CPT code 40845: Mouth reconstruction, with bone graft2026 Medicare rate & RVUs in Ohio

Reports floor-of-mouth reconstruction using a bone graft when the documented procedure and clinical circumstances support this reconstructive service.

CMS RVU26DEffective Oct 1, 2026One payment locality644 Medicare services in 2024

In Ohio, Medicare pays $1,412.08 for 40845 in the office and $1,021.44 when it’s performed in a hospital or facility.

$1,412.08Office (non-facility)

$1,021.44Hospital or facility

−4.4%vs the national office rate ($1,476.99)

Check a contract rate as a % of Medicare · 40845 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

Rate in Ohio
What 40845 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 40845 covers

This service reconstructs the floor of the mouth using a bone graft. Oral and maxillofacial surgeons and other surgeons qualified in oral reconstruction typically perform it in a hospital operating room or outpatient surgical setting. The operative report should identify the site, reconstructive work, and bone graft used, rather than describing only lesion removal or closure of an acute wound.

Select 40845 when the reconstruction uses a bone graft; codes 40840–40844 distinguish other approaches by the extent of reconstruction and whether a skin graft is used. Medicare coverage is restricted to specific circumstances, so documentation should support the indication and work performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery 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 Ohio compares for 40845

Across 109 of 109 payment localities, the office rate for 40845 runs from $1,326.05 in Arkansas to $1,837.24 in San Benito County, CA. Ohio pays $1,412.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

40845 in Ohio vs other payment areas

Ohio · this page$1,412.08
Los Angeles, CA · California$1,610.06+$197.98
Washington, DC area · District of Columbia$1,655.73+$243.65
Miami, FL · Florida$1,648.37+$236.29
Chicago, IL · Illinois$1,604.12+$192.04
Manhattan, NY · New York$1,693.41+$281.33
Alaska · Alaska$1,800.09+$388.01

