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See a sample rate comparisonCPT 49185 Fee Schedule
Last Verified: September 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 49185 |
| Medicaid Fee Schedule | View Medicaid rates for 49185 |
National average reimbursement for CPT 49185 by major payers:
$1,238.25
$1,462.14
$1,675.70
$324.83
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CPT 49185
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$2,350.00Published rateDesert Ridge Outpatient Surgery LLC
$953.00Published rateHead And Neck Surgical Partners LLC
$560.00Published rateGreen Surgery Center LLC
$345.00Published rateCataract And Laser Center LLC
$215.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 49185 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49185 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 49185 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 |
|---|---|---|
| 49082-CPT | Moderate | Remove Fluid From Abdomen, A Procedure To Remove Excess Fluid That Has Accumulated In The Abdomen. In Some Cases Scans Are Used To Help View The Area. |
| 49083-CPT | Moderate | Remove Fluid From Abdomen, A Procedure To Remove Excess Fluid That Has Accumulated In The Abdomen. In Some Cases Scans Are Used To Help View The Area. |
| 49084-CPT | Low | Test Fluid In Lower Abdomen, A Procedure To Check For Blood In The Lower Abdomen Near The Pubic Bone. If No Blood Is Removed Saline Is Swished Around And Removed For Testing. The Procedure Is Part Of Assessment After An Injury. |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49185. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49185 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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