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See a sample rate comparisonCPT 49600 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.
Surgery To Repair Intestine, Surgery To Move The Intestines Back Inside The Abdomen At The Belly Button. The Full Repair Takes More Than One Surgery To Complete.
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49600 |
| Medicaid Fee Schedule | View Medicaid rates for 49600 |
National average reimbursement for CPT 49600 by major payers:
$921.63
$971.17
$1,013.14
$1,170.26
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CPT 49600
5 of 25 sample ratesHigher to lower in this preview
Campus Surgery Center LLC
Campus Surgery Center L P
$5,726.00Published rateMedstar Surgery Center At Lafayette Centre, LLC
Medstar Surgery Center At Lafayette Centre LLC
$2,860.00Published rateDenver West Endoscopy Center, LLC
Denver West Endoscopy Center LLC
$2,239.00Published rateEye Surgical Center Of San Francisco LLC, Eye Surgery Center Of San Francisco
Eye Surgery Center Of San Francisco
$1,891.00Published rateSpokane Digestive Disease Center, P.S., South Asc
Spokane Digestive Disease Center P.S.
$651.00Published rate
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See a sample payer proposalCPT 49600 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49600 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 49600 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 |
|---|---|---|
| 49600-CPT | Moderate | Surgery To Repair Intestine, Surgery To Move The Intestines Back Inside The Abdomen At The Belly Button. The Full Repair Takes More Than One Surgery To Complete. |
| 49605-CPT | High | Surgery To Repair Intestine, Surgery To Move The Intestines Back Inside The Abdomen At The Belly Button. The Full Repair Takes More Than One Surgery To Complete. |
| 49606-CPT | High | Surgery To Repair Intestine, Surgery To Move The Intestines Back Inside The Abdomen At The Belly Button. The Full Repair Takes More Than One Surgery To Complete. |
| 49610-CPT | Moderate | Surgery To Repair Intestine, Surgery To Move The Intestines Back Inside The Abdomen At The Belly Button. The Full Repair Takes More Than One Surgery To Complete. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49600 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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