CPT 49324 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 49324 |
National average reimbursement for CPT 49324 by major payers:
$503.26
$520.30
$559.03
$646.08
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 49324 | ||||||
United | 49324 | $1350.56 | 1932893054 - ABIGAIL LEON | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | NY | Surgical Physician Assistant (363AS0400X) |
United | 49324 | $1125.46 | 1164152286 - MICHAEL CROOKSHANKS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Medical Physician Assistant (363AM0700X) |
United | 49324 | $1440.18 | 1497858294 - STEVEN OJEMANN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Neurological Surgery Physician (207T00000X) |
United | 49324 | $1678.13 | 1104128842 - SAYDE MCALLISTER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Medical Physician Assistant (363AM0700X) |
United | 49324 | $678.60 | 1851382634 - LAWRENCE DAVIS | 846014138 - (CO) EAST PHILLIPS COUNTY HOSPITAL DISTRICT | CO | Surgery Physician (208600000X) |
United | 49324 | $610.75 | 1912017054 - JEFFREY ROSENSWEIG | 760716365 - (CO) PEDIATRIC GASTROENTEROLOGY CONSULTANTS, P.C. | CO | Specialist (174400000X) |
United | 49324 | $1125.46 | 1356737027 - BAHRAM SALMANIAN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 49324 | $1411.94 | 1356721799 - MARINA MUTTER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Hospitalist Physician (208M00000X) |
United | 49324 | $353.17 | 1275617524 - ROBERT LETENDRE | 841288940 - (CO) PHYSICAL THERAPY INDUSTRIAL SERVICES PC | CO | Specialist (174400000X) |
United | 49324 | $849.90 | 1497106637 - BETHANY MENSINK | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | MI | Surgery Physician (208600000X) |
United | 49324 | $1678.13 | 1265826408 - STEPHANIE GILLEY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatrics Physician (208000000X) |
United | 49324 | $1411.94 | 1407943558 - ERIC MCCARTY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 49324 | $789.86 | 1619280997 - AHMED ZIHNI | 510147309 | CO | Surgery Physician (208600000X) |
United | 49324 | $709.00 | 1992700090 - TAMPA BAY SPECIALTY SURGERY CENTER LLC, TAMPA BAY SPECIALTY SURGERY CENTER | 331019420 - (FL) TAMPA BAY SPECIALTY SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 49324 | $3219.00 | 1841840758 - GULFSTREAM PARC ASC LLC | 843025864 - (TX) GULFSTREAM PARC ASC LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 49324 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49324 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 49324 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 |
|---|---|---|
| 49013-CPT | Moderate | Preperitoneal Pelvic Packing For Hemorrhage Associated With Pelvic Trauma Including Local Exploration |
| 49014-CPT | Moderate | Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing Including Repacking When Performed |
| 49322-CPT | Moderate | Laparoscopy, Surgical; With Aspiration Of Cavity/Cyst (Eg, Ovarian Cyst) (Single/Multiple) |
| 49324-CPT | Moderate | Laparoscopy, Surgical; Withh Biopsy (Single Or Multiple) With Insertion Of Tunneled Intraperitoneal Catheter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49324. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49324 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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