Floating Contact
Phone
Email

Text Message

+1 (916) 299-5335
Message

CPT Code 49505: 2026 Billing Guide for Open Inguinal Hernia Repair

CPT 49505 open inguinal hernia repair billing 2026 hero banner: the age 5 threshold acting as a floor that routes younger patients to pediatric codes rather than a limit that excludes adults, mesh bundled into the code with the old +49568 add-on deleted in 2023, initial versus recurrent status deciding between 49505 and 49520, modifier 50 paid as one line at 150 percent on Medicare, and the 2026 national rate of $508.03 falling despite a higher conversion factor, from ClaimMax RCM.

CPT code 49505 reports an open repair of an initial, reducible inguinal hernia in a patient age 5 or older. Adults fall under it too; the age floor only separates it from the pediatric codes. For 2026, Medicare pays a national $508.03 for it, and it carries a 90-day global period. Most denials on this […]

99347 CPT Code: 2026 Billing Guide for Established Patient Home Visits

CPT 99347 established patient home visit billing 2026 hero banner: Medicare paying the G2211 add-on with home and residence visit codes since January 1, 2026, worth $17.37 on top of the $46.09 national rate, scrubbers that still drop G2211 from home visit lines, 20 minutes of total time or straightforward MDM selecting the level, the old 15-minute template wording that no longer supports the code, place of service 12 versus 13 matching where the patient lives, and the documented reason for seeing the patient at home, from ClaimMax RCM.

The 99347 CPT code reports an evaluation and management (E/M) visit for an established patient in their home or residence. It’s the lowest level in the established home visit series. A visit qualifies with straightforward medical decision making (MDM) or at least 20 minutes of total practitioner time on the date of service. Medicare’s 2026 […]