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See a sample rate comparisonCPT 41006 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.
Drain Abscess Inside Mouth, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Hematoma (Collection Of Blood Under The Skin) Or Cyst (Pocket Of Fluid) Involving An Incision (Cut) In The Mouth.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $349.04 national non-facility rate (2026) · View Medicare rates for 41006 |
| Medicaid Fee Schedule | $276.20 median of the 8 states in the free preview · View Medicaid rates for 41006 |
National average reimbursement for CPT 41006 by major payers:
$430.50
$458.96
$485.40
$558.02
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CPT 41006
5 of 25 sample ratesHigher to lower in this preview
Howard Community Surgery Center LLC
$3,994.00Published rateSouthtowns Surgery Center LLC
$1,297.00Published rateEndoscopy Center Of Grand Junction LLC
$755.00Published rateNorthwest Surgery Center, Inc
Northwest Surgery Center Inc
$516.00Published rateMelbourne Asc Lp, The Surgery Center Of Melbourne
Melbourne Asc Lp
$410.00Published rate
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See a sample payer proposalCPT 41006 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41006 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 41006 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 |
|---|---|---|
| 41000-CPT | Low | Drain Abscess Inside Mouth, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Hematoma (Collection Of Blood Under The Skin) Or Cyst (Pocket Of Fluid) Involving An Incision (Cut) In The Mouth. |
| 41005-CPT | Moderate | Drain Abscess Inside Mouth, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Hematoma (Collection Of Blood Under The Skin) Or Cyst (Pocket Of Fluid) Involving An Incision (Cut) In The Mouth. |
| 41006-CPT | Moderate | Drain Abscess Inside Mouth, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Hematoma (Collection Of Blood Under The Skin) Or Cyst (Pocket Of Fluid) Involving An Incision (Cut) In The Mouth. |
| 41007-CPT | Moderate | Drain Abscess Inside Mouth, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Hematoma (Collection Of Blood Under The Skin) Or Cyst (Pocket Of Fluid) Involving An Incision (Cut) In The Mouth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41006. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41006 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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