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See a sample rate comparisonCPT 42660 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.
Dilation And Catheterization, Dilation And Catheterization Of Salivary Duct With Orwithout Injection Dilation And Catheterization Of Salivary Duct With Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $102.21 national non-facility rate (2026) · View Medicare rates for 42660 |
| Medicaid Fee Schedule | $81.745 median of the 8 states in the free preview · View Medicaid rates for 42660 |
National average reimbursement for CPT 42660 by major payers:
$152.22
$155.64
$164.20
$143.35
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CPT 42660
5 of 25 sample ratesHigher to lower in this preview
Gastro-Surgi Center Of New Jersey
Gastro-Surgi Center Of Nj
$1,886.00Published rateLorain Amherst Surgery Center LLC
$761.00Published rateHayden Surgical Center LLC
$250.00Published rateFlorida Orthopaedic Institute Surgery Center LLC
$164.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$55.00Published rate
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See a sample payer proposalCPT 42660 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 42660 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 42660 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 |
|---|---|---|
| 42600-CPT | Moderate | Close Salivary Fistula |
| 42650-CPT | Low | Dilate Salivary Duct |
| 42660-CPT | Low | Dilation And Catheterization, Dilation And Catheterization Of Salivary Duct With Orwithout Injection Dilation And Catheterization Of Salivary Duct With Or |
| 42665-CPT | Moderate | Ligate Salivary Duct Intraoral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 42660. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 42660 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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