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See a sample rate comparisonCPT 48400 Fee Schedule
Last Verified: October 2026
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.
Injection Procedure For Intrao, Injection Procedure For Intraoperative Pancreatography (Listseparately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 48400 |
| Medicaid Fee Schedule | View Medicaid rates for 48400 |
National average reimbursement for CPT 48400 by major payers:
$139.75
$148.02
$148.25
$171.01
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CPT 48400
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$16,236.00Published rateSurgcenter Northeast LLC
Surgcenter Northeast, LLC
$1,064.00Published rateThe Urology Center LLC
$923.00Published rateShreveport Surgery Center Ptrshp
Shreveport Surgery Center Of Caddo Parish, Inc.
$497.00Published rateHazleton Ambulatory Surgical Center LLC
$200.00Published rate
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See a sample payer proposalCPT 48400 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48400 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 48400 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 |
|---|---|---|
| 48100-CPT | High | Pancreas Biopsy, A Procedure To Remove A Sample Of Tissue From The Pancreas For Testing (Biopsy). The Sample May Be Taken In A Surgery Or With A Needle. |
| 48102-CPT | Moderate | Pancreas Biopsy, A Procedure To Remove A Sample Of Tissue From The Pancreas For Testing (Biopsy). The Sample May Be Taken In A Surgery Or With A Needle. |
| 48148-CPT | High | Remove Part Of Bile Duct, Surgery To Remove The Ampulla Of Vater A Portion Of The Bile Duct Where The Ducts From The Liver And The Pancreas Meet. |
| 48400-CPT | Low | Injection Procedure For Intrao, Injection Procedure For Intraoperative Pancreatography (Listseparately 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 48400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48400 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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