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See a sample rate comparisonCPT 49450 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49450 |
| Medicaid Fee Schedule | View Medicaid rates for 49450 |
National average reimbursement for CPT 49450 by major payers:
$699.57
$905.12
$936.74
$185.17
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CPT 49450
5 of 25 sample ratesHigher to lower in this preview
Robert Belkin
Columbia University In The City Of New York
$1,933.07Published rateChristopher Raio
St Joseph Hospital
$1,307.26Published rateThomas Fleeter
Town Center Orthopaedic Associates, P.C.
$961.29Published rateMichael Pitman
Columbia University In The City Of New York
$843.14Published rateDanielle Eganhouse
Town Center Orthopaedic Associates, P.C.
$89.23Published rate
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See a sample payer proposalCPT 49450 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49450 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 49450 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 49450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49450 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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