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See a sample rate comparisonCPT 49325 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.
Scope Surgery Of Abdomen, Abdominal Surgery Aided By A Scope (Laparoscopy). This Surgery May Involve Taking Tissue Samples For Testing (Biopsy) Draining A Cyst (Fluid Pocket) Or Implanting A Thin Tube (Catheter) Or Support Device (Stent).
| 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 GC - Service performed by resident under supervision AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49325 |
| Medicaid Fee Schedule | View Medicaid rates for 49325 |
National average reimbursement for CPT 49325 by major payers:
$507.04
$556.07
$581.74
$675.46
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CPT 49325
5 of 25 sample ratesHigher to lower in this preview
Optimum Spine Center, LLC, Peachtree Spine & Pain Physicians
$5,020.00Published rateJoanna Etra
University Physicians Incorporated
$1,536.68Published rateDana Stalilionis
University Physicians Incorporated
$1,200.86Published rateForrest Moore
Scott & White Clinic
$720.52Published rateRobert Marriott Medical Corp, <Unavail>
Robert Marriott Medical Corp
$432.27Published rate
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See a sample payer proposalCPT 49325 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49325 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 49325 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 F, Preperitoneal Pelvic Packing For Hemorrhage Associated With Pelvic Trauma Including Local Exploration |
| 49014-CPT | Moderate | Re-Exploration Of Pelvic Wound, Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing Including Repacking When Performed |
| 49323-CPT | Moderate | Scope Surgery Of Abdomen, Abdominal Surgery Aided By A Scope (Laparoscopy). This Surgery May Involve Taking Tissue Samples For Testing (Biopsy) Draining A Cyst (Fluid Pocket) Or Implanting A Thin Tube (Catheter) Or Support Device (Stent). |
| 49325-CPT | Moderate | Scope Surgery Of Abdomen, Abdominal Surgery Aided By A Scope (Laparoscopy). This Surgery May Involve Taking Tissue Samples For Testing (Biopsy) Draining A Cyst (Fluid Pocket) Or Implanting A Thin Tube (Catheter) Or Support Device (Stent). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49325 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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