# CPT 49650

> Medicare paid $435.61 for CPT 49650 in the office (non-facility) setting and $435.61 in a facility under the Q4 2014 Physician Fee Schedule, effective October 2014. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment.

## What it is

Keyhole repair of a groin hernia, the bulge that forms where abdominal contents push through a weak spot low in the abdominal wall. The surgeon works through a few small incisions using a camera and long instruments, returns the protruding tissue to the abdomen, and reinforces the weak area, typically with a mesh patch. This one is for a hernia being fixed for the first time, in contrast to a repair of one that has come back after earlier surgery.

## Selected release

- Release: Q4 2014 (2014 D)
- Effective: October 1 – December 31, 2014
- Status indicator: A
- Office (non-facility) national allowed amount: $435.61
- Facility national allowed amount: $435.61
- Sequestration: not applied

## RVUs and formula

- Work RVU: 6.36
- Office (non-facility) practice expense RVU: 4.53
- Facility practice expense RVU: 4.53
- Malpractice RVU: 1.27
- Conversion factor: 35.8228
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2014)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu14d.zip
- Parsed file: PPRRVU14_V0815_v5.csv, row 9,096
- Canonical page: https://localishealth.com/cpt/49650/2014/B
- Release-specific citation URL: https://localishealth.com/cpt/49650/2014/D
- Last significant update: 2026-08-04T03:05:30+00:00