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See a sample rate comparisonCPT 41599 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.
Mouth Or Tongue Surgery, Surgery Involving The Floor Of The Mouth Or The Tongue.
| 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 | GC - Service performed by resident under supervision GA - Required ABN issued and on file |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 41599 |
| Medicaid Fee Schedule | View Medicaid rates for 41599 |
National average reimbursement for CPT 41599 by major payers:
$1,148.09
$52.13
$48.76
$948.63
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CPT 41599
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of Bucks County, Lp
Endoscopy Center Of Bucks County Lp
$1,708.00Published rateYuma Advanced Surgical Suites LLC
Yuma Advanced Surgical Suites, LLC
$555.00Published rateRush Oak Brook Surgery Center, LLC
$309.00Published rateNorth Houston Endoscopy & Surgery
North Houston Endoscopy Surgery
$125.00Published rateFemi-Care Surgery Center, LLC
Femicare Surgery Center LLC
$53.00Published rate
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See a sample payer proposalCPT 41599 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41599 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 41599 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 |
|---|---|---|
| 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. |
| 41599-CPT | High | Mouth Or Tongue Surgery, Surgery Involving The Floor Of The Mouth Or The Tongue. |
| 41800-CPT | Moderate | Drain Abscess From Gum Ridge, Surgery To Drain An Infected Pocket Of Blood Pus Or Fluid That Has Collected In The Bony Ridge That Holds The Gum And Teeth (Dentoalveolar Structures). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41599. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41599 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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