CPT code 40844: Mouth reconstruction, mucosal graft included2026 Medicare rate & RVUs in Montana
Reports reconstruction of the oral vestibule using a mucous membrane graft, including obtaining the graft, to address tissue loss or scarring.
In Montana, Medicare pays $1,621.74 for 40844 in the office and $1,059.61 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 40844 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 40844 covers
This procedure rebuilds the oral vestibule—the space between the cheek or lip and the gum—using a mucous membrane graft, including obtaining the graft. Oral and maxillofacial surgeons and other qualified surgeons may perform it when tissue loss or scar contracture has reduced vestibular depth, such as after trauma or prior surgery. The reconstruction may restore the oral lining and improve the area’s shape for function or prosthetic support.
Select the code that matches the documented reconstructive technique and graft work; distinguish this service from vestibular reconstruction using another graft type or a different approach. The operative report should identify the affected site, reason for reconstruction, graft type and source, whether the graft was obtained during the procedure, and the reconstructive work performed. CMS lists restricted coverage, so payment is limited to specific circumstances. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Assistant-at-surgery payment may be made; co-surgeon and team-surgery billing are not permitted. Modifier 50 is inappropriate for this descriptor and anatomy.
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 Montana compares for 40844
Across 109 of 109 payment localities, the office rate for 40844 runs from $1,435.47 in Arkansas to $2,065.22 in San Benito County, CA. Montana pays $1,621.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,621.74
- Los Angeles, CA · California$1,788.38+$166.64
- Washington, DC area · District of Columbia$1,836.21+$214.47
- Miami, FL · Florida$1,817.11+$195.37
- Chicago, IL · Illinois$1,762.14+$140.40
- Manhattan, NY · New York$1,874.14+$252.40
- Alaska · Alaska$1,913.17+$291.43
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,456.22 | $964.35 |
| ArkansasArkansas | $1,435.47 | $952.59 |
| ArizonaArizona | $1,577.15 | $1,032.44 |
| Bakersfield, CACalifornia | $1,686.08 | $1,069.98 |
| Chico, CACalifornia | $1,677.57 | $1,061.47 |
| El Centro, CACalifornia | $1,678.08 | $1,061.98 |
| Fresno, CACalifornia | $1,677.57 | $1,061.47 |
| Hanford, CACalifornia | $1,677.57 | $1,061.47 |
| Madera, CACalifornia | $1,677.57 | $1,061.47 |
| Merced, CACalifornia | $1,677.57 | $1,061.47 |
| Modesto, CACalifornia | $1,677.57 | $1,061.47 |
| Napa, CACalifornia | $1,915.97 | $1,175.07 |
| Oxnard, CACalifornia | $1,776.13 | $1,111.68 |
| Redding, CACalifornia | $1,677.57 | $1,061.47 |
| Rest of CaliforniaCalifornia | $1,677.57 | $1,061.47 |
| Riverside, CACalifornia | $1,710.31 | $1,094.20 |
| Sacramento, CACalifornia | $1,753.18 | $1,099.41 |
| Salinas, CACalifornia | $1,746.55 | $1,095.03 |
| San Diego, CACalifornia | $1,782.62 | $1,110.31 |
| Marin County, CACalifornia | $2,018.04 | $1,225.43 |
| San Francisco, CACalifornia | $2,014.59 | $1,221.98 |
| San Benito County, CACalifornia | $2,065.22 | $1,254.61 |
| Santa Clara County, CACalifornia | $2,051.10 | $1,240.50 |
| San Luis Obispo, CACalifornia | $1,719.42 | $1,079.15 |
| Santa Cruz, CACalifornia | $1,795.58 | $1,112.59 |
| Santa Maria, CACalifornia | $1,751.72 | $1,096.27 |
| Santa Rosa, CACalifornia | $1,813.16 | $1,122.86 |
| Stockton, CACalifornia | $1,677.57 | $1,061.47 |
| Vallejo, CACalifornia | $1,910.99 | $1,170.10 |
| Visalia, CACalifornia | $1,677.57 | $1,061.47 |
