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See a sample rate comparisonCPT 41870 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.
Mouth Tissue Grafting, Surgery To Remove Tissue From One Location Within The Mouth And Graft (Transfer) It To Another Location Within The Mouth.
| 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 | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 41870 |
| Medicaid Fee Schedule | $244.11 median of the 8 states in the free preview · View Medicaid rates for 41870 |
National average reimbursement for CPT 41870 by major payers:
$653.14
$405.89
$385.12
$499.38
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CPT 41870
5 of 25 sample ratesHigher to lower in this preview
Alpine Surgicenter, LLC
$4,090.00Published rateWilshire Endoscopy Center LLC
$1,528.00Published rateBrentwood Surgery Center, LLC, Brentwood Surgery Center
$845.00Published rateHayden Surgical Center LLC
$575.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$197.00Published rate
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See a sample payer proposalCPT 41870 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41870 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 41870 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 |
|---|---|---|
| 41850-CPT | Moderate | Remove Abnormal Mouth Tissue, Removal Of Abnormal Tissue That Has Developed In The Bony Ridge Of The Mouth That Supports The Teeth And Gums. |
| 41870-CPT | Moderate | Mouth Tissue Grafting, Surgery To Remove Tissue From One Location Within The Mouth And Graft (Transfer) It To Another Location Within The Mouth. |
| 41872-CPT | Moderate | Gingivoplasty |
| 41874-CPT | Moderate | Alveoplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41870 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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