# CPT 49084: Peritoneal Lavage W/wo Imaging Guidance

Medicare CPT 49084 pays $95.86 in a non-facility setting and $95.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $84.58 in Wisconsin to $122.53 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/49084-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $95.86 |
| National facility | $95.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $122.53 | $122.53 |
| Florida | $110.45 | $110.45 |
| Illinois | $109.57 | $109.57 |
| New York | $106.25 | $106.25 |
| District of Columbia | $103.85 | $103.85 |
| New Jersey | $102.42 | $102.42 |
| Connecticut | $101.57 | $101.57 |
| Michigan | $101.19 | $101.19 |
| West Virginia | $100.47 | $100.47 |
| Maryland | $98.56 | $98.56 |
| Georgia | $98.27 | $98.27 |
| New Mexico | $97.67 | $97.67 |
| Massachusetts | $97.21 | $97.21 |
| Pennsylvania | $97.20 | $97.20 |
| Washington | $96.82 | $96.82 |
| Rhode Island | $95.95 | $95.95 |
| Montana | $95.83 | $95.83 |
| Puerto Rico | $95.80 | $95.80 |
| Virgin Islands | $95.80 | $95.80 |
| Louisiana | $95.25 | $95.25 |
| Texas | $94.89 | $94.89 |
| Ohio | $94.65 | $94.65 |
| New Hampshire | $94.57 | $94.57 |
| Delaware | $94.45 | $94.45 |
| Missouri | $94.35 | $94.35 |
| Colorado | $94.26 | $94.26 |
| California | $93.98 | $93.98 |
| Utah | $93.37 | $93.37 |
| Nevada | $93.31 | $93.31 |
| Arizona | $93.17 | $93.17 |
| Oregon | $92.96 | $92.96 |
| Kentucky | $92.85 | $92.85 |
| South Carolina | $92.39 | $92.39 |
| Wyoming | $91.87 | $91.87 |
| Hawaii | $91.50 | $91.50 |
| Virginia | $91.08 | $91.08 |
| Oklahoma | $90.79 | $90.79 |
| Mississippi | $89.71 | $89.71 |
| Maine | $89.44 | $89.44 |
| North Carolina | $89.28 | $89.28 |
| Vermont | $88.12 | $88.12 |
| Tennessee | $87.35 | $87.35 |
| Alabama | $87.27 | $87.27 |
| Indiana | $86.84 | $86.84 |
| Kansas | $86.76 | $86.76 |
| North Dakota | $86.73 | $86.73 |
| Idaho | $86.53 | $86.53 |
| Arkansas | $86.24 | $86.24 |
| South Dakota | $85.66 | $85.66 |
| Minnesota | $85.49 | $85.49 |
| Iowa | $85.29 | $85.29 |
| Nebraska | $85.12 | $85.12 |
| Wisconsin | $84.58 | $84.58 |

## 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 49084 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