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See a sample rate comparisonCPT 49419 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 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.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49419 |
| Medicaid Fee Schedule | View Medicaid rates for 49419 |
National average reimbursement for CPT 49419 by major payers:
$520.99
$584.29
$597.73
$689.39
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CPT 49419
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$24,492.00Published rateAnne Arundel-Sca Surgicenter, LLC
Anne Arundelsca Surgicenter LLC
$6,315.00Published rateInland Northwest Surgery Center PLLC
$3,127.00Published rateRiver Park Asc LLC
$2,059.00Published rateWellbrook Endoscopy Center, LLC
Wellbrook Endoscopy Center LLC
$891.00Published rate
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See a sample payer proposalCPT 49419 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49419 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 49419 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 |
|---|---|---|
| 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. |
| 49412-CPT | Low | Ins Device For Rt Guide Open, Placement Of Interstitial Device S For Radiation Therapy Guidance Eg Fiducial Markers Dosimeter Open Intra Abdominal Intrapelvic And Or Retroperitoneum Including Image Guidance If Performed Single Or Multiple List Separately In Addition To Code For Primary Procedure |
| 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 |
| 49419-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49419. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49419 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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