| Yuba City, CACalifornia | $1,677.57 | $1,061.47 |
| ColoradoColorado | $1,668.57 | $1,070.45 |
| ConnecticutConnecticut | $1,729.16 | $1,123.74 |
| DelawareDelaware | $1,602.75 | $1,047.36 |
| Fort Lauderdale, FLFlorida | $1,716.64 | $1,147.20 |
| Rest of FloridaFlorida | $1,630.20 | $1,092.79 |
| Atlanta, GAGeorgia | $1,659.57 | $1,088.44 |
| Rest of GeorgiaGeorgia | $1,536.33 | $1,034.90 |
| Hawaii, Guam, HIHawaii | $1,712.54 | $1,073.39 |
| IowaIowa | $1,477.99 | $963.63 |
| IdahoIdaho | $1,490.57 | $973.41 |
| East St. Louis, ILIllinois | $1,647.04 | $1,129.88 |
| Rest of IllinoisIllinois | $1,594.44 | $1,081.21 |
| Suburban Chicago, ILIllinois | $1,730.44 | $1,153.13 |
| IndianaIndiana | $1,498.71 | $977.60 |
| KansasKansas | $1,478.15 | $969.98 |
| KentuckyKentucky | $1,505.28 | $1,005.54 |
| New Orleans, LALouisiana | $1,578.33 | $1,049.36 |
| Rest of LouisianaLouisiana | $1,505.75 | $1,008.26 |
| Metropolitan Boston, MAMassachusetts | $1,822.03 | $1,150.84 |
| Rest of MassachusettsMassachusetts | $1,661.67 | $1,069.74 |
| Baltimore area, MDMaryland | $1,725.82 | $1,122.64 |
| Rest of MarylandMaryland | $1,630.77 | $1,061.89 |
| Rest of MaineMaine | $1,505.70 | $988.54 |
| Southern Maine, MEMaine | $1,575.72 | $1,018.64 |
| Detroit, MIMichigan | $1,657.54 | $1,115.08 |
| Rest of MichiganMichigan | $1,550.37 | $1,037.14 |
| MinnesotaMinnesota | $1,578.69 | $1,000.25 |
| Metropolitan Kansas City, MOMissouri | $1,560.24 | $1,032.39 |
| Metropolitan St. Louis, MOMissouri | $1,575.43 | $1,040.28 |
| Rest of MissouriMissouri | $1,484.99 | $1,000.43 |
| MississippiMississippi | $1,460.16 | $976.16 |
| North CarolinaNorth Carolina | $1,520.08 | $995.61 |
| North DakotaNorth Dakota | $1,561.63 | $999.50 |
| NebraskaNebraska | $1,483.85 | $964.99 |
| New HampshireNew Hampshire | $1,649.16 | $1,063.98 |
| Northern New JerseyNew Jersey | $1,819.05 | $1,166.97 |
| Rest of New JerseyNew Jersey | $1,743.23 | $1,129.37 |
| New MexicoNew Mexico | $1,561.57 | $1,046.09 |
| NevadaNevada | $1,605.96 | $1,043.26 |
| NYC suburbs and Long Island, NYNew York | $1,927.94 | $1,259.55 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,760.35 | $1,144.81 |
| Queens, NYNew York | $1,878.98 | $1,214.54 |
| Rest of New YorkNew York | $1,543.13 | $1,009.10 |
| OhioOhio | $1,538.08 | $1,024.85 |
| OklahomaOklahoma | $1,495.16 | $993.17 |
| Portland, OROregon | $1,712.74 | $1,088.21 |
| Rest of OregonOregon | $1,587.90 | $1,028.01 |
| Metropolitan Philadelphia, PAPennsylvania | $1,691.30 | $1,106.11 |
| Rest of PennsylvaniaPennsylvania | $1,536.55 | $1,020.51 |
| Puerto RicoPuerto Rico | $1,631.13 | $1,062.81 |
| Rhode IslandRhode Island | $1,653.50 | $1,072.81 |
| South CarolinaSouth Carolina | $1,532.75 | $1,013.33 |
| South DakotaSouth Dakota | $1,554.53 | $992.39 |
| TennesseeTennessee | $1,486.36 | $975.38 |
| Austin, TXTexas | $1,667.92 | $1,073.18 |
| Beaumont, TXTexas | $1,527.14 | $1,015.60 |
| Brazoria, TXTexas | $1,595.23 | $1,038.15 |
| Dallas, TXTexas | $1,608.56 | $1,048.67 |
| Fort Worth, TXTexas | $1,600.15 | $1,045.88 |
| Galveston, TXTexas | $1,602.05 | $1,043.84 |
| Houston, TXTexas | $1,657.69 | $1,099.49 |
| Rest of TexasTexas | $1,562.46 | $1,028.99 |
| UtahUtah | $1,553.19 | $1,024.78 |
| VirginiaVirginia | $1,575.55 | $1,022.97 |
| Virgin Islands, VIUnited States Virgin Islands | $1,631.13 | $1,062.81 |
| VermontVermont | $1,562.05 | $1,005.54 |
| Rest of WashingtonWashington | $1,656.38 | $1,064.45 |
| King County, WAWashington | $1,851.66 | $1,161.92 |
| WisconsinWisconsin | $1,510.80 | $972.28 |
| West VirginiaWest Virginia | $1,538.21 | $1,049.71 |
| WyomingWyoming | $1,595.55 | $1,033.41 |
40844 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.
