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See a sample rate comparisonCPT 41018 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 Outside 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) Located In The Mouth Involving An Incision (Cut) In The Skin Under The Jaw.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $548.44 national non-facility rate (2026) · View Medicare rates for 41018 |
| Medicaid Fee Schedule | $427.94 median of the 8 states in the free preview · View Medicaid rates for 41018 |
National average reimbursement for CPT 41018 by major payers:
$612.39
$664.35
$707.82
$668.65
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CPT 41018
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes-Gi Diagnostics LLC
Saint Lukesgi Diagnostics LLC
$3,105.00Published rateOrthopaedic Surgery Center Of San Antonio Lp, Ridgewood Orthopaedic Surgery Center Of San Antonio
Orthopaedic Surgery Center Of San Antonio Lp
$1,535.00Published rateLake Endoscopy Center, LLC
Lake Endoscopy Center LLC
$1,179.00Published rateAtlanta Surgery North
$700.00Published rateMichael Smith
Deaconess Hospital Inc
$413.57Published rate
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See a sample payer proposalCPT 41018 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41018 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 41018 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 |
|---|---|---|
| 41015-CPT | Moderate | Drain Abscess Outside 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) Located In The Mouth Involving An Incision (Cut) In The Skin Under The Jaw. |
| 41016-CPT | Moderate | Drain Abscess Outside 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) Located In The Mouth Involving An Incision (Cut) In The Skin Under The Jaw. |
| 41017-CPT | Moderate | Drain Abscess Outside 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) Located In The Mouth Involving An Incision (Cut) In The Skin Under The Jaw. |
| 41018-CPT | Moderate | Drain Abscess Outside 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) Located In The Mouth Involving An Incision (Cut) In The Skin Under The Jaw. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41018. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41018 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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