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See a sample rate comparisonCPT 41899 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Dental Surgery, Surgery On The Bony Ridge That Supports The Teeth And Gums (Dentoalveolar Structure).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | SG - Scene to Hospital ESRD facility XS - Separate Structure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 41899 |
| Medicaid Fee Schedule | $430.785 median of the 2 states in the free preview · View Medicaid rates for 41899 |
National average reimbursement for CPT 41899 by major payers:
$1,095.22
$243.60
$1,426.02
$624.95
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CPT 41899
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$1,979.00Published rateGamma Surgery Center LLC
$531.00Published rateSki Ambulatory Surgical Centers, LLC
Ski Ambulatory Surgical Centers LLC
$300.00Published rateWestside Outpatient Center, LLC, Palms Wellington Surgical Center
Westside Outpatient Center, LLC
$193.00Published rateAdvanced Surgery Center Of Oxford
Oxford Surgery Center
$92.00Published rate
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See a sample payer proposalCPT 41899 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41899 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 41899 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 |
|---|---|---|
| 41806-CPT | Moderate | Removal Of Embedded Foreign Bo, Removal Of Embedded Foreign Body From Dentoalveolarstructures Bone Removal Of Embedded Foreign Body From Dentoalveolar |
| 41823-CPT | Moderate | Exc Osseous Tuberosit Dentoalveolar |
| 41830-CPT | Moderate | Alveolectomy,W Curettage Osteitis/Seques |
| 41899-CPT | High | Dental Surgery, Surgery On The Bony Ridge That Supports The Teeth And Gums (Dentoalveolar Structure). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41899. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41899 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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Frequently Asked Questions
A Current Procedural Terminology (CPT) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are essential for reporting procedures and services to insurance companies for reimbursement and for tracking healthcare utilization.
CPT codes are crucial for standardized communication across the healthcare industry. They facilitate accurate billing and reimbursement, enable consistent record-keeping, and support data analysis for public health and research. Without CPT codes, it would be challenging for healthcare providers to describe services clearly, leading to errors in billing and claim processing.
To find the cost of a medical procedure using a CPT code, it's important to understand that costs can vary significantly based on location, provider, and insurance plan. For specific fee schedules and localized pricing, we recommend using a service like Payerprice. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and specific location to find pricing information, helping you understand potential costs before a procedure.
CPT codes are a subset of the Healthcare Common Procedure Coding System (HCPCS). * **CPT codes (Level I HCPCS)**: Maintained by the American Medical Association (AMA), these codes primarily describe medical procedures and services performed by physicians and other healthcare professionals. * **HCPCS Level II codes**: These codes are maintained by CMS and cover products, supplies, and services not included in CPT, such as ambulance services, durable medical equipment, prosthetics, orthotics, and certain drugs. Essentially, CPT codes detail *what* was done, while HCPCS Level II codes describe *what was used or supplied*.
Most common medical procedures and services have an assigned CPT code. However, new procedures or services may not immediately have a specific CPT code. In such cases, unlisted procedure codes (specific CPT codes that end in '99', e.g., 99499 for unlisted evaluation and management service) or HCPCS Level II codes might be used, often requiring additional documentation to describe the service provided. It's always best to consult with the healthcare provider or billing department for clarification on specific services.