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See a sample rate comparisonCPT 49651 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.
Laparoscopy; Repair Of Recurrent Inguinal Hernia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49651 |
| Medicaid Fee Schedule | View Medicaid rates for 49651 |
National average reimbursement for CPT 49651 by major payers:
$763.84
$742.49
$806.79
$903.95
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CPT 49651
5 of 25 sample ratesHigher to lower in this preview
Samson Pain Center
$3,132.00Published rateTheresa Chin
Regents Of The University Of California At Irvine
$2,158.35Published rateHongan Chen
University Physicians Incorporated
$2,027.01Published rateCollin Sharp
Collin F. Sharp M.D. P.C.
$981.63Published ratePradeep Rai
Pikes Peak Hospice And Palliative Care Inc
$651.20Published rate
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See a sample payer proposalCPT 49651 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49651 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 49651 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 |
|---|---|---|
| 49520-CPT | Moderate | Rep Hernia Inguin Recurrent > 5 Yrs |
| 49521-CPT | Moderate | Rpair Recurrent Inguinal Hernia Any Age; Ncarcerat Or Strangulat, Repair Recurrent Inguinal Hernia Any Age; Incarcerated Or Strangulate |
| 49650-CPT | Moderate | Laparoscopy; Repair Of Initial Inguinal Hernia |
| 49651-CPT | Moderate | Laparoscopy; Repair Of Recurrent Inguinal Hernia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49651. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49651 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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