`49412` Ins device for rt guide open

What 49412 is

CMS fee schedule short descriptor: Ins device for rt guide open.

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 49412 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	1.46	0.36	0.39	2.21	$73.82
Facility (hospital, ASC)	1.46	0.36	0.39	2.21	$73.82

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.

Adjust for a Medicare locality:

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 49412 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 49412? These codes are bundled into it

49412 is a Column 1 code in 12 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
`10036`	Plmt sft tiss loclzj dev ea	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`49327`	Lap ins device for rt	1 - modifier may bypass	Check pair
`76000`	Fluoroscopy <1 hr phys/qhp	1 - modifier may bypass	Check pair
`76380`	Cat scan follow-up study	1 - modifier may bypass	Check pair
`76942`	Echo guide for biopsy	1 - modifier may bypass	Check pair
`76998`	Us guide intraop	1 - modifier may bypass	Check pair
`77002`	Needle localization by xray	1 - modifier may bypass	Check pair
`77012`	Ct scan for needle biopsy	1 - modifier may bypass	Check pair
`77021`	Mri guidance ndl plmt rs&i	1 - modifier may bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

49412 is bundled into these codes

49412 appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 49412 is the code that denies.

Column 1 code	Short description	Modifier indicator
`10035`	Plmt sft tiss loclzj dev 1st	1	Check pair
`49411`	Ins mark abd/pel for rt perq	1	Check pair
`55876`	Place rt device/marker pros	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.