49326 Lap w/omentopexy add-on
What 49326 is
CMS fee schedule short descriptor: Lap w/omentopexy add-on.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 49326 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 3.41 | 0.76 | 0.90 | 5.07 | $169.34 |
| Facility (hospital, ASC) | 3.41 | 0.76 | 0.90 | 5.07 | $169.34 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 49326 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 49326? These codes are bundled into it
49326 is a Column 1 code in 7 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
49082 | Abd paracentesis | 1 - modifier may bypass | Check pair |
49083 | Abd paracentesis w/imaging | 1 - modifier may bypass | Check pair |
49084 | Peritoneal lavage | 1 - modifier may bypass | Check pair |
49400 | Air injection into abdomen | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
49326 is bundled into these codes
49326 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 49326 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
38573 | Laps pelvic lymphadec | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.