# CPT 49422: Removal Tunneled Intraperitoneal Catheter

Medicare CPT 49422 pays $201.74 in a non-facility setting and $201.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $177.90 in Wisconsin to $255.04 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/49422-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $201.74 |
| National facility | $201.74 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $255.04 | $255.04 |
| Florida | $232.23 | $232.23 |
| Illinois | $230.08 | $230.08 |
| New York | $224.00 | $224.00 |
| District of Columbia | $219.41 | $219.41 |
| New Jersey | $216.06 | $216.06 |
| Connecticut | $214.12 | $214.12 |
| Michigan | $212.41 | $212.41 |
| West Virginia | $210.40 | $210.40 |
| Maryland | $207.60 | $207.60 |
| Georgia | $206.43 | $206.43 |
| Massachusetts | $205.31 | $205.31 |
| New Mexico | $204.92 | $204.92 |
| Washington | $204.60 | $204.60 |
| Pennsylvania | $204.32 | $204.32 |
| Rhode Island | $202.05 | $202.05 |
| Puerto Rico | $201.69 | $201.69 |
| Virgin Islands | $201.69 | $201.69 |
| Montana | $201.68 | $201.68 |
| Louisiana | $199.82 | $199.82 |
| Texas | $199.56 | $199.56 |
| New Hampshire | $199.35 | $199.35 |
| California | $198.96 | $198.96 |
| Colorado | $198.80 | $198.80 |
| Delaware | $198.68 | $198.68 |
| Ohio | $198.57 | $198.57 |
| Missouri | $197.99 | $197.99 |
| Nevada | $196.43 | $196.43 |
| Utah | $196.11 | $196.11 |
| Oregon | $196.03 | $196.03 |
| Arizona | $195.90 | $195.90 |
| Kentucky | $194.64 | $194.64 |
| South Carolina | $193.94 | $193.94 |
| Hawaii | $193.64 | $193.64 |
| Wyoming | $193.40 | $193.40 |
| Virginia | $191.64 | $191.64 |
| Oklahoma | $190.37 | $190.37 |
| Maine | $188.01 | $188.01 |
| Mississippi | $187.89 | $187.89 |
| North Carolina | $187.53 | $187.53 |
| Vermont | $185.51 | $185.51 |
| Tennessee | $183.31 | $183.31 |
| Alabama | $182.90 | $182.90 |
| North Dakota | $182.69 | $182.69 |
| Indiana | $182.38 | $182.38 |
| Kansas | $182.05 | $182.05 |
| Idaho | $181.69 | $181.69 |
| Arkansas | $180.63 | $180.63 |
| South Dakota | $180.45 | $180.45 |
| Minnesota | $180.31 | $180.31 |
| Iowa | $179.06 | $179.06 |
| Nebraska | $178.76 | $178.76 |
| Wisconsin | $177.90 | $177.90 |

## 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 49422 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