Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 49422 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 Remove Catheter, Surgery To Remove A Thin Tube (Catheter) That Had Been Surgically Embedded Under The Skin.
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49422 |
| Medicaid Fee Schedule | View Medicaid rates for 49422 |
National average reimbursement for CPT 49422 by major payers:
$350.62
$396.36
$415.08
$432.63
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 49422.
CPT 49422
5 of 25 sample ratesHigher to lower in this preview
The Metrohealth System, Metrohealth System Parma Ambulatory Surgery Center
$3,308.00Published rateMatthew Zipse
University Physicians Incorporated
$820.41Published rateAllison Herman
University Physicians Incorporated
$804.33Published rateJennifer West
University Physicians Incorporated
$641.14Published rateMichael Weinreich
Poudre Valley Medical Group LLC
$373.01Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 49422 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49422 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 49422 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 |
|---|---|---|
| 49421-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. |
| 49422-CPT | Moderate | Surgery To Remove Catheter, Surgery To Remove A Thin Tube (Catheter) That Had Been Surgically Embedded Under The Skin. |
| 49423-CPT | Moderate | Exchange Of Previously Placed, Exchange Of Previously Placed Abscess Or Cyst Drainagecatheter Under Radiological Guidance (Separateprocedure) |
| 49424-CPT | Low | Dye Injection For Assessment, Dye Injection Through An Existing Drainage Thin Tube (Catheter). The Dye Will Help Assess An Infection Or Pocket Of Fluid (Cyst). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49422. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49422 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 49422) and we'll show you how you compare in 15 minutes or less.