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CPT 41827 Fee Schedule

Last Verified: December 2025

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.

Excision Lesion/Tumor With Complex Repai
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Digestive System

Common Place of Service

11 - Office

21 - Inpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

59 - Distinct Procedural Service

RT - Right side of body

Complexity LevelModerate

National average reimbursement for CPT 41827 by major payers:

bcbs

$539.05

uhc

$570.74

aetna

$600.84

cigna

$720.57

Preview provider-level rates for...
For billing codeCPT 41827
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 41827

United
41827$1212.001255070116 - MERCY SOUTH ASC LLC, MERCY OUTPATIENT SURGERY CENTER - WEST BEND882512783MOAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$4248.001083653554 - UROLOGY SURGICAL PARTNERS, LLC582622573 - (GA) UROLOGY SURGICAL PARTNERS, LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$1090.001073845087 - EYE SURGERY CENTERS OF ARIZONA, LLC, EYE SURGERY AT THE BILTMORE, LLC271798256 - (AZ) EYE SURGERY CENTERS OF ARIZONA 401(K) PROFIT SHARING PLAN & TRUSTAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$3100.001487117370 - LIBERTY CORNER SURGICAL CENTER LLC833879253 - (NJ) LIBERTY CORNER SURGICAL CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$1467.001457898215 - PROSPECT BLACKSTONE VALLEY SURGICARE, LLC, BLACKSTONE VALLEY SURGICARE814871794 - (RI) PROSPECT BLACKSTONE VALLEY SURGICARE LLCRIAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$819.501689639262 - OAKWOOD SURGERY CENTER, LTD., LLP621641024 - (TX) OAKWOOD SURGERY CENTER LTD LLPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$1283.001316900830 - BAYONET POINT SURGERY CENTER LTD200670560 - (FL) BAYONET POINT SURGERY CENTER LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$819.501780604694 - CLEARVIEW SURGERY CENTER INC202828714TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$5779.001699738112 - NORTH AUSTIN SURGERY CENTER, L.P.200648730 - (TX) NORTH AUSTIN SURGERY CENTER LPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$5249.001790104248 - METRO SURGERY CENTER, LLC, METRO SURGERY CENTER, LP810587498 - (AZ) METRO SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$4839.001780747394 - MORRIS AVENUE ENDOSCOPY LLC223651957 - (NJ) MORRIS AVENUE ENDOSCOPY, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$2209.001053353359 - VISION SURGERY & LASER CENTER, LLC931308251 - (OR) VISION SURGERY LASER CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$5249.001295479780 - ADVENTHEALTH SURGERY CENTER DAVENPORT LLC881811228FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$819.501023370251 - O'CONNOR BUILDING SURGERY CENTER LLC455437708 - (CA) OCONNOR BUILDING SURGERY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$2229.001699767210 - SOUTHERN OKLAHOMA SURGICAL CENTER INC731205988 - (OK) SOUTHERN OKLAHOMA SURGICAL CENTER, INC.OKAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 41827 vs. Other Surgical Procedures on the Digestive System Codes

The CPT 41827 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 41827 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.

CodeComplexityDescription
41806-CPTModerateRem Fb Dentoalveolar Bone
41823-CPTModerateExc Osseous Tuberosit Dentoalveolar
41825-CPTModerateExcision Lesion Tumor W/O Repair
41827-CPTModerateExcision Lesion/Tumor With Complex Repai

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41827. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 41827 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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