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See a sample rate comparisonCPT 41110 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.
Exc Lesion Tongue Wo Closure
| 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 | $226.79 national non-facility rate (2026) · View Medicare rates for 41110 |
| Medicaid Fee Schedule | $177.755 median of the 8 states in the free preview · View Medicaid rates for 41110 |
National average reimbursement for CPT 41110 by major payers:
$265.16
$281.10
$310.90
$227.00
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CPT 41110
5 of 25 sample ratesHigher to lower in this preview
Campbell Clinic Surgery Center, LLC
$1,506.00Published rateMaple Grove Center For Restorative Surgery
Center For Restorative Surgery At Maple Grove LLC
$1,143.00Published rateGastro Care, LLC
Gastro Care LLC
$773.00Published ratePremier Endoscopy Center, LLC
Premier Endoscopy Center, P.L.L.C.
$514.00Published rateAaron Quach
Deaconess Hospital Inc
$174.88Published rate
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See a sample payer proposalCPT 41110 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41110 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 41110 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 |
|---|---|---|
| 41110-CPT | Moderate | Exc Lesion Tongue Wo Closure |
| 41112-CPT | Moderate | Xcision Of Lesion Of Tongue W/ Closur; Anterio Two-Thirds, Excision Of Lesion Of Tongue With Closure; Anterior Two-Thirds |
| 41113-CPT | Moderate | Xcision Of Lesion Of Tongue W/ Closur; Posteri One-Third, Excision Of Lesion Of Tongue With Closure; Posterior One-Third |
| 41114-CPT | Moderate | Xcision Of Lesion Of Tongue W/ Closur; W/ Local Tongue Flap, Excision Of Lesion Of Tongue With Closure; With Local Tongue Flap |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41110 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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