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See a sample rate comparisonHealthcare 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.
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 49441 |
| Medicaid Fee Schedule | View Medicaid rates for 49441 |
National average reimbursement for CPT 49441 by major payers:

$1,262.40

$1,496.82

$1,452.66

$470.69
Choose a payer to see a sample of rates for CPT 49441.
Emory Ambulatory Surgery Center At Dunwoody LLC
Riverside Ambulatory Surgery Center LLC
Hutchinson Clinic, P.A.
Fry Eye Surgery Center LLC
Coastal Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 49441 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49441 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 49441 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 |
|---|---|---|
| 49441-CPT | High | Insertion Of Duodenostomy Or J, Insertion Of Duodenostomy Or Jejunostomy Tube Percutaneous Under Fluoroscopic Guidance Including Contrast Injection(S) Image Documentation And Report |
| 49442-CPT | High | Insertion Of Cecostomy Or Othe, Insertion Of Cecostomy Or Other Colonic Tube Percutaneous Under Fluoroscopic Guidance Including Contrast Injection(S) Image Documentation And Report |
| 49446-CPT | Moderate | Conversion Of Gastrostomy Tube, Conversion Of Gastrostomy Tube To Gastro-Jejunostomy Tube Percutaneous Under Fluoroscopic Guidanceincluding Contrast Injection(S) Image Documentat Ion And Report |
| 49450-CPT | Moderate | Replacement Of Gastrostomy Or, Replacement Of Gastrostomy Or Cecostomy (Or Other Colonic) Tube Percutaneous Under Fluoroscopic Guidance Including Contrast Injection(S) Image Documentation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49441 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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