CPT code 40830: Mouth laceration repair, simple vestibular repair2026 Medicare rate & RVUs in Kentucky
Report this code for simple repair of a traumatic laceration in the mouth vestibule, such as a cut along the inner lip or cheek.
In Kentucky, Medicare pays $212.83 for 40830 in the office and $129.99 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 40830 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 40830 covers
This code describes simple repair of a traumatic cut in the oral vestibule—the space between the inner lip or cheek and the teeth or gums. A clinician may use it for an uncomplicated mucosal laceration, such as one caused by a fall or impact. Oral and maxillofacial surgeons, dentists, otolaryngologists, and emergency clinicians may perform the repair in an office, emergency department, or operating room. The key distinction from 40831 is that 40830 is for a simple repair; the record should identify the wound’s location and describe the repair performed.
Report one unit for the repair and document the injury, vestibular site, and basis for selecting the simple repair code. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this descriptor and anatomy. 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 Kentucky compares for 40830
Across 109 of 109 payment localities, the office rate for 40830 runs from $204.81 in Arkansas to $307.67 in San Benito County, CA. Kentucky pays $212.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$212.83
- Los Angeles, CA · California$261.84+$49.01
- Washington, DC area · District of Columbia$265.23+$52.40
- Miami, FL · Florida$250.31+$37.48
- Chicago, IL · Illinois$242.99+$30.16
- Manhattan, NY · New York$266.82+$53.99
- Alaska · Alaska$268.64+$55.81
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $207.84 | $126.30 |
| ArkansasArkansas | $204.81 | $124.76 |
| ArizonaArizona | $225.58 | $135.28 |
| Bakersfield, CACalifornia | $245.76 | $143.63 |
| Chico, CACalifornia | $245.08 | $142.95 |
| El Centro, CACalifornia | $245.12 | $142.99 |
| Fresno, CACalifornia | $245.08 | $142.95 |
| Hanford, CACalifornia | $245.08 | $142.95 |
| Madera, CACalifornia | $245.08 | $142.95 |
| Merced, CACalifornia | $245.08 | $142.95 |
| Modesto, CACalifornia | $245.08 | $142.95 |
| Napa, CACalifornia | $284.22 | $161.39 |
| Oxnard, CACalifornia | $260.59 | $150.44 |
| Redding, CACalifornia | $245.08 | $142.95 |
| Rest of CaliforniaCalifornia | $245.08 | $142.95 |
| Riverside, CACalifornia | $247.58 | $145.44 |
| Sacramento, CACalifornia | $257.26 | $148.88 |
| Salinas, CACalifornia | $256.31 | $148.30 |
| San Diego, CACalifornia | $262.40 | $150.94 |
| Marin County, CACalifornia | $300.91 | $169.52 |
| San Francisco, CACalifornia | $300.65 | $169.26 |
| San Benito County, CACalifornia | $307.67 | $173.29 |
| Santa Clara County, CACalifornia | $306.60 | $172.23 |
| San Luis Obispo, CACalifornia | $252.18 | $146.04 |
| Santa Cruz, CACalifornia | $264.95 | $151.73 |
| Santa Maria, CACalifornia | $257.28 | $148.63 |
| Santa Rosa, CACalifornia | $267.63 | $153.20 |
| Stockton, CACalifornia | $245.08 | $142.95 |
| Vallejo, CACalifornia | $283.84 | $161.02 |
| Visalia, CACalifornia | $245.08 | $142.95 |
| Yuba City, CACalifornia | $245.08 | $142.95 |
| ColoradoColorado | $241.39 | $142.24 |
| ConnecticutConnecticut | $247.30 | $146.94 |
