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CPT code 40819: Frenum excision, lip or cheek fold2026 Medicare rate & RVUs in Austin, TX

Reports surgical removal of a lip or cheek fold, commonly a labial or buccal frenum, when the fold itself is excised rather than simply released.

CMS RVU26DEffective Oct 1, 2026One payment locality64 Medicare services in 2024

In Austin, TX, Medicare pays $286.82 for 40819 in the office and $193.53 when it’s performed in a hospital or facility.

$286.82Office (non-facility)
$193.53Hospital or facility
+3.6%vs the national office rate ($276.89)

Check a contract rate as a % of Medicare · 40819 nationwide

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

We’ll open 40819 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Austin, TX
  2. What 40819 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 40819 covers

Code 40819 represents surgical removal of a lip or cheek fold, commonly a labial or buccal frenum, rather than release by incision alone. An oral and maxillofacial surgeon, oral surgeon, or other qualified surgeon may perform it for a restrictive or symptomatic fold in the oral vestibule. The operative note should identify the fold and site, explain the reason for excision, and describe the tissue removed.

Select this code when the fold itself is excised; a simple frenum incision is a different service, and a discrete mucosal lesion is coded according to the lesion procedure performed. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the 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 Austin, TX compares for 40819

Across 109 of 109 payment localities, the office rate for 40819 runs from $246.29 in Arkansas to $363.94 in San Benito County, CA. Austin, TX pays $286.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

40819 in Austin, TX vs other payment areas
  1. Austin, TX · this page$286.82
  2. Beaumont, TX · Texas$259.51−$27.31
  3. Brazoria, TX · Texas$273.89−$12.93
  4. Dallas, TX · Texas$275.61−$11.21
  5. Fort Worth, TX · Texas$273.86−$12.96
  6. Galveston, TX · Texas$274.69−$12.13
  7. Houston, TX · Texas$279.64−$7.18

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

40819 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$266.53$182.85
Los Angeles, CACalifornia$311.26$206.95
Washington, DC areaDistrict of Columbia$315.45$211.57
Miami, FLFlorida$298.31$206.52
Chicago, ILIllinois$290.08$201.46
Manhattan, NYNew York$317.55$215.09
AlaskaAlaska$325.85$231.94
AlabamaAlabama$249.72$172.57

40819 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$246.29

$327.95

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
40819 office rate range by state
State / territoryOffice rate rangeLocalities
AK$325.851
AL$249.721
AR$246.291
AZ$269.831
CA$291.96–$363.9429
CO$287.811
CT$294.751
DC$315.451
DE$274.161
FL$273.24–$298.313
GA$258.53–$281.932
GU$298.581
HI$298.581
IA$255.641
ID$257.261
IL$265.78–$290.084
IN$258.681
KS$254.561
KY$255.481
LA$255.12–$267.142
MA$286.23–$315.352
MD$279.20–$315.453
ME$258.60–$271.892
MI$261.87–$276.572
MN$275.941
MO$250.99–$267.983
MS$248.681
MT$276.881
NC$261.171
ND$271.541
NE$256.961
NH$283.391
NJ$298.16–$312.432
NM$263.261
NV$275.571
NY$264.91–$325.025
OH$260.781
OK$254.981
OR$273.47–$296.542
PA$261.14–$287.732
PR$278.801
RI$283.611
SC$261.401
SD$270.911
TN$255.791
TX$259.51–$286.828
UT$264.811
VA$271.08–$315.452
VI$278.801
VT$270.581
WA$285.66–$321.572
WI$262.841
WV$256.411
WY$274.551

See 40819 in every payment locality

How the 40819 rate is calculated

Each of 40819’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 · 40819

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.45

2.45 RVUs× 1.000 GPCI

Practice expense5.57

5.57 RVUs× 1.000 GPCI

Malpractice0.27

0.27 RVUs× 1.000 GPCI

Adjusted RVUs

8.2900

Conversion factor

$33.4009

Medicare rate

$276.89

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Austin, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,868

Code
40819
Physician work
2.45
Practice expense
5.57
Malpractice
0.27

GPCI2026.csv

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 40819 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work2.45× 1.0022.4549
Practice expense5.57× 1.0585.8931
Malpractice0.27× 0.8860.2392
Total RVUs8.5872
Conversion factor× 33.4009

Office rate, Austin, TX$286.82

Office: (2.45 × 1.002 + 5.57 × 1.058 + 0.27 × 0.886) × $33.4009 = $286.82

Facility: (2.45 × 1.002 + 2.93 × 1.058 + 0.27 × 0.886) × $33.4009 = $193.53

Open 40819 in the RVU calculator

Payment rules and modifiers for 40819

40819 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 40819

Frenum excision, lip or cheek fold

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 40819

Frenum excision, lip or cheek fold

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

40819 without 51 · national office

$276.89

Frenum excision, lip or cheek fold

40819-51 · Second procedure: 50%

$138.45

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%).

