CPT 49014
Global 000 ActiveReexploration pelvic wound
CPT 49014 Billing & Documentation Guide
CPT code 49014 (Reexploration pelvic wound) is classified under Surgery (Digestive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.56, a non-facility practice expense RVU of 2.05, and a malpractice RVU of 1.75, a total non-facility RVU of 10.36 and facility RVU of 10.36. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $345.08, though rates vary from $302.71 to $438.21 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 49014, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 49014 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 49014 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 49014
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.56 | 6.56 |
| Practice Expense RVU | 2.05 | 2.05 |
| Malpractice RVU | 1.75 | 1.75 |
| Total RVU | 10.36 | 10.36 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 49014
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $339.68 | $339.68 | $329.21 - $373.28 | 29 |
| Florida | $401.59 | $401.59 | $372.42 - $438.21 | 3 |
| Georgia | $354.7 | $354.7 | $349.86 - $359.53 | 2 |
| Illinois | $397.74 | $397.74 | $372.98 - $423.6 | 4 |
| Michigan | $365.68 | $365.68 | $347.62 - $383.73 | 2 |
| North Carolina | $320.34 | $320.34 | $320.34 - $320.34 | 1 |
| New York | $385.35 | $385.35 | $325.25 - $423.09 | 5 |
| Ohio | $340.54 | $340.54 | $340.54 - $340.54 | 1 |
| Pennsylvania | $350.64 | $350.64 | $337.2 - $364.07 | 2 |
| Texas | $342.02 | $342.02 | $334.31 - $369.28 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 49014
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 49014 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 49014
What does CPT code 49014 mean? +
CPT code 49014 represents: Reexploration pelvic wound. It's in the Surgery (Digestive) category with a global period of 000.
What is the Medicare reimbursement for CPT 49014? +
The 2026 Medicare national average non-facility payment for CPT 49014 is $345.08. Rates range from $302.71 to $438.21 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 49014? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 49014? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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