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See a sample rate comparisonCPT 49400 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.
Inject Of Air Or Cntrst Into Peritoneal Cavity (Sepa Proc, Injection Of Air Or Contrast Into Peritoneal Cavity (Separate Procedur
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 49400 |
| Medicaid Fee Schedule | View Medicaid rates for 49400 |
National average reimbursement for CPT 49400 by major payers:
$182.85
$201.26
$209.97
$154.62
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CPT 49400
5 of 25 sample ratesHigher to lower in this preview
Winston Wong
Westchester Medical Center Advanced Physician Services PC
$935.26Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$287.51Published rateGregg Bean
$240.14Published rateXin Quan
Mount Vernon Neighborhood Health Center Inc
$146.71Published rateChristopher Raio
St Francis Hospital
$78.14Published rate
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See a sample payer proposalCPT 49400 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49400 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 49400 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 |
|---|---|---|
| 49400-CPT | Low | Inject Of Air Or Cntrst Into Peritoneal Cavity (Sepa Proc, Injection Of Air Or Contrast Into Peritoneal Cavity (Separate Procedur |
| 49402-CPT | High | Remval Of Peritoneal Foreign Body From Peritoneal Cavity, Removal Of Peritoneal Foreign Body From Peritoneal Cavity |
| 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. |
| 49418-CPT | High | Insert Tun Ip Cath Perc, Insertion Of Tunneled Intraperitoneal Catheter Eg Dialysis Intraperitoneal Chemotherapy Instillation Management Of Ascites Complete Procedure Including Imaging Guidance Catheter Placement Contrast Injection When Performed And Radiological Supervision And Interpretation Percutaneous |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49400 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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