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See a sample rate comparisonHealthcare 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.
| 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 | 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $504.35 national non-facility rate (2026) · View Medicare rates for 41830 |
| Medicaid Fee Schedule | $393.05 median of the 8 states in the free preview · View Medicaid rates for 41830 |
National average reimbursement for CPT 41830 by major payers:

$515.58

$554.07

$613.08

$509.55
Choose a payer to see a sample of rates for CPT 41830.
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
Summit Medical Group PA
Summit Medical Group, P.A.
Dakota Gastroenterology, Ltd
Dakota Gastroenterology Ltd.
Center For Day Surgery
Eyecare Surgery Center, LLC
Eyecare Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 41830 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41830 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 41830 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 |
|---|---|---|
| 41823-CPT | Moderate | Exc Osseous Tuberosit Dentoalveolar |
| 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 |
| 41830-CPT | Moderate | Alveolectomy,W Curettage Osteitis/Seques |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41830 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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