When to use modifier 51

Codes related to 40819

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

Codes related to 40819
CodeHow it relatesOffice range, Austin, TX
Used instead
40806Lip frenum release, labial frenumFrenum incision is used for release without excision of the fold.$106.17
40810Mouth lesion excision, without repairFor excision of a vestibular mucosal lesion without repair, rather than fold excision.$225.12
40812Oral lesion excision, simple repairFor excision of a vestibular mucosal lesion with simple repair, rather than fold excision.$291.56

How 40819 has changed in Austin, TX

40819 · Office / nonfacility

$286.82

Effective 2026-10-01

The base rate is $14.09 higher than on 2025-10-01, moving from $272.73 to $286.82 (5.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $272.73changed to$286.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.51 changed to 2.45
    • Practice expense RVU 5.46 changed to 5.57
    • Malpractice RVU 0.23 changed to 0.27
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $277.83changed to$272.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.37 changed to 5.46
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $273.30changed to$277.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $280.91changed to$273.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.33 changed to 5.37
    • Malpractice RVU 0.23 changed to 0.24
    • Practice expense GPCI 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914

  5. January 1, 2023

    RVU23A

    $285.20changed to$280.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.30 changed to 5.33
    • Malpractice RVU 0.22 changed to 0.23
    • Practice expense GPCI 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $291.44changed to$285.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.41 changed to 5.30
    • Malpractice RVU 0.21 changed to 0.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $295.74changed to$291.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.33 changed to 5.41
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $327.05changed to$295.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.13 changed to 5.33
    • Malpractice RVU 0.41 changed to 0.22
    • Practice expense GPCI 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $330.37changed to$327.05

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.23 changed to 6.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $330.38changed to$330.37

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.26 changed to 6.23
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $332.24changed to$330.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.32 changed to 6.26
    • Malpractice RVU 0.43 changed to 0.41
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $330.33changed to$332.24

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.25 changed to 6.32
    • Malpractice RVU 0.41 changed to 0.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $328.69changed to$330.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $323.10changed to$328.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.18 changed to 6.25
    • Malpractice RVU 0.32 changed to 0.41
    • Practice expense GPCI 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $324.52changed to$323.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.72 changed to 6.18
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $324.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$286.82$193.53RVU26D
2026-07-01$286.82$193.53RVU26C
2026-04-01$286.82$193.53RVU26B
2026-01-01$286.82$193.53RVU26A
2025-10-01$272.73$202.69RVU25D
2025-07-01$272.73$202.69RVU25C
2025-04-01$272.73$202.69RVU25B
2025-01-01$272.73$202.69RVU25A
2024-10-01$277.83$204.36RVU24D
2024-07-01$277.83$204.36RVU24C
2024-04-01$277.83$204.36RVU24B
2024-03-09$277.83$204.36RVU24AR
2024-01-01$273.30$201.03RVU24A
2023-10-01$280.91$204.55RVU23D
2023-07-01$280.91$204.55RVU23C
2023-04-01$280.91$204.55RVU23B
2023-01-01$280.91$204.55RVU23A
2022-10-01$285.20$204.94RVU22D
2022-07-01$285.20$204.94RVU22C
2022-04-01$285.20$204.94RVU22B
2022-01-01$285.20$204.94RVU22A
2021-10-01$291.44$209.41RVU21D
2021-07-01$291.44$209.41RVU21C
2021-04-01$291.44$209.41RVU21B
2021-01-01$291.44$209.41RVU21A
2020-10-01$295.74$221.05RVU20D
2020-07-01$295.74$221.05RVU20C
2020-04-01$295.74$221.05RVU20B
2020-01-01$295.74$221.05RVU20A
2019-10-01$327.05$243.90RVU19D
2019-07-01$327.05$243.90RVU19C
2019-04-01$327.05$243.90RVU19B
2019-01-01$327.05$243.90RVU19A
2018-10-01$330.37$249.88RVU18D
2018-07-01$330.37$249.88RVU18C
2018-04-01$330.37$249.88RVU18B
2018-01-01$330.37$249.88RVU18AR1
2017-10-01$330.38$251.31RVU17D
2017-07-01$330.38$251.31RVU17C
2017-04-01$330.38$251.31RVU17B
2017-01-01$330.38$251.31RVU17A
2016-10-01$332.24$252.71RVU16D
2016-07-01$332.24$252.71RVU16C
2016-04-01$332.24$252.71RVU16B
2016-01-01$332.24$252.71RVU16A
2015-10-01$330.33$250.87RVU15D
2015-07-01$330.33$250.87RVU15C
2015-04-01$328.69$249.62RVU15B
2015-01-01$328.69$249.62RVU15A
2014-10-01$323.10$245.73RVU14D
2014-07-01$323.10$245.73RVU14C
2014-04-01$323.10$245.73RVU14B
2014-01-01$323.10$245.73RVU14A
2013-10-01$324.52$244.19RVU13D
2013-07-01$324.52$244.19RVU13C
2013-04-01$324.52$244.19RVU13B
2013-01-01$324.52$244.19RVU13AR

Price 40819 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

40819 billing questions

How is excision different from a frenum incision?

Use 40819 when the lip or cheek fold is excised. Code 40806 describes an incision of the labial frenum, not excision of the fold.

Should modifier 50 be reported for folds on both sides?

No. Modifier 50 is inappropriate for 40819 under the CMS bilateral rule.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant surgeon be paid for this procedure?

Assistant-at-surgery payment is available only when the medical necessity of the assistant is documented.

Can co-surgeons or a surgical team report this service?

CMS does not permit co-surgeons or team surgery for 40819.

When should a mouth-lesion excision code be considered instead?

When the operative target is a discrete mucosal lesion rather than the lip or cheek fold, select the lesion-excision code that matches the documented procedure and repair.

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
RVUs for 40819PPRRVU2026_Oct_nonQPP.csv, line 4,868 (RVU26D)
Geographic factors for Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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