CPT code 40830: Mouth laceration repair, simple vestibular repair2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $217.51 for 40830 in the office and $132.43 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.

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 Ohio 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. Ohio pays $217.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

40830 rates by state

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

See 40830 in every payment locality

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.

Payment rules and modifiers for 40830

40830 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 40830

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

How 40830 has changed in Ohio

Price 40830 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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