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

Every other payment area

40845 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$1,342.81	$968.43
ArkansasArkansas	$1,326.05	$958.51
ArizonaArizona	$1,440.37	$1,025.77
Bakersfield, CACalifornia	$1,525.49	$1,056.55
Chico, CACalifornia	$1,517.52	$1,048.58
El Centro, CACalifornia	$1,517.98	$1,049.04
Fresno, CACalifornia	$1,517.52	$1,048.58
Hanford, CACalifornia	$1,517.52	$1,048.58
Madera, CACalifornia	$1,517.52	$1,048.58
Merced, CACalifornia	$1,517.52	$1,048.58
Modesto, CACalifornia	$1,517.52	$1,048.58
Napa, CACalifornia	$1,711.46	$1,147.54
Oxnard, CACalifornia	$1,597.34	$1,091.60
Redding, CACalifornia	$1,517.52	$1,048.58
Rest of CaliforniaCalifornia	$1,517.52	$1,048.58
Riverside, CACalifornia	$1,547.27	$1,078.33
Sacramento, CACalifornia	$1,580.06	$1,082.45
Salinas, CACalifornia	$1,573.89	$1,077.99
San Diego, CACalifornia	$1,601.72	$1,090.00
Marin County, CACalifornia	$1,796.56	$1,193.27
San Francisco, CACalifornia	$1,793.44	$1,190.15
San Benito County, CACalifornia	$1,837.24	$1,220.25
Santa Clara County, CACalifornia	$1,824.47	$1,207.49
San Luis Obispo, CACalifornia	$1,549.97	$1,062.63
Santa Cruz, CACalifornia	$1,609.83	$1,089.98
Santa Maria, CACalifornia	$1,577.28	$1,078.39
Santa Rosa, CACalifornia	$1,625.32	$1,099.90
Stockton, CACalifornia	$1,517.52	$1,048.58
Vallejo, CACalifornia	$1,706.96	$1,143.04
Visalia, CACalifornia	$1,517.52	$1,048.58
Yuba City, CACalifornia	$1,517.52	$1,048.58
ColoradoColorado	$1,512.73	$1,057.48
ConnecticutConnecticut	$1,566.99	$1,106.18
DelawareDelaware	$1,461.81	$1,039.08
Fort Lauderdale, FLFlorida	$1,561.01	$1,127.59
Rest of FloridaFlorida	$1,489.99	$1,080.95
Atlanta, GAGeorgia	$1,509.41	$1,074.70
Rest of GeorgiaGeorgia	$1,413.13	$1,031.48
Hawaii, Guam, HIHawaii	$1,541.69	$1,055.20
IowaIowa	$1,357.47	$965.97
IdahoIdaho	$1,368.22	$974.58
East St. Louis, ILIllinois	$1,509.76	$1,116.13
Rest of IllinoisIllinois	$1,463.06	$1,072.42
Suburban Chicago, ILIllinois	$1,572.68	$1,133.27
IndianaIndiana	$1,374.70	$978.06
KansasKansas	$1,358.99	$972.20
KentuckyKentucky	$1,385.43	$1,005.06
New Orleans, LALouisiana	$1,444.96	$1,042.34
Rest of LouisianaLouisiana	$1,386.36	$1,007.70
Metropolitan Boston, MAMassachusetts	$1,639.12	$1,128.25
Rest of MassachusettsMassachusetts	$1,508.42	$1,057.88
Baltimore area, MDMaryland	$1,563.93	$1,104.83
Rest of MarylandMaryland	$1,484.82	$1,051.82
Rest of MaineMaine	$1,381.91	$988.27
Southern Maine, MEMaine	$1,436.30	$1,012.29
Detroit, MIMichigan	$1,513.59	$1,100.70
Rest of MichiganMichigan	$1,423.19	$1,032.55
MinnesotaMinnesota	$1,434.20	$993.93
Metropolitan Kansas City, MOMissouri	$1,428.85	$1,027.08
Metropolitan St. Louis, MOMissouri	$1,440.95	$1,033.63
Rest of MissouriMissouri	$1,370.47	$1,001.65
MississippiMississippi	$1,348.14	$979.74
MontanaMontana	$1,476.80	$1,048.94
North CarolinaNorth Carolina	$1,393.28	$994.08
North DakotaNorth Dakota	$1,422.43	$994.56
NebraskaNebraska	$1,361.76	$966.84
New HampshireNew Hampshire	$1,496.44	$1,051.03
Northern New JerseyNew Jersey	$1,643.69	$1,147.36
Rest of New JerseyNew Jersey	$1,580.54	$1,113.31
New MexicoNew Mexico	$1,432.82	$1,040.47
NevadaNevada	$1,462.40	$1,034.11
NYC suburbs and Long Island, NYNew York	$1,738.67	$1,229.94
Poughkeepsie and northern NYC suburbs, NYNew York	$1,596.33	$1,127.82
Queens, NYNew York	$1,695.27	$1,189.53
Rest of New YorkNew York	$1,411.98	$1,005.51
OklahomaOklahoma	$1,375.77	$993.69
Portland, OROregon	$1,547.32	$1,071.96
Rest of OregonOregon	$1,446.69	$1,020.54
Metropolitan Philadelphia, PAPennsylvania	$1,537.00	$1,091.59
Rest of PennsylvaniaPennsylvania	$1,410.06	$1,017.28
Puerto RicoPuerto Rico	$1,483.91	$1,051.34
Rhode IslandRhode Island	$1,503.95	$1,061.96
South CarolinaSouth Carolina	$1,405.87	$1,010.52
South DakotaSouth Dakota	$1,416.00	$988.13
TennesseeTennessee	$1,365.80	$976.87
Austin, TXTexas	$1,511.54	$1,058.86
Beaumont, TXTexas	$1,402.56	$1,013.20
Brazoria, TXTexas	$1,455.03	$1,031.02
Dallas, TXTexas	$1,466.60	$1,040.45
Fort Worth, TXTexas	$1,460.25	$1,038.38
Galveston, TXTexas	$1,460.95	$1,036.08
Houston, TXTexas	$1,511.29	$1,086.42
Rest of TexasTexas	$1,429.60	$1,023.55
UtahUtah	$1,422.35	$1,020.15
VirginiaVirginia	$1,437.16	$1,016.56
Virgin Islands, VIUnited States Virgin Islands	$1,483.91	$1,051.34
VermontVermont	$1,424.07	$1,000.48
Rest of WashingtonWashington	$1,503.22	$1,052.68
King County, WAWashington	$1,662.99	$1,138.00
WisconsinWisconsin	$1,381.74	$971.84
West VirginiaWest Virginia	$1,417.73	$1,045.92
WyomingWyoming	$1,453.11	$1,025.24

40845 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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.