$1,435.47
$1,913.17
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 | $1,913.17 | 1 |
| AL | $1,456.22 | 1 |
| AR | $1,435.47 | 1 |
| AZ | $1,577.15 | 1 |
| CA | $1,677.57–$2,065.22 | 29 |
| CO | $1,668.57 | 1 |
| CT | $1,729.16 | 1 |
| DC | $1,836.21 | 1 |
| DE | $1,602.75 | 1 |
| FL | $1,630.20–$1,817.11 | 3 |
| GA | $1,536.33–$1,659.57 | 2 |
| GU | $1,712.54 | 1 |
| HI | $1,712.54 | 1 |
| IA | $1,477.99 | 1 |
| ID | $1,490.57 | 1 |
| IL | $1,594.44–$1,762.14 | 4 |
| IN | $1,498.71 | 1 |
| KS | $1,478.15 | 1 |
| KY | $1,505.28 | 1 |
| LA | $1,505.75–$1,578.33 | 2 |
| MA | $1,661.67–$1,822.03 | 2 |
| MD | $1,630.77–$1,836.21 | 3 |
| ME | $1,505.70–$1,575.72 | 2 |
| MI | $1,550.37–$1,657.54 | 2 |
| MN | $1,578.69 | 1 |
| MO | $1,484.99–$1,575.43 | 3 |
| MS | $1,460.16 | 1 |
| MT | $1,621.74 | 1 |
| NC | $1,520.08 | 1 |
| ND | $1,561.63 | 1 |
| NE | $1,483.85 | 1 |
| NH | $1,649.16 | 1 |
| NJ | $1,743.23–$1,819.05 | 2 |
| NM | $1,561.57 | 1 |
| NV | $1,605.96 | 1 |
| NY | $1,543.13–$1,927.94 | 5 |
| OH | $1,538.08 | 1 |
| OK | $1,495.16 | 1 |
| OR | $1,587.90–$1,712.74 | 2 |
| PA | $1,536.55–$1,691.30 | 2 |
| PR | $1,631.13 | 1 |
| RI | $1,653.50 | 1 |
| SC | $1,532.75 | 1 |
| SD | $1,554.53 | 1 |
| TN | $1,486.36 | 1 |
| TX | $1,527.14–$1,667.92 | 8 |
| UT | $1,553.19 | 1 |
| VA | $1,575.55–$1,836.21 | 2 |
| VI | $1,631.13 | 1 |
| VT | $1,562.05 | 1 |
| WA | $1,656.38–$1,851.66 | 2 |
| WI | $1,510.80 | 1 |
| WV | $1,538.21 | 1 |
| WY | $1,595.55 | 1 |
How the 40844 rate is calculated
Each of 40844’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 · 40844
RVUs × geographic indexes × conversion factor
Work16.38
16.38 RVUs× 1.000 GPCI
Practice expense29.14
29.14 RVUs× 1.000 GPCI
Malpractice3.04
3.04 RVUs× 1.000 GPCI
Adjusted RVUs
48.5600
Conversion factor
$33.4009
Medicare rate
$1,621.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,875
- Code
- 40844
- Physician work
- 16.38
- Practice expense
- 29.14
- Malpractice
- 3.04
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.38 | × 1.000 | 16.3800 |
| Practice expense | 29.14 | × 1.000 | 29.1400 |
| Malpractice | 3.04 | × 0.998 | 3.0339 |
| Total RVUs | 48.5539 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$1621.74
Office: (16.38 × 1 + 29.14 × 1 + 3.04 × 0.998) × $33.4009 = $1621.74
Facility: (16.38 × 1 + 12.31 × 1 + 3.04 × 0.998) × $33.4009 = $1059.61
Payment rules and modifiers for 40844
40844 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 40844
Mouth reconstruction, mucosal graft included
| 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) | 2 | Paid. |
| 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 · 40844
Mouth reconstruction, mucosal graft included
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
40844 without 51 · national office
$1,621.95
Mouth reconstruction, mucosal graft included
40844-51 · Second procedure: 50%
$810.98
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 40844 has changed in Montana
40844 · Office / nonfacility
$1621.74
Effective 2026-10-01
The base rate is $151.84 higher than on 2025-10-01, moving from $1469.90 to $1621.74 (10.3%).
