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See a sample rate comparisonCPT 49407 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49407 |
| Medicaid Fee Schedule | View Medicaid rates for 49407 |
National average reimbursement for CPT 49407 by major payers:
$867.97
$976.66
$1,027.33
$1,189.71
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CPT 49407
5 of 25 sample ratesHigher to lower in this preview
South Jersey Musculoskeletal Institute, LLC, Advanced Surgical Institute
South Jersey Musculoskeletal Institute, LLC
$2,382.00Published rateCreekwood Surgery Center, Lp
Creekwood Surgery Center Lp
$1,258.00Published rateMohawk Surgery Center LLC
$840.00Published rateEnglewood Surgery Center, LLC
Englewood Surgery Center LLC
$625.00Published rateAlabama Eye Surgery Center LLC
$399.00Published rate
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See a sample payer proposalCPT 49407 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49407 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 49407 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 |
|---|---|---|
| 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. |
| 49407-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. |
| 49411-CPT | Moderate | Place Radiation Therapy Guide, Insertion Of One Or More Radiation Therapy Guidance Devices. The Devices Guide Regulate Or Deliver Radiation Therapy To A Specific Place Inside The Body. Insertion May Be Done By Puncturing The Skin Or During Surgery. |
| 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 49407. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49407 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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