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See a sample rate comparisonCPT 49062 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.
Abscess Or Cyst Drainage, Surgery To Drain Abscess (Pocket Of Infection) Or Cyst (Collection Of Lymph Fluid) Located In The Lining Of The Abdominal Wall.
| 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 78 - Return to OR - related procedure 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49062 |
| Medicaid Fee Schedule | View Medicaid rates for 49062 |
National average reimbursement for CPT 49062 by major payers:
$988.48
$1,013.03
$1,050.28
$1,219.17
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CPT 49062
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center
$7,400.00Published rateAdvanced Surgery Center Of Bethesda, LLC
Asc Bethesda
$1,049.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateWest Georgia Endoscopy Center
$416.00Published rateBeaumont Asc, Lp, Beaumont Heart & Vascular Surgery Center
$200.00Published rate
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See a sample payer proposalCPT 49062 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49062 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 49062 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 |
|---|---|---|
| 49060-CPT | High | Drain Infection From Abdomen, Surgery To Drain Abscess (Pocket Of Infection) Located In The Peritoneum (Lining Of The Abdominal Cavity). |
| 49062-CPT | Moderate | Abscess Or Cyst Drainage, Surgery To Drain Abscess (Pocket Of Infection) Or Cyst (Collection Of Lymph Fluid) Located In The Lining Of The Abdominal Wall. |
| 49185-CPT | High | Sclerotx Fluid Collection, Sclerotherapy Of A Fluid Collection Eg Lymphocele Cyst Or Seroma Percutaneous Including Contrast Injection S Sclerosant Injection S Diagnostic Study Imaging Guidance Eg Ultrasound Fluoroscopy And Radiological Supervision And Interpretation When Performed |
| 49406-CPT | Moderate | Surgery To Drain Fluid, Ultrasound Or Ct Scan Is Used To Locate A Fluid Collection (Abscess Cyst Etc) And To Provide Guidance For The Insertion Of A Needle Into The Affected Area. A Thin Tube (Catheter) Is Then Inserted And Used To Drain The Fluid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49062. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49062 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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