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
$1469.90changed to$1621.74
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 16.80 changed to 16.38
- Practice expense RVU 25.63 changed to 29.14
- Malpractice RVU 3.08 changed to 3.04
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1506.64changed to$1469.90
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 25.42 changed to 25.63
- Malpractice RVU 3.11 changed to 3.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1482.05changed to$1506.64
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1531.14changed to$1482.05
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 3.03 changed to 3.11
January 1, 2023
RVU23A
$1547.58changed to$1531.14
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 24.93 changed to 25.42
- Malpractice RVU 3.06 changed to 3.03
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1548.96changed to$1547.58
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 24.69 changed to 24.93
- Malpractice RVU 2.97 changed to 3.06
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1582.16changed to$1548.96
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 23.18 changed to 24.69
- Malpractice RVU 2.96 changed to 2.97
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1475.48changed to$1582.16
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 19.77 changed to 23.18
- Malpractice RVU 2.68 changed to 2.96
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1437.35changed to$1475.48
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 18.87 changed to 19.77
- Malpractice RVU 2.61 changed to 2.68
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1374.27changed to$1437.35
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 18.02 changed to 18.87
- Malpractice RVU 2.43 changed to 2.61
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1371.86changed to$1374.27
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 18.61 changed to 18.02
- Malpractice RVU 2.37 changed to 2.43
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1367.12changed to$1371.86
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 18.23 changed to 18.61
- Malpractice RVU 2.46 changed to 2.37
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1360.32changed to$1367.12
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1393.62changed to$1360.32
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 18.41 changed to 18.23
- Malpractice RVU 3.17 changed to 2.46
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$1395.69changed to$1393.62
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 20.56 changed to 18.41
- Malpractice RVU 3.32 changed to 3.17
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1395.69
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,621.74 | $1,059.61 | RVU26D |
| 2026-07-01 | $1,621.74 | $1,059.61 | RVU26C |
| 2026-04-01 | $1,621.74 | $1,059.61 | RVU26B |
| 2026-01-01 | $1,621.74 | $1,059.61 | RVU26A |
| 2025-10-01 | $1,469.90 | $1,154.20 | RVU25D |
| 2025-07-01 | $1,469.90 | $1,154.20 | RVU25C |
| 2025-04-01 | $1,469.90 | $1,154.20 | RVU25B |
| 2025-01-01 | $1,469.90 | $1,154.20 | RVU25A |
| 2024-10-01 | $1,506.64 | $1,176.10 | RVU24D |
| 2024-07-01 | $1,506.64 | $1,176.10 | RVU24C |
| 2024-04-01 | $1,506.64 | $1,176.10 | RVU24B |
| 2024-03-09 | $1,506.64 | $1,176.10 | RVU24AR |
| 2024-01-01 | $1,482.05 | $1,156.90 | RVU24A |
