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See a sample rate comparisonCPT 41827 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.
Xcision Of Lesion Or Tumo (Excpt Listed Above) Dentoalveo Struc, Excision Of Lesion Or Tumor (Except Listed Above) Dentoalveolar Struc
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $433.21 national non-facility rate (2026) · View Medicare rates for 41827 |
| Medicaid Fee Schedule | $339.275 median of the 8 states in the free preview · View Medicaid rates for 41827 |
National average reimbursement for CPT 41827 by major payers:
$539.05
$570.74
$600.84
$694.96
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CPT 41827
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$9,761.00Published rateUrology Surgical Partners, LLC
$4,248.00Published rateClearway Surgery Center Of National Harbor LLC
Harborside Surgery Center
$2,392.00Published rateAdvanced Surgery Center, LLC
Advanced Surgery Center LLC
$1,100.00Published rateO'Connor Building Surgery Center LLC
Oconnor Building Surgery Center LLC
$819.50Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 41825-CPT | Moderate | Xcision Of Lesion Or Tumo (Excpt Listed Above) Dentoalveo Struc, Excision Of Lesion Or Tumor (Except Listed Above) Dentoalveolar Struc |
| 41826-CPT | Moderate | Xcision Of Lesion Or Tumo (Excpt Listed Above) Dentoalveo Struc, Excision Of Lesion Or Tumor (Except Listed Above) Dentoalveolar Struc |
| 41827-CPT | Moderate | Xcision Of Lesion Or Tumo (Excpt Listed Above) Dentoalveo Struc, Excision Of Lesion Or Tumor (Except Listed Above) Dentoalveolar Struc |
| 41828-CPT | Moderate | Xcision Of Hyperplastic Alveolar Mucosa Ea Quadrant (Specify), Excision Of Hyperplastic Alveolar Mucosa Each Quadrant (Specify) |
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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