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See a sample rate comparisonCPT 41800 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | AG - Primary physician UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $383.44 national non-facility rate (2026) · View Medicare rates for 41800 |
| Medicaid Fee Schedule | $283.675 median of the 8 states in the free preview · View Medicaid rates for 41800 |
National average reimbursement for CPT 41800 by major payers:
$323.98
$347.42
$402.63
$442.18
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CPT 41800
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Surgery Center LLC
$6,623.00Published rateSummit Ambulatory Surgical Center, LLC
$574.00Published ratePrairieland Outpatient Diagnostic Center LLC, Digestive Disease Endoscopy Center
Prairieland Outpatient Diagnostic Center, LLC
$373.00Published rateColima Endoscopy Center Inc, Colima Endoscopy Center
Colima Endoscopy Center, Inc.
$135.00Published rateRattner Vascular Medical Center Asc LLC
$97.00Published rate
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See a sample payer proposalCPT 41800 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41800 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 41800 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. |
| 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). |
| 41805-CPT | Moderate | Removal Of Embedded Foreign Bo, Removal Of Embedded Foreign Body From Dentoalveolarstructures Soft Tissues Removal Of Embedded Foreign Body From Dentoalveolar |
| 41806-CPT | Moderate | Removal Of Embedded Foreign Bo, Removal Of Embedded Foreign Body From Dentoalveolarstructures Bone Removal Of Embedded Foreign Body From Dentoalveolar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41800 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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