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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 51 - Multiple procedures GC - Service performed by resident under supervision 80 - Assistant surgeon 22 - Increased Procedural Services XU - Unusual Non-Overlapping Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47741 |
| Medicaid Fee Schedule | View Medicaid rates for 47741 |
National average reimbursement for CPT 47741 by major payers:

$1,869.81

$1,956.73

$2,023.54

$2,391.92
Choose a payer to see a sample of rates for CPT 47741.
UPMC
Titusville Center For Surgical
Orthopaedic Development Partners LLC
The Ocular Surgery Center LLC
Carlisle Endoscopy Center Ltd
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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 47741 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47741 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 47741 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 |
|---|---|---|
| 47721-CPT | High | Connect Bowel To Gallbladder, Surgery To Create A Connection Between The Gallbladder And A Man-Made Anus Or Through An Opening In The Abdominal Wall. |
| 47740-CPT | High | Connect Bowel To Gallbladder, Surgery To Create A Connection Between The Gallbladder And A Man-Made Anus Or Through An Opening In The Abdominal Wall. |
| 47741-CPT | High | Connect Bowel To Gallbladder, Surgery To Create A Connection Between The Gallbladder And A Man-Made Anus Or Through An Opening In The Abdominal Wall. |
| 48150-CPT | High | Partial Removal Of Pancreas, Pancreatectomy Proximal Subtotal With Total Duodenectomy Partial Gastrectomy Choledochoenterostomy And Gastrojejunostomy Whipple Type Procedure With Pancreatojejunostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47741. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47741 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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