| DelawareDelaware | $229.34 | $137.27 |
| Fort Lauderdale, FLFlorida | $240.15 | $145.75 |
| Rest of FloridaFlorida | $228.41 | $139.32 |
| Atlanta, GAGeorgia | $236.16 | $141.48 |
| Rest of GeorgiaGeorgia | $215.46 | $132.33 |
| Hawaii, Guam, HIHawaii | $251.17 | $145.22 |
| IowaIowa | $213.14 | $127.88 |
| IdahoIdaho | $214.55 | $128.82 |
| East St. Louis, ILIllinois | $226.39 | $140.66 |
| Rest of IllinoisIllinois | $221.77 | $136.69 |
| Suburban Chicago, ILIllinois | $242.60 | $146.90 |
| IndianaIndiana | $215.81 | $129.42 |
| KansasKansas | $212.15 | $127.91 |
| New Orleans, LALouisiana | $223.11 | $135.42 |
| Rest of LouisianaLouisiana | $212.50 | $130.03 |
| Metropolitan Boston, MAMassachusetts | $265.39 | $154.12 |
| Rest of MassachusettsMassachusetts | $239.93 | $141.81 |
| Baltimore area, MDMaryland | $246.61 | $146.62 |
| Rest of MarylandMaryland | $233.74 | $139.44 |
| Rest of MaineMaine | $215.70 | $129.96 |
| Southern Maine, MEMaine | $227.48 | $135.13 |
| Detroit, MIMichigan | $231.30 | $141.37 |
| Rest of MichiganMichigan | $218.44 | $133.36 |
| MinnesotaMinnesota | $231.18 | $135.29 |
| Metropolitan Kansas City, MOMissouri | $221.56 | $134.06 |
| Metropolitan St. Louis, MOMissouri | $223.90 | $135.18 |
| Rest of MissouriMissouri | $208.83 | $128.50 |
| MississippiMississippi | $206.86 | $126.63 |
| MontanaMontana | $231.79 | $138.60 |
| North CarolinaNorth Carolina | $217.97 | $131.03 |
| North DakotaNorth Dakota | $227.24 | $134.05 |
| NebraskaNebraska | $214.32 | $128.31 |
| New HampshireNew Hampshire | $237.61 | $140.60 |
| Northern New JerseyNew Jersey | $262.45 | $154.35 |
| Rest of New JerseyNew Jersey | $250.09 | $148.33 |
| New MexicoNew Mexico | $219.65 | $134.20 |
| NevadaNevada | $230.68 | $137.40 |
| NYC suburbs and Long Island, NYNew York | $273.35 | $162.55 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $251.75 | $149.71 |
| Queens, NYNew York | $269.01 | $158.86 |
| Rest of New YorkNew York | $221.27 | $132.74 |
| OhioOhio | $217.51 | $132.43 |
| OklahomaOklahoma | $212.43 | $129.22 |
| Portland, OROregon | $249.10 | $145.56 |
| Rest of OregonOregon | $228.86 | $136.04 |
| Metropolitan Philadelphia, PAPennsylvania | $241.11 | $144.10 |
| Rest of PennsylvaniaPennsylvania | $217.85 | $132.30 |
| Puerto RicoPuerto Rico | $233.50 | $139.29 |
| Rhode IslandRhode Island | $237.54 | $141.28 |
| South CarolinaSouth Carolina | $218.11 | $132.00 |
| South DakotaSouth Dakota | $226.70 | $133.51 |
| TennesseeTennessee | $213.23 | $128.52 |
| Austin, TXTexas | $240.61 | $142.02 |
| Beaumont, TXTexas | $216.41 | $131.61 |
| Brazoria, TXTexas | $229.10 | $136.75 |
| Dallas, TXTexas | $230.58 | $137.77 |
| Fort Worth, TXTexas | $229.03 | $137.15 |
| Galveston, TXTexas | $229.80 | $137.26 |
| Houston, TXTexas | $234.01 | $141.47 |
| Rest of TexasTexas | $222.64 | $134.21 |
| UtahUtah | $221.12 | $133.52 |
| VirginiaVirginia | $226.74 | $135.13 |
| Virgin Islands, VIUnited States Virgin Islands | $233.50 | $139.29 |
| VermontVermont | $226.36 | $134.10 |
| Rest of WashingtonWashington | $239.48 | $141.35 |
| King County, WAWashington | $270.81 | $156.47 |
| WisconsinWisconsin | $219.56 | $130.28 |
| West VirginiaWest Virginia | $213.50 | $132.52 |
| WyomingWyoming | $229.80 | $136.62 |
40830 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.
