina | $267.07 | $90.23 |
| Missouri | $266.67 | $91.04 |
| Louisiana | $266.12 | $91.39 |
| Ohio | $265.85 | $91.11 |
| Indiana | $265.15 | $87.74 |
| Idaho | $263.58 | $87.50 |
| Nebraska | $263.55 | $86.90 |
| Iowa | $261.98 | $86.86 |
| Tennessee | $261.69 | $87.72 |
| Kansas | $260.40 | $87.39 |
| Kentucky | $260.10 | $89.96 |
| Oklahoma | $259.98 | $89.07 |
| West Virginia | $259.48 | $93.16 |
| Alabama | $254.69 | $87.22 |
| Mississippi | $252.93 | $88.15 |
| Arkansas | $250.93 | $86.53 |

## 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 49083 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