# CPT 49255: Omentectomy, epiploectomy, separate procedure

Medicare CPT 49255 pays $751.85 in a non-facility setting and $751.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $670.67 in Arkansas to $929.61 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/49255-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $751.85 |
| National facility | $751.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $929.61 | $929.61 |
| Florida | $843.11 | $843.11 |
| New York | $834.17 | $834.17 |
| Illinois | $831.97 | $831.97 |
| District of Columbia | $828.74 | $828.74 |
| New Jersey | $811.95 | $811.95 |
| Connecticut | $799.13 | $799.13 |
| Washington | $779.19 | $779.19 |
| Massachusetts | $779.09 | $779.09 |
| Michigan | $775.70 | $775.70 |
| Maryland | $775.08 | $775.08 |
| California | $768.09 | $768.09 |
| West Virginia | $760.65 | $760.65 |
| Georgia | $759.87 | $759.87 |
| Rhode Island | $757.47 | $757.47 |
| Pennsylvania | $757.06 | $757.06 |
| Puerto Rico | $753.14 | $753.14 |
| Virgin Islands | $753.14 | $753.14 |
| Colorado | $751.66 | $751.66 |
| Montana | $751.66 | $751.66 |
| New Mexico | $750.54 | $750.54 |
| New Hampshire | $750.05 | $750.05 |
| Hawaii | $745.50 | $745.50 |
| Texas | $743.48 | $743.48 |
| Oregon | $741.94 | $741.94 |
| Delaware | $741.29 | $741.29 |
| Nevada | $736.15 | $736.15 |
| Louisiana | $734.84 | $734.84 |
| Ohio | $731.11 | $731.11 |
| Arizona | $730.44 | $730.44 |
| Missouri | $730.01 | $730.01 |
| Utah | $727.28 | $727.28 |
| Wyoming | $727.02 | $727.02 |
| Virginia | $719.57 | $719.57 |
| South Carolina | $718.74 | $718.74 |
| Kentucky | $716.30 | $716.30 |
| Maine | $705.18 | $705.18 |
| Oklahoma | $704.11 | $704.11 |
| Vermont | $702.19 | $702.19 |
| North Carolina | $700.81 | $700.81 |
| North Dakota | $695.11 | $695.11 |
| Mississippi | $692.57 | $692.57 |
| Minnesota | $691.77 | $691.77 |
| South Dakota | $688.42 | $688.42 |
| Tennessee | $685.13 | $685.13 |
| Indiana | $684.71 | $684.71 |
| Idaho | $681.74 | $681.74 |
| Kansas | $680.75 | $680.75 |
| Alabama | $679.50 | $679.50 |
| Wisconsin | $675.37 | $675.37 |
| Nebraska | $673.40 | $673.40 |
| Iowa | $673.24 | $673.24 |
| Arkansas | $670.67 | $670.67 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 49255 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