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CPT 49505 — Prp i/hern init reduc >5 yr

CPT code 49505 (Prp i/hern init reduc >5 yr) carries 7.76 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 15.21 in a non-facility setting and 15.21 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $508.03 and $508.03 respectively.

7.76
Work RVU
15.21
Total RVU (non-facility)
$508.03
Medicare, non-facility
$508.03
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 49505

ComponentRVUsWhat it covers
Work RVU7.76Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)5.4Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU2.05Professional liability cost.
Total RVU (non-facility)15.21Work + non-facility PE + malpractice.
Total RVU (facility)15.21Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 49505 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility15.21$33.40$508.03
Facility15.21$33.40$508.03

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 49505

Global period
90-day global — major surgery; 90 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
150% payment adjustment applies when performed bilaterally.
Assistant surgeon
Permitted.
Co-surgeon
Not permitted.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

49593 · 10.0 wRVU

Questions about CPT 49505

How many work RVUs is CPT 49505?

CPT 49505 is assigned 7.76 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 49505?

At the 2026 national conversion factor of $33.40, CPT 49505 pays approximately $508.03 in a non-facility setting and $508.03 in a facility setting before geographic adjustment.

What is the global period for CPT 49505?

90-day global — major surgery; 90 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.