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See a sample rate comparisonCPT 49606 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 49606 |
| Medicaid Fee Schedule | View Medicaid rates for 49606 |
National average reimbursement for CPT 49606 by major payers:
$1,412.60
$1,522.25
$1,592.20
$1,815.93
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CPT 49606
5 of 25 sample ratesHigher to lower in this preview
Willis Surgicenter, LLC
Willis Surgicenter LLC
$2,785.00Published rateTorrance Ca Multispecialty Asc LLC, Surgery Center Of South Bay
Torrance Ca Multispecialty Asc LLC
$995.00Published rateSunset Pain Surgery Center
$610.00Published rateDallas Nephrology Associates, Dallas Nephrology Associates Vascular Center Dallas
Dallas Nephrology Associates, P.A.
$410.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 49606 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49606 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 49606 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 49606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49606 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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