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See a sample rate comparisonCPT 49418 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.
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
| 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 GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 49418 |
| Medicaid Fee Schedule | View Medicaid rates for 49418 |
National average reimbursement for CPT 49418 by major payers:
$1,297.03
$1,808.75
$1,681.58
$602.69
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CPT 49418
5 of 25 sample ratesHigher to lower in this preview
Theresa Gillis
$7,831.18Published rateMatthew Lilley
Bend Memorial Clinic, PC
$3,465.59Published rateGregg Bean
$2,238.65Published rateJaime Redman
Deaconess Hospital Inc
$1,020.21Published rateDavid Kleinman
Kleinman Associates
$132.92Published rate
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See a sample payer proposalCPT 49418 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49418 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 49418 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 |
| 49324-CPT | Moderate | Surgery To Embed Catheter, Surgery To Embed A Thin Tube (Catheter) Into The Tissues Or Under The Skin. The Catheter May Have A Sealable Opening (Port). Typically An Embedded Catheter Is Used For Dialysis Or To Deliver Medicines. |
| 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 49418. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49418 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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