CPT code 40700: Cleft lip repair, primary, unilateral2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $880.91 for 40700 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 40700 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 40700 covers

This code represents the initial reconstruction of one side of a cleft lip, with associated nasal deformity addressed as part of the repair. The surgeon restores the continuity and shape of the upper lip and may correct related nasal asymmetry during the same operation. A plastic or craniofacial surgeon typically performs the procedure in an operating room as part of congenital cleft care.

Select the code for a primary unilateral repair, whether the cleft is partial or complete; documentation should establish laterality, that the repair is primary, and the lip and nasal work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Utah compares for 40700

Across 109 of 109 payment localities, the facility rate for 40700 runs from $818.54 in Arkansas to $1,127.43 in Alaska. Utah pays $880.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

40700 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 40700 in every payment locality

How the 40700 rate is calculated

Each of 40700’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 40700

40700 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 40700

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 40700 has changed in Utah

Price 40700 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates