CPT 49505
Open repair of an initial inguinal hernia, age 5 or older, reducible
Last reviewed August 2026 · DataLily AI data team
What does CPT 49505 mean?
CPT 49505 reports open repair of an initial, reducible inguinal hernia in a patient age 5 years or older. The incarcerated or strangulated version is 49507, and recurrent repairs use the 49520 family.
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CPT 49505 at a glance
- Code
- 49505
- Code type
- CPT/HCPCS
- Short descriptor
- Prp i/hern init reduc >5 yr
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $1,744.22 national · 2026Q2
What is CPT code 49505?
CPT 49505 reports open repair of an initial, reducible inguinal hernia in a patient age 5 years or older. The incarcerated or strangulated version is 49507, and recurrent repairs use the 49520 family. Its official short descriptor is "Prp i/hern init reduc >5 yr", and in the ASC context it is grouped under ASC Surgical.
Is CPT 49505 eligible in an ambulatory surgery center (ASC)?
CPT 49505 can be performed in a certified ambulatory surgery center.
Where is CPT 49505 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 49505?
The national Medicare ASC payment rate for CPT 49505 is $1,744.22 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 49505?
CPT 49505 is most associated with General Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.