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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $414.51 national non-facility rate (2026) · View Medicare rates for 41008 |
| Medicaid Fee Schedule | $323.835 median of the 8 states in the free preview · View Medicaid rates for 41008 |
National average reimbursement for CPT 41008 by major payers:

$473.92

$494.88

$537.25

$616.12
Choose a payer to see a sample of rates for CPT 41008.
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
May Street Surgi Center, LLC, May Street Surgi Center
May Street Surgi Center, LLC
The Surgeon'S Point Surgery Center, LLC, The Surgeon'S Point At Cedar Park
The Surgeons Point Surgery Center LLC
Jalaram Patel
Deaconess Hospital Inc
William Boone
Deaconess Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 41008 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41008 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 41008 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. |
| 41008-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 41008. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41008 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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