CPT 47562 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 47562 |
| Medicaid Fee Schedule | View Medicaid rates for 47562 |
National average reimbursement for CPT 47562 by major payers:
$817.53
$909.46
$992.48
$1,082.76
CPT 47562 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47562 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 47562 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 |
|---|---|---|
| 47562-CPT | Moderate | Laparoscopy; Cholecystectomy |
| 47563-CPT | Moderate | Laparoscopy; Cholecystectomy With Cholangiography |
| 47564-CPT | High | Laparoscopy Surg; Cholecystectomy W/ Explora Of Common Duct, Laparoscopy Surgical; Cholecystectomy With Exploration Of Common Duct |
| 47570-CPT | Moderate | Laparoscopy; Cholecystoenterostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47562 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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