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CPT 46748 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.

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
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Digestive System

Common Place of Service

21 - Inpatient Hospital

Common Modifiers

None

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 46748
Medicaid Fee ScheduleView Medicaid rates for 46748

National average reimbursement for CPT 46748 by major payers:

bcbs

$5,246.66

uhc

$5,443.60

aetna

$5,664.96

cigna

$6,679.49

Compare published rates across providers.

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CPT 46748
5 of 25 sample ratesHigher to lower in this preview
  1. Mercy Catholic Medical Center Of Southeastern PA, Mercy Philadelphia Hospital Short Procedure Unit

    Mercy Catholic Medical Center Of Southeastern PA

    PAAmbulatory Surgical Clinic/CenterNPI 1083754352Tax ID 23-1352191

    $3,598.00Published rate
  2. Charlotte Surgery Center, LLC, Charlotte Surgery Center

    Charlotte Surgery Center LLC

    NCAmbulatory Surgical Clinic/CenterNPI 1891750998Tax ID 56-1449531

    $1,184.00Published rate
  3. Minnesota Eye Laser & Surgery Centers, LLC

    Minnesota Eye Laser Surgery Centers LLC

    MNAmbulatory Surgical Clinic/CenterNPI 1932882230Tax ID 46-0505033

    $993.00Published rate
  4. Gastrointestinal Institute, LLC.

    Gastrointestinal Institute LLC

    ILAmbulatory Surgical Clinic/CenterNPI 1174670723Tax ID 20-1622626

    $500.00Published rate
  5. Surgery Center Of Lynchburg LLC

    VAAmbulatory Surgical Clinic/CenterNPI 1598797714Tax ID 54-1935354

    $128.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 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.

CodeComplexityDescription
46744-CPTHighSurgery 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-CPTHighRepair 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-CPTHighRepair 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-CPTLowNdl 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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