# CPT 49650

> Medicare paid $446.28 for CPT 49650 in the office (non-facility) setting and $446.28 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 1.1%.

## 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 2021 (2021 D)
- Effective: October 1 – December 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $446.28
- Facility national allowed amount: $446.28
- Sequestration: not applied

## RVUs and formula

- Work RVU: 6.36
- Office (non-facility) practice expense RVU: 4.91
- Facility practice expense RVU: 4.91
- Malpractice RVU: 1.52
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21d.zip
- Parsed file: PPRRVU21_OCT.csv, row 10,341
- Canonical page: https://localishealth.com/cpt/49650/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/49650/2021/D
- Last significant update: 2026-08-04T03:10:59+00:00