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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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $405.82 national non-facility rate (2026) · View Medicare rates for 41019 |
| Medicaid Fee Schedule | $334.62 median of the 8 states in the free preview · View Medicaid rates for 41019 |
National average reimbursement for CPT 41019 by major payers:

$612.50

$641.80

$673.60

$798.45
Choose a payer to see a sample of rates for CPT 41019.
Lubbock County Hospital District, University Medical Center
Lubbock County Hospital District
Gastro-Surgi Center Of New Jersey
Gastro-Surgi Center Of Nj
Stuart Surgery Center, LLC
Stuart Surgery Center LLC
Ent Facial Surgery Center LLC
Musculoskeletal Ambulatory Surgery Center Inc, The Surgery Center At Pointe West
Musculoskeletal Ambulatory Surgery Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 41019 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41019 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 41019 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 |
|---|---|---|
| 41010-CPT | Moderate | Surgery For Tongue Mobility, Surgery To Cut Into Remove Or Reconstruct The Lingual Frenum. This Is A Vertical Piece Of Tissue That Attaches The Tongue To The Floor Of The Mouth. The Surgery Improves Mobility Of The Tongue. |
| 41019-CPT | Moderate | Placement Of Needles Catheter, Placement Of Needles Catheters Or Other Device(S) Into The Head Andor Neck Region (Percutaneous Transoral Or Transnasal) For Subsequent Interstitial Radioelement Application |
| 41100-CPT | Moderate | Biopsy Tongue; Anterior Two-Thirds |
| 41105-CPT | Moderate | Biopsy Tongue Posterior 1/3 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41019. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41019 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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