CPT code 40818: Oral graft harvest, vestibular mucosa2026 Medicare rate & RVUs in South Dakota
Reports harvesting oral mucosa from the mouth vestibule for use as a graft during reconstructive surgery, such as urethral reconstruction.
In South Dakota, Medicare pays $356.64 for 40818 in the office and $238.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 40818 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 40818 covers
This service removes oral mucosa from the vestibule of the mouth to provide donor tissue for reconstruction at another site. It is performed by a surgeon, often an oral and maxillofacial surgeon, otolaryngologist, or urologist, when a reconstructive procedure calls for oral mucosal graft tissue. A familiar clinical use is harvesting buccal mucosa for urethral reconstruction. The code represents the donor-site harvest, not removal of a mouth lesion or the reconstruction at the recipient site.
Report the harvest when the operative note identifies the oral donor site, the tissue obtained, and its graft purpose; report the recipient-site procedure separately when performed and supported. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing 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 Dakota compares for 40818
Across 109 of 109 payment localities, the office rate for 40818 runs from $322.00 in Arkansas to $484.27 in San Benito County, CA. South Dakota pays $356.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$356.64
- Los Angeles, CA · California$411.93+$55.29
- Washington, DC area · District of Columbia$417.08+$60.44
- Miami, FL · Florida$392.96+$36.32
- Chicago, IL · Illinois$381.49+$24.85
- Manhattan, NY · New York$419.36+$62.72
- Alaska · Alaska$422.18+$65.54
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $326.76 | $223.60 |
| ArkansasArkansas | $322.00 | $220.72 |
| ArizonaArizona | $354.64 | $240.39 |
| Bakersfield, CACalifornia | $386.60 | $257.37 |
| Chico, CACalifornia | $385.56 | $256.33 |
| El Centro, CACalifornia | $385.62 | $256.39 |
| Fresno, CACalifornia | $385.56 | $256.33 |
| Hanford, CACalifornia | $385.56 | $256.33 |
| Madera, CACalifornia | $385.56 | $256.33 |
| Merced, CACalifornia | $385.56 | $256.33 |
| Modesto, CACalifornia | $385.56 | $256.33 |
| Napa, CACalifornia | $447.31 | $291.91 |
| Oxnard, CACalifornia | $409.99 | $270.63 |
| Redding, CACalifornia | $385.56 | $256.33 |
| Rest of CaliforniaCalifornia | $385.56 | $256.33 |
| Riverside, CACalifornia | $389.36 | $260.13 |
| Sacramento, CACalifornia | $404.76 | $267.64 |
| Salinas, CACalifornia | $403.26 | $266.61 |
| San Diego, CACalifornia | $412.88 | $271.86 |
| Marin County, CACalifornia | $473.65 | $307.41 |
| San Francisco, CACalifornia | $473.26 | $307.01 |
| San Benito County, CACalifornia | $484.27 | $314.25 |
| Santa Clara County, CACalifornia | $482.65 | $312.63 |
| San Luis Obispo, CACalifornia | $396.76 | $262.47 |
| Santa Cruz, CACalifornia | $416.93 | $273.67 |
| Santa Maria, CACalifornia | $404.81 | $267.33 |
| Santa Rosa, CACalifornia | $421.15 | $276.36 |
| Stockton, CACalifornia | $385.56 | $256.33 |
| Vallejo, CACalifornia | $446.73 | $291.34 |
| Visalia, CACalifornia | $385.56 | $256.33 |
| Yuba City, CACalifornia | $385.56 | $256.33 |
| ColoradoColorado | $379.62 | $254.17 |
| ConnecticutConnecticut | $388.76 | $261.78 |
| DelawareDelaware | $360.56 | $244.07 |
| Fort Lauderdale, FLFlorida | $377.24 | $257.80 |
| Rest of FloridaFlorida | $358.82 | $246.10 |
| Atlanta, GAGeorgia | $371.20 | $251.41 |
| Rest of GeorgiaGeorgia | $338.51 | $233.34 |
| Hawaii, Guam, HIHawaii | $395.17 | $261.12 |
| IowaIowa | $335.21 | $227.33 |
| IdahoIdaho | $337.40 | $228.93 |
| East St. Louis, ILIllinois | $355.42 | $246.94 |
| Rest of IllinoisIllinois | $348.32 | $240.67 |
| Suburban Chicago, ILIllinois | $381.11 | $260.02 |
| IndianaIndiana | $339.38 | $230.08 |
| KansasKansas | $333.59 | $227.01 |
