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49327

ActiveAdd-on code

Lap ins device for rt

49327 is an add-on code — it is only payable alongside a primary procedure: 38120, 38129, 38570, 38571, 38572, 38589, 43279, 43280, 43281, 43282, 43283, 43289, 43644, 43645, 43647, 43648, 43651, 43652, 43659, 43770, 43771, 43772, 43773, 43774, 43775, 44186, 44187, 44188, 44202, 44203, 44204, 44205, 44206, 44207, 44208, 44210, 44211, 44212, 44213, 44227, 44238, 44979, 45395, 45397, 45400, 45402, 45499, 47370, 47371, 47379, 47562, 47563, 47564, 47570, 47579, 49321, 49322, 49323, 49324, 49325, 49326, 49329, 49659, 50541, 50542, 50543, 50544, 50545, 50546, 50547, 50548, 50549, 50945, 50947, 50948, 50949, 51990, 51992, 51999, 54690, 54692, 54699, 55550, 55559, 55866, 57423, 57425, 57426, 58541, 58542, 58543, 58544, 58545, 58546, 58548, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573, 58578, 58661, 58662, 58670, 58671, 58672, 58673, 58679, 59150, 59151, 59898, 60650, 60659.

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number.

Show values as
Modifiers
LineQtyNon-facility (office)Facility (hospital/ASC)
493271$116.57$116.57
Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF

RowWork RVUPE RVU (office)PE RVU (facility)MP RVUTotal (office)
493272.320.560.560.613.49

Payment policy for 49327

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=0

Physician service

Cannot be split into professional/technical components — modifiers 26 and TC don't apply.

Multiple procedures

mult_surg=0

No reduction

No multiple-procedure payment adjustment applies (typical for add-on codes).

Bilateral (modifier 50)

bilt_surg=0

150% rule doesn't apply

Bilateral adjustment does not apply (e.g., the code is unilateral by definition or physiology).

Assistant surgeon (80/81/82)

asst_surg=2

Payable

Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.

Co-surgeons (modifier 62)

co_surg=1

Payable with documentation

Co-surgeons paid (62.5% each) if medical necessity is documented.

Team surgery (modifier 66)

team_surg=0

Not permitted

Team surgery (mod 66) may not be paid for this procedure.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.

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