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See a sample rate comparisonCPT 41520 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $361.06 national non-facility rate (2026) · View Medicare rates for 41520 |
| Medicaid Fee Schedule | $282.40 median of the 8 states in the free preview · View Medicaid rates for 41520 |
National average reimbursement for CPT 41520 by major payers:
$429.91
$457.99
$505.77
$417.46
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CPT 41520
5 of 25 sample ratesHigher to lower in this preview
Redmond Ambulatory Surgery Center, LLC
Redmond Ambulatory Surgery Center LLC
$7,175.00Published ratePiedmont Asc LLC
$5,020.00Published rateLubbock Interventional Nephrology Associates PA, Lubbock Vascular Access
Lubbock Interventional Nephrology Associates PA
$2,800.00Published rateUPMC Hamot Surgery Center, LLC
UPMC Hamot Surgery Center, L.L.C.
$1,839.00Published rateRetina Institute Of Indiana Surgery Center, LLC
Retina Institute Of Indiana Surgery Center LLC
$851.00Published rate
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See a sample payer proposalCPT 41520 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41520 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 41520 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 |
| 41115-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. |
| 41520-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41520 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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