CPT code 40702: Cleft lip repair, secondary, bilateral, under age four2026 Medicare rate & RVUs in South Carolina

In South Carolina, Medicare pays $860.06 for 40702 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 40702 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 40702 covers

This code describes secondary repair of a bilateral cleft lip and associated nasal deformity in infancy, before age four. A plastic, craniofacial, or other appropriately trained surgeon typically performs the reconstruction in an operating room, often at a children’s hospital. The service addresses residual deformity after an earlier repair; it is distinct from the initial repair of the cleft.

Select the code based on the secondary nature of the operation, the patient’s age, and bilateral involvement. The operative report should establish the prior repair and describe the lip and nasal deformities treated. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The code is priced bilaterally, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment 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 South Carolina compares for 40702

Across 109 of 109 payment localities, the facility rate for 40702 runs from $808.52 in Arkansas to $1,115.76 in Alaska. South Carolina pays $860.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

40702 rates by state

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

See 40702 in every payment locality

How the 40702 rate is calculated

Each of 40702’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 40702

40702 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 40702

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

How 40702 has changed in South Carolina

Price 40702 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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