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See a sample rate comparisonCPT 49402 Fee Schedule
Last Verified: October 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.
Remval Of Peritoneal Foreign Body From Peritoneal Cavity, Removal Of Peritoneal Foreign Body From Peritoneal Cavity
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 49402 |
| Medicaid Fee Schedule | View Medicaid rates for 49402 |
National average reimbursement for CPT 49402 by major payers:
$1,070.83
$1,137.42
$1,179.88
$1,377.61
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CPT 49402
5 of 25 sample ratesHigher to lower in this preview
Delray Beach Asc, LLC, Delray Beach Surgery Center
$4,339.00Published rateNorth Atlantic Surgical Suites, LLC
$3,188.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$1,505.00Published rateMadhu K. Kris M.D., Merced Ambulatory Endoscopy Center
Madhu K Kris Md
$1,234.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 49402 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49402 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 49402 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 49402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49402 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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