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See a sample rate comparisonCPT 41530 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.
Tongue Tissue Removal Surgery, Surgery Using High Energy Radio Waves To Remove Tissue From The Base Of The Tongue. This Is Often Done To Treat Osa (Obstructive Sleep Apnea) Or To Remove An Abnormal Growth Of Tissue.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $919.53 national non-facility rate (2026) · View Medicare rates for 41530 |
| Medicaid Fee Schedule | $745.15 median of the 8 states in the free preview · View Medicaid rates for 41530 |
National average reimbursement for CPT 41530 by major payers:
$1,997.55
$2,304.35
$1,820.84
$743.88
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CPT 41530
5 of 25 sample ratesHigher to lower in this preview
St Davids Austin Area Asc LLC, St . David'S Austin Surgery Center
St Davids Austin Area Asc LLC
$3,993.00Published rateNorthwest Surgery Center, LLP, Northwest Surgery Center
Northwest Surgery Center LLP
$2,307.00Published rate32nd Street Surgery Center, LLC
32nd Street Surgery Center, L.L.C.
$1,915.00Published ratePasteur Plaza Surgery Center Lp, Pasteur Plaza Surgery Center
Pasteur Plaza Surgery Center Lp
$1,377.00Published rateCentral Arizona Gi & Liver Institute LLC
$550.00Published rate
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See a sample payer proposalCPT 41530 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41530 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 41530 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 |
|---|---|---|
| 41018-CPT | Moderate | Drain Abscess Outside Mouth, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Hematoma (Collection Of Blood Under The Skin) Or Cyst (Pocket Of Fluid) Located In The Mouth Involving An Incision (Cut) In The Skin Under The Jaw. |
| 41108-CPT | Low | Biopsy Floor Of Mouth |
| 41116-CPT | Moderate | Exc Lesion Oral Floor |
| 41530-CPT | High | Tongue Tissue Removal Surgery, Surgery Using High Energy Radio Waves To Remove Tissue From The Base Of The Tongue. This Is Often Done To Treat Osa (Obstructive Sleep Apnea) Or To Remove An Abnormal Growth Of Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41530 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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