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See a sample rate comparisonCPT 41100 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.
Biopsy Tongue; Anterior Two-Thirds
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $188.05 national non-facility rate (2026) · View Medicare rates for 41100 |
| Medicaid Fee Schedule | $147.275 median of the 8 states in the free preview · View Medicaid rates for 41100 |
National average reimbursement for CPT 41100 by major payers:
$210.24
$226.78
$256.88
$189.22
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CPT 41100
5 of 25 sample ratesHigher to lower in this preview
River Valley Asc LLC, River Valley Asc, LLC
River Valley Asc LLC
$1,543.00Published rateTarrant County Surgery Center Lp
$662.00Published rateAndy Sahadeo
Deaconess Hospital Inc
$302.79Published rateGlennville Eye Surgery Center LLC
$108.00Published rateCareplex Orthopaedic Ambulatory Surgery Center, LLC, None
Careplex Orthopaedic Ambulatory Surgery Center LLC
$60.00Published rate
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See a sample payer proposalCPT 41100 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41100 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 41100 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. |
| 41100-CPT | Moderate | Biopsy Tongue; Anterior Two-Thirds |
| 41105-CPT | Moderate | Biopsy Tongue Posterior 1/3 |
| 41110-CPT | Moderate | Exc Lesion Tongue Wo Closure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41100 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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