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CPT 41827 Fee Schedule

Last Verified: January 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.

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
Medicare Fee ScheduleView Medicare rates for 41827

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$3268.001366868572 - PREMIER SURGERY CENTER, LLC463321793 - (NC) PREMIER SURGERY CENTER LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$5677.001164458634 - SAINT FRANCIS SURGERY CENTER, LLC, SAINT FRANCIS SURGERY CENTER61641562 - (TN) SAINT FRANCIS SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$1638.001770551517 - SOUTHERN MARYLAND ENDOSCOPY CENTER522315798 - (MD) SOUTHERN MARYLAND ENDOSCOPY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$3500.001497105803 - GEORGIA INTERVENTIONAL PAIN812947115 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$9761.001396342838 - LEXINGTON HEALTH INC, LMC IRMO ASC852276567 - LEXINGTON HEALTH INCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$1100.001912971326 - ADVANCED SURGERY CENTER, LLC351991340 - (IN) ADVANCED SURGERY CENTER LLCINAmbulatory 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$819.501801822739 - SYLVAN SURGERY CENTER, INC.200500901 - (CA) SYLVAN SURGERY CENTER INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$4500.001093750903 - FRANKLIN SURGICAL CENTER, LLC203412606 - (NJ) FRANKLIN SURGICAL CENTERNJAmbulatory 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$6506.001922510643 - OPTIMUM SPINE CENTER, LLC, PEACHTREE SPINE & PAIN PHYSICIANS320543789GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$819.501437636636 - CCRM DFW, LLC, CCRM DALLAS FORT WORTH822959456TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$5433.001801146535 - SURGCENTER AT PARADISE VALLEY, LLC, SURGCENTER AT PIMA CROSSING455364868 - (AZ) SURGCENTER AT PARADISE VALLEYAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$3649.001346270329 - MARY IMMACULATE AMBULATORY SURGERY CENTER LLC200485202 - (VA) MARY IMMACULATE AMBULATORY SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41827$4248.001083653554 - UROLOGY SURGICAL PARTNERS, LLC582622573 - (GA) UROLOGY SURGICAL PARTNERS, LLCGAAmbulatory 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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