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See a sample rate comparisonCPT 49429 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.
Shunt Removal From Abdomen, Procedure To Remove Shunt (Passage That Allows Movement Of Fluid From One Part Of The Body To Another).
| 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 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49429 |
| Medicaid Fee Schedule | View Medicaid rates for 49429 |
National average reimbursement for CPT 49429 by major payers:
$555.45
$615.29
$638.53
$735.52
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CPT 49429
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$9,418.76Published rateViewmont Surgery Center, LLC
Viewmont Surgery Center LLC
$2,913.00Published rateTexas Eye Surgery Center, LLC
Texas Eye Surgery Center LLC
$1,735.00Published rateSt Lukes Surgical Center Inc, St. Luke'S Surgical At Wesley Chapel
St Lukes Surgical Center Inc
$1,200.00Published rateRiverside Ambulatory Surgery Center LLC
$588.00Published rate
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See a sample payer proposalCPT 49429 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49429 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 49429 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 |
|---|---|---|
| 49426-CPT | Moderate | Shunt Placement In Abdomen, Procedure To Insert Shunt (Passage That Allows Movement Of Fluid From One Part Of The Body To Another). |
| 49427-CPT | Low | Dye Injection To Examine Shunt, Injection Of Dye For Examination Of A Shunt. The Shunt Enables Fluid To Flow From One Part Of The Body To Another. |
| 49428-CPT | Moderate | Shunt Removal From Abdomen, Procedure To Remove Shunt (Passage That Allows Movement Of Fluid From One Part Of The Body To Another). |
| 49429-CPT | Moderate | Shunt Removal From Abdomen, Procedure To Remove Shunt (Passage That Allows Movement Of Fluid From One Part Of The Body To Another). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49429. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49429 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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