# CPT 49405: Image-guided fluid collection drainage, visceral, percutaneous

Medicare CPT 49405 pays $837.69 in a non-facility setting and $166.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $733.12 in Arkansas to $969.74 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/49405-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $837.69 |
| National facility | $166.67 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $969.74 | $179.27 |
| California | $963.03 | $169.02 |
| Alaska | $941.60 | $226.96 |
| Washington | $935.92 | $170.95 |
| New Jersey | $932.93 | $177.36 |
| New York | $929.07 | $180.48 |
| Hawaii | $926.78 | $163.83 |
| Massachusetts | $924.85 | $170.95 |
| Connecticut | $896.64 | $173.94 |
| Colorado | $880.56 | $166.59 |
| Oregon | $871.96 | $165.03 |
| Maryland | $869.95 | $170.40 |
| New Hampshire | $864.37 | $165.83 |
| Rhode Island | $861.54 | $168.37 |
| Florida | $853.28 | $180.03 |
| Minnesota | $847.93 | $157.44 |
| Puerto Rico | $845.11 | $166.71 |
| Virgin Islands | $845.11 | $166.71 |
| Montana | $837.67 | $166.64 |
| Nevada | $836.05 | $164.35 |
| Wyoming | $834.05 | $163.02 |
| North Dakota | $829.36 | $158.34 |
| Delaware | $828.61 | $165.64 |
| South Dakota | $828.38 | $157.36 |
| Illinois | $827.53 | $179.15 |
| Texas | $826.67 | $166.04 |
| Pennsylvania | $825.62 | $168.35 |
| Vermont | $823.83 | $159.52 |
| Virginia | $821.78 | $162.17 |
| Arizona | $814.18 | $163.96 |
| Georgia | $808.75 | $168.60 |
| Maine | $801.60 | $160.44 |
| Michigan | $801.12 | $171.02 |
| Wisconsin | $798.86 | $156.02 |
| Utah | $794.66 | $163.90 |
| North Carolina | $786.17 | $160.11 |
| New Mexico | $782.96 | $167.63 |
| South Carolina | $782.89 | $162.87 |
| Missouri | $780.38 | $164.61 |
| Indiana | $779.87 | $157.83 |
| Louisiana | $778.03 | $165.39 |
| Ohio | $777.48 | $164.84 |
| Nebraska | $775.58 | $156.22 |
| Idaho | $774.83 | $157.49 |
| Iowa | $770.30 | $156.31 |
| Tennessee | $768.10 | $158.14 |
| Kansas | $764.17 | $157.56 |
| Oklahoma | $760.37 | $161.15 |
| Kentucky | $759.53 | $162.99 |
| West Virginia | $752.91 | $169.79 |
| Alabama | $744.93 | $157.78 |
| Mississippi | $737.65 | $159.90 |
| Arkansas | $733.12 | $156.71 |

## Related codes

- 36901: Introduction of needle/catheter, dialysis circuit, imaging, diagnostic — https://www.med-reveal.com/rates/36901-cpt-fee-schedule
- 36902: Dialysis circuit, transluminal balloon angioplasty — https://www.med-reveal.com/rates/36902-cpt-fee-schedule
- 36905: Dialysis circuit, transluminal balloon angioplasty and thrombectomy — https://www.med-reveal.com/rates/36905-cpt-fee-schedule
- 37184: Primary percutaneous transluminal mechanical thrombectomy, non-coronary, initial vessel — https://www.med-reveal.com/rates/37184-cpt-fee-schedule
- 37191: Insertion of intravascular vena cava filter — https://www.med-reveal.com/rates/37191-cpt-fee-schedule
- 37193: Retrieval of intravascular vena cava filter, endovascular approach — https://www.med-reveal.com/rates/37193-cpt-fee-schedule
- 37211: Transcatheter thrombolytic infusion, arterial, initial treatment day — https://www.med-reveal.com/rates/37211-cpt-fee-schedule
- 37241: Vascular embolization/occlusion, venous — https://www.med-reveal.com/rates/37241-cpt-fee-schedule

Commercial negotiated rates for 49405 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