`49905` Omental flap intra-abdom

What 49905 is

CMS fee schedule short descriptor: Omental flap intra-abdom.

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 49905 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	6.38	1.57	1.48	9.43	$314.97
Facility (hospital, ASC)	6.38	1.57	1.48	9.43	$314.97

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 49905 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 49905? These codes are bundled into it

49905 is a Column 1 code in 19 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
`43752`	Nasal/orogastric w/tube plmt	1 - modifier may bypass	Check pair
`44005`	Freeing of bowel adhesion	0 - no modifier bypass	Check pair
`44180`	Lap enterolysis	0 - no modifier bypass	Check pair
`44602`	Suture small intestine	1 - modifier may bypass	Check pair
`44603`	Suture small intestine	1 - modifier may bypass	Check pair
`44604`	Suture large intestine	1 - modifier may bypass	Check pair
`44605`	Repair of bowel lesion	1 - modifier may bypass	Check pair
`44820`	Excision of mesentery lesion	1 - modifier may bypass	Check pair
`44850`	Repair of mesentery	1 - modifier may bypass	Check pair
`49000`	Exploration of abdomen	1 - modifier may bypass	Check pair
`49010`	Exploration behind abdomen	1 - modifier may bypass	Check pair
`49255`	Removal of omentum	0 - no modifier bypass	Check pair
`49320`	Diag laparo separate proc	1 - modifier may bypass	Check pair
`49400`	Air injection into abdomen	1 - modifier may bypass	Check pair
`49906`	Free omental flap microvasc	0 - no modifier bypass	Check pair
`69990`	Microsurgery add-on	0 - no modifier bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

49905 is bundled into these codes

49905 appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 49905 is the code that denies.

Column 1 code	Short description	Modifier indicator
`44700`	Suspend bowel w/prosthesis	1	Check pair
`47700`	Exploration of bile ducts	1	Check pair
`49904`	Omental flap extra-abdom	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.