$204.81
$276.38
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 | $268.64 | 1 |
| AL | $207.84 | 1 |
| AR | $204.81 | 1 |
| AZ | $225.58 | 1 |
| CA | $245.08–$307.67 | 29 |
| CO | $241.39 | 1 |
| CT | $247.30 | 1 |
| DC | $265.23 | 1 |
| DE | $229.34 | 1 |
| FL | $228.41–$250.31 | 3 |
| GA | $215.46–$236.16 | 2 |
| GU | $251.17 | 1 |
| HI | $251.17 | 1 |
| IA | $213.14 | 1 |
| ID | $214.55 | 1 |
| IL | $221.77–$242.99 | 4 |
| IN | $215.81 | 1 |
| KS | $212.15 | 1 |
| KY | $212.83 | 1 |
| LA | $212.50–$223.11 | 2 |
| MA | $239.93–$265.39 | 2 |
| MD | $233.74–$265.23 | 3 |
| ME | $215.70–$227.48 | 2 |
| MI | $218.44–$231.30 | 2 |
| MN | $231.18 | 1 |
| MO | $208.83–$223.90 | 3 |
| MS | $206.86 | 1 |
| MT | $231.79 | 1 |
| NC | $217.97 | 1 |
| ND | $227.24 | 1 |
| NE | $214.32 | 1 |
| NH | $237.61 | 1 |
| NJ | $250.09–$262.45 | 2 |
| NM | $219.65 | 1 |
| NV | $230.68 | 1 |
| NY | $221.27–$273.35 | 5 |
| OH | $217.51 | 1 |
| OK | $212.43 | 1 |
| OR | $228.86–$249.10 | 2 |
| PA | $217.85–$241.11 | 2 |
| PR | $233.50 | 1 |
| RI | $237.54 | 1 |
| SC | $218.11 | 1 |
| SD | $226.70 | 1 |
| TN | $213.23 | 1 |
| TX | $216.41–$240.61 | 8 |
| UT | $221.12 | 1 |
| VA | $226.74–$265.23 | 2 |
| VI | $233.50 | 1 |
| VT | $226.36 | 1 |
| WA | $239.48–$270.81 | 2 |
| WI | $219.56 | 1 |
| WV | $213.50 | 1 |
| WY | $229.80 | 1 |
How the 40830 rate is calculated
Each of 40830’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 · 40830
RVUs × geographic indexes × conversion factor
Work1.77
1.77 RVUs× 1.000 GPCI
Practice expense4.94
4.94 RVUs× 1.000 GPCI
Malpractice0.23
0.23 RVUs× 1.000 GPCI
Adjusted RVUs
6.9400
Conversion factor
$33.4009
Medicare rate
$231.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,870
- Code
- 40830
- Physician work
- 1.77
- Practice expense
- 4.94
- Malpractice
- 0.23
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.77 | × 1.000 | 1.7700 |
| Practice expense | 4.94 | × 0.889 | 4.3917 |
| Malpractice | 0.23 | × 0.915 | 0.2105 |
| Total RVUs | 6.3721 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$212.83
Office: (1.77 × 1 + 4.94 × 0.889 + 0.23 × 0.915) × $33.4009 = $212.83
Facility: (1.77 × 1 + 2.15 × 0.889 + 0.23 × 0.915) × $33.4009 = $129.99
Payment rules and modifiers for 40830
40830 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 40830
Mouth laceration repair, simple vestibular repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 40830
Mouth laceration repair, simple vestibular repair
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
40830 without 51 · national office
$231.80
Mouth laceration repair, simple vestibular repair
40830-51 · Second procedure: 50%
$115.90
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 40830 has changed in Kentucky
40830 · Office / nonfacility
$212.83
Effective 2026-10-01
The base rate is $13.58 higher than on 2025-10-01, moving from $199.25 to $212.83 (6.8%).
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
$199.25changed to$212.83
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.82 changed to 1.77
- Practice expense RVU 4.73 changed to 4.94
- Malpractice RVU 0.21 changed to 0.23
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$204.17changed to$199.25
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.70 changed to 4.73
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$200.84changed to$204.17
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$209.27changed to$200.84
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.77 changed to 4.70
- Malpractice RVU 0.22 changed to 0.21
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$220.20changed to$209.27
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.99 changed to 4.77
- Malpractice RVU 0.25 changed to 0.22
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$262.57changed to$220.20
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.27 changed to 4.99
- Malpractice RVU 0.31 changed to 0.25
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$259.39changed to$262.57
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.84 changed to 6.27
- Malpractice RVU 0.32 changed to 0.31
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$254.04changed to$259.39
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.70 changed to 5.84
- Malpractice RVU 0.26 changed to 0.32
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$253.13changed to$254.04
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.68 changed to 5.70
