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See a sample rate comparisonCPT 49900 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.
Suture Second Of Abdomi Wall For Evisceration Or Dehiscence, Suture Secondary Of Abdominal Wall For Evisceration Or Dehiscence
| 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 78 - Return to OR - related procedure 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 49900 |
| Medicaid Fee Schedule | View Medicaid rates for 49900 |
National average reimbursement for CPT 49900 by major payers:
$956.22
$1,085.38
$1,158.24
$1,313.14
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CPT 49900
5 of 25 sample ratesHigher to lower in this preview
Methodist Ambulatory Surgery Center Of Landmark, LLC
Methodist Ambulatory Surgery Center Of Landmark LLC
$2,732.00Published rateMayfair Digestive Health Center, LLC
Mayfair Digestive Health Center LLC
$994.26Published rateWindhaven Surgery Center, LLC
Windhaven Surgery Center LLC
$550.00Published rateGastroenterology East, P.A.
$450.00Published rateSan Antonio Tx Endoscopy Asc Lp, San Antonio Gastroenterology Endoscopy Center North
San Antonio Tx Endoscopy Asc Lp
$138.00Published rate
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See a sample payer proposalCPT 49900 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49900 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 49900 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 |
|---|---|---|
| 49900-CPT | Moderate | Suture Second Of Abdomi Wall For Evisceration Or Dehiscence, Suture Secondary Of Abdominal Wall For Evisceration Or Dehiscence |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49900 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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