CPT code 40805: Foreign body removal, complicated vestibular removal2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $284.73 for 40805 in the office and $178.26 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 40805 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 40805 covers

This service removes an embedded object from the oral vestibule, the space between the lips or cheeks and the teeth or gums. The clinician exposes and retrieves the object using the additional work needed for a complicated removal. Oral and maxillofacial surgeons, dentists, and otolaryngologists may perform it in an office or another appropriate setting when an object is lodged in this tissue.

Choose this code rather than 40804 when the removal is complicated; document the object’s location and the work required to expose and retrieve it. A loose object that can be removed simply does not support the complicated level. The procedure has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of 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 Vermont compares for 40805

Across 109 of 109 payment localities, the office rate for 40805 runs from $259.84 in Arkansas to $381.23 in San Benito County, CA. Vermont pays $284.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

40805 rates by state

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

See 40805 in every payment locality

How the 40805 rate is calculated

Each of 40805’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 40805

40805 has a 10-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 40805

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

How 40805 has changed in Vermont

Price 40805 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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