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See a sample rate comparisonCPT 49326 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 AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49326 |
| Medicaid Fee Schedule | View Medicaid rates for 49326 |
National average reimbursement for CPT 49326 by major payers:
$226.41
$253.60
$259.08
$310.26
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CPT 49326
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S Surgicenter
Saint Lukes Surgicenter
$6,175.00Published rateMississippi Medical Plaza, Lc, Mississippi Valley Surgery Center
Mississippi Medical Plaza, L.C.
$549.00Published rateCascade Regional Eye Center Inc Ps, The Harman Eye Clinic Asc
Sight Partners, LLC
$332.00Published rateComprehensive Pain Management Center, Inc.
$188.00Published rateInteg Health System, P.C., Bloomington Surgery Center
Integ Health System PC
$71.00Published rate
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See a sample payer proposalCPT 49326 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49326 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 49326 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 |
|---|---|---|
| 49000-CPT | Moderate | Exploratory Laparotomy Explor, Exploratory Laparotomy Exploratory Celiotomy Withorwithout Biopsy(S) (Separate Procedure) Explora Tory Laparotomy Exploratory Celiotomy With Or |
| 49255-CPT | Moderate | Omentectomy Epiploectomy Resct Of Omentum (Sepa Proc), Omentectomy Epiploectomy Resection Of Omentum (Separate Procedure) |
| 49326-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). |
| 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 49326. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49326 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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