| 2023-10-01 | $1,531.14 | $1,192.26 | RVU23D |
| 2023-07-01 | $1,531.14 | $1,192.26 | RVU23C |
| 2023-04-01 | $1,531.14 | $1,192.26 | RVU23B |
| 2023-01-01 | $1,531.14 | $1,192.26 | RVU23A |
| 2022-10-01 | $1,547.58 | $1,201.86 | RVU22D |
| 2022-07-01 | $1,547.58 | $1,201.86 | RVU22C |
| 2022-04-01 | $1,547.58 | $1,201.86 | RVU22B |
| 2022-01-01 | $1,547.58 | $1,201.86 | RVU22A |
| 2021-10-01 | $1,548.96 | $1,204.57 | RVU21D |
| 2021-07-01 | $1,548.96 | $1,204.57 | RVU21C |
| 2021-04-01 | $1,548.96 | $1,204.57 | RVU21B |
| 2021-01-01 | $1,548.96 | $1,204.57 | RVU21A |
| 2020-10-01 | $1,582.16 | $1,266.74 | RVU20D |
| 2020-07-01 | $1,582.16 | $1,266.74 | RVU20C |
| 2020-04-01 | $1,582.16 | $1,266.74 | RVU20B |
| 2020-01-01 | $1,582.16 | $1,266.74 | RVU20A |
| 2019-10-01 | $1,475.48 | $1,207.35 | RVU19D |
| 2019-07-01 | $1,475.48 | $1,207.35 | RVU19C |
| 2019-04-01 | $1,475.48 | $1,207.35 | RVU19B |
| 2019-01-01 | $1,475.48 | $1,207.35 | RVU19A |
| 2018-10-01 | $1,437.35 | $1,189.32 | RVU18D |
| 2018-07-01 | $1,437.35 | $1,189.32 | RVU18C |
| 2018-04-01 | $1,437.35 | $1,189.32 | RVU18B |
| 2018-01-01 | $1,437.35 | $1,189.32 | RVU18AR1 |
| 2017-10-01 | $1,374.27 | $1,128.79 | RVU17D |
| 2017-07-01 | $1,374.27 | $1,128.79 | RVU17C |
| 2017-04-01 | $1,374.27 | $1,128.79 | RVU17B |
| 2017-01-01 | $1,374.27 | $1,128.79 | RVU17A |
| 2016-10-01 | $1,371.86 | $1,114.79 | RVU16D |
| 2016-07-01 | $1,371.86 | $1,114.79 | RVU16C |
| 2016-04-01 | $1,371.86 | $1,114.79 | RVU16B |
| 2016-01-01 | $1,371.86 | $1,114.79 | RVU16A |
| 2015-10-01 | $1,367.12 | $1,118.11 | RVU15D |
| 2015-07-01 | $1,367.12 | $1,118.11 | RVU15C |
| 2015-04-01 | $1,360.32 | $1,112.54 | RVU15B |
| 2015-01-01 | $1,360.32 | $1,112.54 | RVU15A |
| 2014-10-01 | $1,393.62 | $1,147.16 | RVU14D |
| 2014-07-01 | $1,393.62 | $1,147.16 | RVU14C |
| 2014-04-01 | $1,393.62 | $1,147.16 | RVU14B |
| 2014-01-01 | $1,393.62 | $1,147.16 | RVU14A |
| 2013-10-01 | $1,395.69 | $1,129.63 | RVU13D |
| 2013-07-01 | $1,395.69 | $1,129.63 | RVU13C |
| 2013-04-01 | $1,395.69 | $1,129.63 | RVU13B |
| 2013-01-01 | $1,395.69 | $1,129.63 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
40844 billing questions
How is 40844 distinguished from other vestibule reconstruction codes?
40844 describes reconstruction with a mucous membrane graft, including obtaining the graft. Choose among related codes according to the graft and reconstructive work documented in the operative report.
What documentation supports reporting 40844?
Document the vestibular site and defect, the reason for reconstruction, the graft type and source, whether it was obtained during the procedure, and the reconstructive steps. CMS payment is restricted to specific circumstances.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can another procedure be reported during the same session?
A separately performed procedure may be reported when supported by the record. CMS applies the standard multiple-procedure reduction to other procedures performed in the same session.
Can modifier 50 be used for reconstruction on both sides?
No. CMS identifies modifier 50 as inappropriate for this descriptor and anatomy.
Can an assistant surgeon be reported?
CMS indicates assistant-at-surgery payment may be made. Co-surgeon and team-surgery billing are not permitted.
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
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