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$251.42changed to$253.13
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$249.28changed to$251.42
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.66 changed to 5.68
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$250.15changed to$249.28
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.65 changed to 5.66
- Malpractice RVU 0.27 changed to 0.26
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$248.90changed to$250.15
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$248.45changed to$248.90
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.60 changed to 5.65
- Malpractice RVU 0.30 changed to 0.27
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$253.29changed to$248.45
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 6.19 changed to 5.60
- Malpractice RVU 0.31 changed to 0.30
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $253.29
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $212.83 | $129.99 | RVU26D |
| 2026-07-01 | $212.83 | $129.99 | RVU26C |
| 2026-04-01 | $212.83 | $129.99 | RVU26B |
| 2026-01-01 | $212.83 | $129.99 | RVU26A |
| 2025-10-01 | $199.25 | $133.72 | RVU25D |
| 2025-07-01 | $199.25 | $133.72 | RVU25C |
| 2025-04-01 | $199.25 | $133.72 | RVU25B |
| 2025-01-01 | $199.25 | $133.72 | RVU25A |
| 2024-10-01 | $204.17 | $135.28 | RVU24D |
| 2024-07-01 | $204.17 | $135.28 | RVU24C |
| 2024-04-01 | $204.17 | $135.28 | RVU24B |
| 2024-03-09 | $204.17 | $135.28 | RVU24AR |
| 2024-01-01 | $200.84 | $133.07 | RVU24A |
| 2023-10-01 | $209.27 | $136.79 | RVU23D |
| 2023-07-01 | $209.27 | $136.79 | RVU23C |
| 2023-04-01 | $209.27 | $136.79 | RVU23B |
| 2023-01-01 | $209.27 | $136.79 | RVU23A |
| 2022-10-01 | $220.20 | $139.91 | RVU22D |
| 2022-07-01 | $220.20 | $139.91 | RVU22C |
| 2022-04-01 | $220.20 | $139.91 | RVU22B |
| 2022-01-01 | $220.20 | $139.91 | RVU22A |
| 2021-10-01 | $262.57 | $155.23 | RVU21D |
| 2021-07-01 | $262.57 | $155.23 | RVU21C |
| 2021-04-01 | $262.57 | $155.23 | RVU21B |
| 2021-01-01 | $262.57 | $155.23 | RVU21A |
| 2020-10-01 | $259.39 | $160.35 | RVU20D |
| 2020-07-01 | $259.39 | $160.35 | RVU20C |
| 2020-04-01 | $259.39 | $160.35 | RVU20B |
| 2020-01-01 | $259.39 | $160.35 | RVU20A |
| 2019-10-01 | $254.04 | $159.21 | RVU19D |
| 2019-07-01 | $254.04 | $159.21 | RVU19C |
| 2019-04-01 | $254.04 | $159.21 | RVU19B |
| 2019-01-01 | $254.04 | $159.21 | RVU19A |
| 2018-10-01 | $253.13 | $160.62 | RVU18D |
| 2018-07-01 | $253.13 | $160.62 | RVU18C |
| 2018-04-01 | $253.13 | $160.62 | RVU18B |
| 2018-01-01 | $253.13 | $160.62 | RVU18AR1 |
| 2017-10-01 | $251.42 | $159.93 | RVU17D |
| 2017-07-01 | $251.42 | $159.93 | RVU17C |
| 2017-04-01 | $251.42 | $159.93 | RVU17B |
| 2017-01-01 | $251.42 | $159.93 | RVU17A |
| 2016-10-01 | $249.28 | $158.74 | RVU16D |
| 2016-07-01 | $249.28 | $158.74 | RVU16C |
| 2016-04-01 | $249.28 | $158.74 | RVU16B |
| 2016-01-01 | $249.28 | $158.74 | RVU16A |
| 2015-10-01 | $250.15 | $160.22 | RVU15D |
| 2015-07-01 | $250.15 | $160.22 | RVU15C |
| 2015-04-01 | $248.90 | $159.42 | RVU15B |
| 2015-01-01 | $248.90 | $159.42 | RVU15A |
| 2014-10-01 | $248.45 | $158.79 | RVU14D |
| 2014-07-01 | $248.45 | $158.79 | RVU14C |
| 2014-04-01 | $248.45 | $158.79 | RVU14B |
| 2014-01-01 | $248.45 | $158.79 | RVU14A |
| 2013-10-01 | $253.29 | $159.64 | RVU13D |
| 2013-07-01 | $253.29 | $159.64 | RVU13C |
| 2013-04-01 | $253.29 | $159.64 | RVU13B |
| 2013-01-01 | $253.29 | $159.64 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
40830 billing questions
How does 40830 differ from 40831?
40830 is for simple repair of a laceration in the mouth vestibule. Use 40831 when the repair is documented as complicated.
Can this code be used for a mouth lesion that is excised?
No. This code describes repair of a traumatic laceration. Lesion excision with repair is represented by lesion-specific codes such as 40812 or 40814, as appropriate.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be appended for wounds on both sides of the mouth?
No. Modifier 50 is inappropriate for this descriptor and anatomy; report the repair without a bilateral adjustment.
When is an assistant-at-surgery payable?
Medicare pays an assistant at surgery only when the record documents medical necessity. Co-surgeons and team surgery 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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