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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 46748 |
| Medicaid Fee Schedule | View Medicaid rates for 46748 |
National average reimbursement for CPT 46748 by major payers:

$5,246.66

$5,443.60

$5,664.96

$6,679.49
Choose a payer to see a sample of rates for CPT 46748.
Mercy Catholic Medical Center Of Southeastern PA
Charlotte Surgery Center LLC
Minnesota Eye Laser Surgery Centers LLC
Gastrointestinal Institute LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 46748 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46748 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 46748 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) |
| 46748-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) With Lengthening Of Vagina |
| 47001-CPT | Low | Ndl Biopsy Lvr Tm Oth Maj Px, Biopsy Of Liver Needle; When Done For Indicated Purpose At Time Of Other Major Procedure (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46748. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46748 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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