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See a sample rate comparisonCPT 43648 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Laparoscopy, Surgical; Revision Or Removal Of Gastric Neurostimulator Electrodes, Antrum - Nurse Review>12/30/2022: Deny Inv/N10=1/1/2007-12/30/2022
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 43648 |
| Medicaid Fee Schedule | $499.165 median of the 6 states in the free preview · View Medicaid rates for 43648 |
National average reimbursement for CPT 43648 by major payers:
$2,317.67
$966.31
$741.41
$1,911.79
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CPT 43648
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio
The Surgery Center Of Southwest
$11,491.00Published rateShore Ambulatory Surgical Center, LLC
Shore Ambulatory Surgical Center LLC
$4,953.00Published ratePend Oreille Surgery Center LLC
$3,003.00Published rateSpokane Valley Ear Nose & Throat Ps, Spokane Valley Ambulatory Surgery Center
Spokane Valley Ear, Nose & Throat, P.S.
$2,251.00Published rateGastroenterology Specialists Inc, Endoscopy Center
Gastroenterology Specialists, Inc.
$715.00Published rate
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See a sample payer proposalCPT 43648 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43648 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43648 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43644-CPT | High | Stomach Weight Loss Surgery, Stomach Surgery Aided By A Scope (Laparoscope). The Procedure Reduces The Size Of The Stomach Or Creates A Route For Food That Bypasses The Stomach. |
| 43645-CPT | High | Stomach Weight Loss Surgery, Stomach Surgery Aided By A Scope (Laparoscope). The Procedure Reduces The Size Of The Stomach Or Creates A Route For Food That Bypasses The Stomach. |
| 43647-CPT | High | Implant Device For Nausea, Surgery Aided By A Scope (Laparoscope) To Implant Wires In The Stomach. The Wires Interfere With Nerve Signals To Reduce The Likelihood Of Nausea And Vomiting. |
| 43648-CPT | High | Laparoscopy, Surgical; Revision Or Removal Of Gastric Neurostimulator Electrodes, Antrum - Nurse Review>12/30/2022: Deny Inv/N10=1/1/2007-12/30/2022 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43648. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43648 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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