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See a sample rate comparisonCPT 46744 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.
Surgery To Create Rectum, Surgery To Create A Rectum In Order To Correct A Condition Present Since Birth. A Portion Of The Digestive Tract Has Merged With Either Or Both The Urinary Tract And Vagina.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 46744 |
| Medicaid Fee Schedule | View Medicaid rates for 46744 |
National average reimbursement for CPT 46744 by major payers:
$4,350.72
$4,625.86
$4,836.73
$5,528.32
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CPT 46744
5 of 25 sample ratesHigher to lower in this preview
North Florida Gi Center Ltd, Hca Florida North Florida Endoscopy Center
North Florida Gi Center Ltd
$2,828.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$1,064.00Published rateLone Tree Surgery Center, LLC
Lone Tree Surgery Center LLC
$730.00Published rateReno Orthopaedic Surgery Center LLC
$452.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 46744 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46744 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 46744 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 |
|---|---|---|
| 46744-CPT | High | Surgery To Create Rectum, Surgery To Create A Rectum In Order To Correct A Condition Present Since Birth. A Portion Of The Digestive Tract Has Merged With Either Or Both The Urinary Tract And Vagina. |
| 46746-CPT | High | Repair Of Cloacal Anomaly, Repair Of Defect For Single Channel Outlet Of Rectum Vagina And Urinary Tract Via Incision Of Region Between Thighs Or Below Sacrum (Combined Abdominal And Sacroperineal Approach) |
| 46900-CPT | Moderate | Destruction Of Lesion(S) Anu, Destruction Of Lesion(S) Anus (Eg Condyloma Papillomamolluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Anus (Eg Condyloma Papilloma |
| 46910-CPT | Moderate | Anus Surgery To Remove Growth, Surgery To Destroy And Remove Abnormal Tissue From The Anus. The Tissue May Be Destroyed With Heat Cold Chemicals Or A Laser. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46744. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46744 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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