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See a sample rate comparisonCPT 49465 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.
Fluoro Exam Of G Colon Tube, Contrast Injection S For Radiological Evaluation Of Existing Gastrostomy Duodenostomy Jejunostomy Gastro Jejunostomy Or Cecostomy Or Other Colonic Tube From A Percutaneous Approach Including Image Documentation And Report
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 49465 |
| Medicaid Fee Schedule | View Medicaid rates for 49465 |
National average reimbursement for CPT 49465 by major payers:
$169.18
$211.44
$216.10
$243.37
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CPT 49465
5 of 25 sample ratesHigher to lower in this preview
Joe Huang
University Physician Associates Of New Jersey Inc
$693.39Published rateChristopher Raio
Mercy Medical Center
$310.77Published rateErin Kelly
Town Center Orthopaedic Associates, P.C.
$221.25Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$169.41Published rateFaika Khan
$107.60Published rate
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See a sample payer proposalCPT 49465 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49465 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 49465 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 |
| 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 |
| 49465-CPT | Low | Fluoro Exam Of G Colon Tube, Contrast Injection S For Radiological Evaluation Of Existing Gastrostomy Duodenostomy Jejunostomy Gastro Jejunostomy Or Cecostomy Or Other Colonic Tube From A Percutaneous Approach Including 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 49465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49465 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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