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See a sample rate comparisonCPT 41135 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Glossectomy Partial W Unil Rad Neck
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 41135 |
| Medicaid Fee Schedule | View Medicaid rates for 41135 |
National average reimbursement for CPT 41135 by major payers:
$2,663.99
$2,846.68
$2,991.80
$3,474.27
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CPT 41135
5 of 25 sample ratesHigher to lower in this preview
Surgical Suites Of Coastal Virginia, LLC
Surgical Suites Of Coastal Virginia LLC
$5,447.00Published rateGardendale Surgical Associates, LLC
Gardendale Surgical Associates
$2,353.00Published rateTexoma Valley Surgery Center Lp
$1,900.00Published rateSurgery Center Of Fremont, LLC
Surgery Center Of Fremont LLC
$1,170.00Published rateAffinity Outpatient Services
Affinity Health Group, L.L.C.
$662.00Published rate
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See a sample payer proposalCPT 41135 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41135 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 41135 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41135. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41135 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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