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See a sample rate comparisonCPT 40844 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 On Mouth Opening, Surgery To Enlarge The Opening Of The Mouth And Build Up The Bony Ridge That Holds The Gums And Teeth (Alveolar Process).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,621.95 national non-facility rate (2026) · View Medicare rates for 40844 |
| Medicaid Fee Schedule | $1,290.76 median of the 8 states in the free preview · View Medicaid rates for 40844 |
National average reimbursement for CPT 40844 by major payers:
$1,790.90
$1,878.21
$1,998.63
$1,868.77
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CPT 40844
5 of 25 sample ratesHigher to lower in this preview
Lehigh Valley Hospital Muhlenberg
Lehigh Valley Hospital
$19,603.24Published rateSurgcenter Pinellas, LLC
$5,249.00Published rateBlue Ridge Day Surgery Center, Lp, Blue Ridge Day Surgery Center
Blue Ridge Day Surgery Center Lp
$2,917.00Published rateSouthern Urology Surgery Center, LLC
Southern Urology Surgery Center LLC
$1,828.00Published ratePremier Endoscopy Center, LLC
Premier Endoscopy Center, P.L.L.C.
$826.00Published rate
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See a sample payer proposalCPT 40844 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 40844 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 40844 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 |
|---|---|---|
| 40840-CPT | High | Surgery On Mouth Opening, Surgery To Enlarge The Opening Of The Mouth And Build Up The Bony Ridge That Holds The Gums And Teeth (Alveolar Process). |
| 40842-CPT | High | Surgery On Mouth Opening, Surgery To Enlarge The Opening Of The Mouth And Build Up The Bony Ridge That Holds The Gums And Teeth (Alveolar Process). |
| 40843-CPT | High | Surgery On Mouth Opening, Surgery To Enlarge The Opening Of The Mouth And Build Up The Bony Ridge That Holds The Gums And Teeth (Alveolar Process). |
| 40844-CPT | High | Surgery On Mouth Opening, Surgery To Enlarge The Opening Of The Mouth And Build Up The Bony Ridge That Holds The Gums And Teeth (Alveolar Process). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 40844. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 40844 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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