| KentuckyKentucky | $334.49 | $229.67 |
| New Orleans, LALouisiana | $350.62 | $239.67 |
| Rest of LouisianaLouisiana | $333.95 | $229.61 |
| Metropolitan Boston, MAMassachusetts | $417.44 | $276.66 |
| Rest of MassachusettsMassachusetts | $377.31 | $253.16 |
| Baltimore area, MDMaryland | $387.67 | $261.16 |
| Rest of MarylandMaryland | $367.49 | $248.17 |
| Rest of MaineMaine | $339.14 | $230.67 |
| Southern Maine, MEMaine | $357.75 | $240.90 |
| Detroit, MIMichigan | $363.30 | $249.53 |
| Rest of MichiganMichigan | $343.25 | $235.60 |
| MinnesotaMinnesota | $363.73 | $242.40 |
| Metropolitan Kansas City, MOMissouri | $348.24 | $237.53 |
| Metropolitan St. Louis, MOMissouri | $351.92 | $239.68 |
| Rest of MissouriMissouri | $328.15 | $226.51 |
| MississippiMississippi | $325.14 | $223.62 |
| MontanaMontana | $364.38 | $246.48 |
| North CarolinaNorth Carolina | $342.73 | $232.72 |
| North DakotaNorth Dakota | $357.46 | $239.55 |
| NebraskaNebraska | $337.07 | $228.25 |
| New HampshireNew Hampshire | $373.62 | $250.88 |
| Northern New JerseyNew Jersey | $412.69 | $275.92 |
| Rest of New JerseyNew Jersey | $393.19 | $264.44 |
| New MexicoNew Mexico | $345.13 | $237.01 |
| NevadaNevada | $362.71 | $244.69 |
| NYC suburbs and Long Island, NYNew York | $429.56 | $289.37 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $395.76 | $266.65 |
| Queens, NYNew York | $422.89 | $283.52 |
| Rest of New YorkNew York | $347.91 | $235.90 |
| OhioOhio | $341.83 | $234.18 |
| OklahomaOklahoma | $333.92 | $228.63 |
| Portland, OROregon | $391.80 | $260.81 |
| Rest of OregonOregon | $359.89 | $242.46 |
| Metropolitan Philadelphia, PAPennsylvania | $379.00 | $256.26 |
| Rest of PennsylvaniaPennsylvania | $342.40 | $234.16 |
| Puerto RicoPuerto Rico | $367.09 | $247.89 |
| Rhode IslandRhode Island | $373.49 | $251.69 |
| South CarolinaSouth Carolina | $342.85 | $233.91 |
| TennesseeTennessee | $335.28 | $228.11 |
| Austin, TXTexas | $378.37 | $253.62 |
| Beaumont, TXTexas | $340.13 | $232.83 |
| Brazoria, TXTexas | $360.22 | $243.38 |
| Dallas, TXTexas | $362.53 | $245.10 |
| Fort Worth, TXTexas | $360.08 | $243.82 |
| Galveston, TXTexas | $361.31 | $244.23 |
| Houston, TXTexas | $367.71 | $250.63 |
| Rest of TexasTexas | $349.98 | $238.09 |
| UtahUtah | $347.58 | $236.75 |
| VirginiaVirginia | $356.54 | $240.64 |
| Virgin Islands, VIUnited States Virgin Islands | $367.09 | $247.89 |
| VermontVermont | $356.02 | $239.30 |
| Rest of WashingtonWashington | $376.62 | $252.46 |
| King County, WAWashington | $426.01 | $281.34 |
| WisconsinWisconsin | $345.37 | $232.42 |
| West VirginiaWest Virginia | $335.31 | $232.85 |
| WyomingWyoming | $361.36 | $243.46 |
40818 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$322.00
$434.91
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $422.18 | 1 |
| AL | $326.76 | 1 |
| AR | $322.00 | 1 |
| AZ | $354.64 | 1 |
| CA | $385.56–$484.27 | 29 |
| CO | $379.62 | 1 |
| CT | $388.76 | 1 |
| DC | $417.08 | 1 |
| DE | $360.56 | 1 |
| FL | $358.82–$392.96 | 3 |
| GA | $338.51–$371.20 | 2 |
| GU | $395.17 | 1 |
| HI | $395.17 | 1 |
| IA | $335.21 | 1 |
| ID | $337.40 | 1 |
| IL | $348.32–$381.49 | 4 |
| IN | $339.38 | 1 |
| KS | $333.59 | 1 |
| KY | $334.49 | 1 |
| LA | $333.95–$350.62 | 2 |
| MA | $377.31–$417.44 | 2 |
| MD | $367.49–$417.08 | 3 |
| ME | $339.14–$357.75 | 2 |
| MI | $343.25–$363.30 | 2 |
| MN | $363.73 | 1 |
| MO | $328.15–$351.92 | 3 |
| MS | $325.14 | 1 |
| MT | $364.38 | 1 |
| NC | $342.73 | 1 |
| ND | $357.46 | 1 |
| NE | $337.07 | 1 |
| NH | $373.62 | 1 |
| NJ | $393.19–$412.69 | 2 |
| NM | $345.13 | 1 |
| NV | $362.71 | 1 |
| NY | $347.91–$429.56 | 5 |
| OH | $341.83 | 1 |
| OK | $333.92 | 1 |
| OR | $359.89–$391.80 | 2 |
| PA | $342.40–$379.00 | 2 |
| PR | $367.09 | 1 |
| RI | $373.49 | 1 |
| SC | $342.85 | 1 |
| SD | $356.64 | 1 |
| TN | $335.28 | 1 |
