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See a sample rate comparisonCPT 49446 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.
Conversion Of Gastrostomy Tube, Conversion Of Gastrostomy Tube To Gastro-Jejunostomy Tube Percutaneous Under Fluoroscopic Guidanceincluding Contrast Injection(S) Image Documentat Ion And Report
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49446 |
| Medicaid Fee Schedule | View Medicaid rates for 49446 |
National average reimbursement for CPT 49446 by major payers:
$999.97
$1,262.30
$1,288.50
$319.04
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CPT 49446
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$4,617.00Published rateMichael Albring
Deaconess Hospital Inc
$1,596.81Published rateChristopher Raio
Mercy Medical Center
$1,318.01Published rateRudolph Mueller
Chautauqua Center Inc
$926.59Published rateHoward Brown
Samaritan Emergency Medical Services PC
$543.59Published rate
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See a sample payer proposalCPT 49446 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49446 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 49446 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 49446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49446 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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