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See a sample rate comparisonCPT 49452 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 Gastro-Jejunost, Replacement Of Gastro-Jejunostomy Tube Percutaneous Under Fluoroscopic Guidance Including Contrastinjection(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 GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49452 |
| Medicaid Fee Schedule | View Medicaid rates for 49452 |
National average reimbursement for CPT 49452 by major payers:
$935.32
$1,187.08
$1,223.81
$301.67
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CPT 49452
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,314.64Published rateGregg Bean
South Texas Radiology Group, P.A.
$1,511.93Published rateAmy Miner
Cooper Health Systems
$1,396.68Published rateJorge Osorio
Renaissance Medical Group PA
$562.90Published rateDanielle Eganhouse
Town Center Orthopaedic Associates, P.C.
$187.83Published rate
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See a sample payer proposalCPT 49452 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49452 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 49452 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 |
| 49452-CPT | Moderate | Replacement Of Gastro-Jejunost, Replacement Of Gastro-Jejunostomy Tube Percutaneous Under Fluoroscopic Guidance Including Contrastinjection(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 49452. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49452 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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