| TX | $340.13–$378.37 | 8 |
| UT | $347.58 | 1 |
| VA | $356.54–$417.08 | 2 |
| VI | $367.09 | 1 |
| VT | $356.02 | 1 |
| WA | $376.62–$426.01 | 2 |
| WI | $345.37 | 1 |
| WV | $335.31 | 1 |
| WY | $361.36 | 1 |
How the 40818 rate is calculated
Each of 40818’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.
How the rate is built · 40818
RVUs × geographic indexes × conversion factor
Work2.76
2.76 RVUs× 1.000 GPCI
Practice expense7.80
7.80 RVUs× 1.000 GPCI
Malpractice0.35
0.35 RVUs× 1.000 GPCI
Adjusted RVUs
10.9100
Conversion factor
$33.4009
Medicare rate
$364.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,867
- Code
- 40818
- Physician work
- 2.76
- Practice expense
- 7.80
- Malpractice
- 0.35
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.76 | × 1.000 | 2.7600 |
| Practice expense | 7.80 | × 1.000 | 7.8000 |
| Malpractice | 0.35 | × 0.336 | 0.1176 |
| Total RVUs | 10.6776 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$356.64
Office: (2.76 × 1 + 7.8 × 1 + 0.35 × 0.336) × $33.4009 = $356.64
Facility: (2.76 × 1 + 4.27 × 1 + 0.35 × 0.336) × $33.4009 = $238.74
Payment rules and modifiers for 40818
40818 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 40818
Oral graft harvest, vestibular mucosa
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 40818
Oral graft harvest, vestibular mucosa
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
40818 without 51 · national office
$364.40
Oral graft harvest, vestibular mucosa
40818-51 · Second procedure: 50%
$182.20
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 40818 has changed in South Dakota
40818 · Office / nonfacility
$356.64
Effective 2026-10-01
The base rate is $12.80 higher than on 2025-10-01, moving from $343.84 to $356.64 (3.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$343.84changed to$356.64
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.83 changed to 2.76
- Practice expense RVU 7.67 changed to 7.80
- Malpractice RVU 0.34 changed to 0.35
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$356.97changed to$343.84
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.76 changed to 7.67
- Malpractice RVU 0.35 changed to 0.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$351.14changed to$356.97
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$367.13changed to$351.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.88 changed to 7.76
- Malpractice RVU 0.34 changed to 0.35
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$372.97changed to$367.13
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.84 changed to 7.88
- Malpractice RVU 0.31 changed to 0.34
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$383.74changed to$372.97
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 8.06 changed to 7.84
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$371.38changed to$383.74
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.35 changed to 8.06
- Malpractice RVU 0.30 changed to 0.31
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$370.70changed to$371.38
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.32 changed to 7.35
- Malpractice RVU 0.35 changed to 0.30
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$367.42changed to$370.70
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.24 changed to 7.32
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$366.86changed to$367.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 7.25 changed to 7.24
- Malpractice RVU 0.36 changed to 0.35
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$366.06changed to$366.86
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$368.82changed to$366.06
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 7.29 changed to 7.25
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$366.99changed to$368.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$363.80changed to$366.99
