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See a sample rate comparisonCPT 41820 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.
Gingivectomy Excision Gingiva Each Quadr
| 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 | UB 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 41820 |
| Medicaid Fee Schedule | $118.80 median of the 7 states in the free preview · View Medicaid rates for 41820 |
National average reimbursement for CPT 41820 by major payers:
$342.37
$324.58
$309.36
$399.39
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CPT 41820
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers LLC
$8,705.00Published rateIntracoastal Surgery Center, LLC
Intracoastal Surgery Center Ll
$2,388.00Published rateWellington Specialty Surgery Center, LLC
Wellington Specialty Surgery Center
$2,000.00Published ratePremier 2020, LLC, Premier Surgical Center
Premier 2020 LLC
$997.00Published rateBetter Living Endoscopy Center
$525.00Published rate
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See a sample payer proposalCPT 41820 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41820 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 41820 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 |
|---|---|---|
| 41806-CPT | Moderate | Removal Of Embedded Foreign Bo, Removal Of Embedded Foreign Body From Dentoalveolarstructures Bone Removal Of Embedded Foreign Body From Dentoalveolar |
| 41820-CPT | Moderate | Gingivectomy Excision Gingiva Each Quadr |
| 41821-CPT | Moderate | Operculectomy Exc Pericoronal Tiss |
| 41822-CPT | Moderate | Excision Fibrous Tuberosities |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41820 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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