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See a sample rate comparisonCPT 49451 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 Duodenostomy Or, Replacement Of Duodenostomy Or Jejunostomy Tube Percutaneous Under Fluoroscopic Guidance Includingcontrast Injection(S) Image Documentation And Re Port
| 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 GC - Service performed by resident under supervision 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49451 |
| Medicaid Fee Schedule | View Medicaid rates for 49451 |
National average reimbursement for CPT 49451 by major payers:
$745.68
$965.35
$979.44
$225.44
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CPT 49451
5 of 25 sample ratesHigher to lower in this preview
Sabrina Dacosta
$1,907.98Published rateChristopher Drew
Town Center Orthopaedic Associates, P.C.
$1,044.05Published rateDanielle Eganhouse
Town Center Orthopaedic Associates, P.C.
$939.65Published rateMariah Atkinson
Deaconess Hospital Inc
$577.28Published rateZubair Syed
William J Morrow Do PA
$427.04Published rate
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See a sample payer proposalCPT 49451 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49451 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 49451 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 |
| 49451-CPT | Moderate | Replacement Of Duodenostomy Or, Replacement Of Duodenostomy Or Jejunostomy Tube Percutaneous Under Fluoroscopic Guidance Includingcontrast Injection(S) Image Documentation And Re Port |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49451. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49451 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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