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 7.18 changed to 7.29
- Malpractice RVU 0.35 changed to 0.36
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$361.66changed to$363.80
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 7.64 changed to 7.18
- Malpractice RVU 0.37 changed to 0.35
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $361.66
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $356.64 | $238.74 | RVU26D |
| 2026-07-01 | $356.64 | $238.74 | RVU26C |
| 2026-04-01 | $356.64 | $238.74 | RVU26B |
| 2026-01-01 | $356.64 | $238.74 | RVU26A |
| 2025-10-01 | $343.84 | $251.98 | RVU25D |
| 2025-07-01 | $343.84 | $251.98 | RVU25C |
| 2025-04-01 | $343.84 | $251.98 | RVU25B |
| 2025-01-01 | $343.84 | $251.98 | RVU25A |
| 2024-10-01 | $356.97 | $258.77 | RVU24D |
| 2024-07-01 | $356.97 | $258.77 | RVU24C |
| 2024-04-01 | $356.97 | $258.77 | RVU24B |
| 2024-03-09 | $356.97 | $258.77 | RVU24AR |
| 2024-01-01 | $351.14 | $254.54 | RVU24A |
| 2023-10-01 | $367.13 | $263.43 | RVU23D |
| 2023-07-01 | $367.13 | $263.43 | RVU23C |
| 2023-04-01 | $367.13 | $263.43 | RVU23B |
| 2023-01-01 | $367.13 | $263.43 | RVU23A |
| 2022-10-01 | $372.97 | $265.69 | RVU22D |
| 2022-07-01 | $372.97 | $265.69 | RVU22C |
| 2022-04-01 | $372.97 | $265.69 | RVU22B |
| 2022-01-01 | $372.97 | $265.69 | RVU22A |
| 2021-10-01 | $383.74 | $272.78 | RVU21D |
| 2021-07-01 | $383.74 | $272.78 | RVU21C |
| 2021-04-01 | $383.74 | $272.78 | RVU21B |
| 2021-01-01 | $383.74 | $272.78 | RVU21A |
| 2020-10-01 | $371.38 | $273.93 | RVU20D |
| 2020-07-01 | $371.38 | $273.93 | RVU20C |
| 2020-04-01 | $371.38 | $273.93 | RVU20B |
| 2020-01-01 | $371.38 | $273.93 | RVU20A |
| 2019-10-01 | $370.70 | $277.36 | RVU19D |
| 2019-07-01 | $370.70 | $277.36 | RVU19C |
| 2019-04-01 | $370.70 | $277.36 | RVU19B |
| 2019-01-01 | $370.70 | $277.36 | RVU19A |
| 2018-10-01 | $367.42 | $278.14 | RVU18D |
| 2018-07-01 | $367.42 | $278.14 | RVU18C |
| 2018-04-01 | $367.42 | $278.14 | RVU18B |
| 2018-01-01 | $367.42 | $278.14 | RVU18AR1 |
| 2017-10-01 | $366.86 | $278.58 | RVU17D |
| 2017-07-01 | $366.86 | $278.58 | RVU17C |
| 2017-04-01 | $366.86 | $278.58 | RVU17B |
| 2017-01-01 | $366.86 | $278.58 | RVU17A |
| 2016-10-01 | $366.06 | $277.98 | RVU16D |
| 2016-07-01 | $366.06 | $277.98 | RVU16C |
| 2016-04-01 | $366.06 | $277.98 | RVU16B |
| 2016-01-01 | $366.06 | $277.98 | RVU16A |
| 2015-10-01 | $368.82 | $279.35 | RVU15D |
| 2015-07-01 | $368.82 | $279.35 | RVU15C |
| 2015-04-01 | $366.99 | $277.96 | RVU15B |
| 2015-01-01 | $366.99 | $277.96 | RVU15A |
| 2014-10-01 | $363.80 | $277.11 | RVU14D |
| 2014-07-01 | $363.80 | $277.11 | RVU14C |
| 2014-04-01 | $363.80 | $277.11 | RVU14B |
| 2014-01-01 | $363.80 | $277.11 | RVU14A |
| 2013-10-01 | $361.66 | $272.52 | RVU13D |
| 2013-07-01 | $361.66 | $272.52 | RVU13C |
| 2013-04-01 | $361.66 | $272.52 | RVU13B |
| 2013-01-01 | $361.66 | $272.52 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
40818 billing questions
How is graft harvest different from excising a mouth lesion?
This code is for taking oral mucosa as donor tissue for grafting. Lesion-excision codes apply when the purpose is removal of a lesion, with code selection based on the service performed.
Can the recipient-site reconstruction be reported separately?
Yes, when a distinct recipient-site procedure is performed and documented. For example, oral mucosa may be harvested for a urethral reconstruction, with the reconstruction reported under its applicable code.
Does modifier 50 apply when mucosa is harvested from both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is an assistant at surgery payable?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery billing are not permitted for this code.
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
Show the CMS file lines behind this rate
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