$1,326.05

$1,800.09

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

View every state and territory as a table

40845 office rate range by state
State / territory	Office rate range	Localities
AK	$1,800.09	1
AL	$1,342.81	1
AR	$1,326.05	1
AZ	$1,440.37	1
CA	$1,517.52–$1,837.24	29
CO	$1,512.73	1
CT	$1,566.99	1
DC	$1,655.73	1
DE	$1,461.81	1
FL	$1,489.99–$1,648.37	3
GA	$1,413.13–$1,509.41	2
GU	$1,541.69	1
HI	$1,541.69	1
IA	$1,357.47	1
ID	$1,368.22	1
IL	$1,463.06–$1,604.12	4
IN	$1,374.70	1
KS	$1,358.99	1
KY	$1,385.43	1
LA	$1,386.36–$1,444.96	2
MA	$1,508.42–$1,639.12	2
MD	$1,484.82–$1,655.73	3
ME	$1,381.91–$1,436.30	2
MI	$1,423.19–$1,513.59	2
MN	$1,434.20	1
MO	$1,370.47–$1,440.95	3
MS	$1,348.14	1
MT	$1,476.80	1
NC	$1,393.28	1
ND	$1,422.43	1
NE	$1,361.76	1
NH	$1,496.44	1
NJ	$1,580.54–$1,643.69	2
NM	$1,432.82	1
NV	$1,462.40	1
NY	$1,411.98–$1,738.67	5
OH	$1,412.08	1
OK	$1,375.77	1
OR	$1,446.69–$1,547.32	2
PA	$1,410.06–$1,537.00	2
PR	$1,483.91	1
RI	$1,503.95	1
SC	$1,405.87	1
SD	$1,416.00	1
TN	$1,365.80	1
TX	$1,402.56–$1,511.54	8
UT	$1,422.35	1
VA	$1,437.16–$1,655.73	2
VI	$1,483.91	1
VT	$1,424.07	1
WA	$1,503.22–$1,662.99	2
WI	$1,381.74	1
WV	$1,417.73	1
WY	$1,453.11	1

See 40845 in every payment locality

How the 40845 rate is calculated

Each of 40845’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 · 40845

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work18.88

18.88 RVUs× 1.000 GPCI

Practice expense22.59

22.59 RVUs× 1.000 GPCI

Malpractice2.75

2.75 RVUs× 1.000 GPCI

Adjusted RVUs

44.2200

Conversion factor

$33.4009

Medicare rate

$1,476.99

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

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,876

Code: 40845
Physician work: 18.88
Practice expense: 22.59
Malpractice: 2.75

GPCI2026.csv

Locality: Ohio
Physician work: 1.000
Practice expense: 0.913
Malpractice: 1.008

Office calculation for 40845 in Ohio
Component	RVU	Locality factor	Adjusted
Physician work	18.88	× 1.000	18.8800
Practice expense	22.59	× 0.913	20.6247
Malpractice	2.75	× 1.008	2.7720
Total RVUs			42.2767
Conversion factor			× 33.4009

Office rate, Ohio$1412.08

Office: (18.88 × 1 + 22.59 × 0.913 + 2.75 × 1.008) × $33.4009 = $1412.08

Facility: (18.88 × 1 + 9.78 × 0.913 + 2.75 × 1.008) × $33.4009 = $1021.44

Open 40845 in the RVU calculator

Payment rules and modifiers for 40845

40845 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 40845

Mouth reconstruction, with bone graft

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 · 40845

Mouth reconstruction, with bone graft

Date of surgery

Date of a later visit

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

40845 without 51 · national office

$1,476.99

Mouth reconstruction, with bone graft

40845-51 · Second procedure: 50%

$738.50

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 40845

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

Codes related to 40845
Code	How it relates	Office range, Ohio
Same family
40840	Mouth reconstruction, anterior vestibuloplastyLimited floor-of-mouth reconstruction without a graft.	$836.83
40842	Mouth reconstruction, extensive reconstructionLimited floor-of-mouth reconstruction using a split-thickness skin graft.	$795.26
40843	Mouth reconstruction, extensive, with skin graftExtensive floor-of-mouth reconstruction without a graft.	$1,225.28
40844	Mouth reconstruction, mucosal graft includedExtensive floor-of-mouth reconstruction using a split-thickness skin graft.	$1,538.08

How 40845 has changed in Ohio

40845 · Office / nonfacility

$1412.08

Effective 2026-10-01

Compare with release effective

The base rate is $33.59 higher than on 2025-10-01, moving from $1378.49 to $1412.08 (2.4%).

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

January 1, 2026
RVU26A
$1378.49changed to$1412.08
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 19.36 changed to 18.88
- Practice expense RVU 22.41 changed to 22.59
- Practice expense GPCI 0.911 changed to 0.913
- Malpractice GPCI 1.033 changed to 1.008
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1418.55changed to$1378.49
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 22.42 changed to 22.41
- Malpractice RVU 2.74 changed to 2.75
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1395.40changed to$1418.55
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1445.95changed to$1395.40
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 22.40 changed to 22.42
- Malpractice RVU 2.71 changed to 2.74
- Practice expense GPCI 0.912 changed to 0.911
- Malpractice GPCI 1.063 changed to 1.033
January 1, 2023
RVU23A
$1473.68changed to$1445.95
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 22.19 changed to 22.40
- Practice expense GPCI 0.913 changed to 0.912
- Malpractice GPCI 1.094 changed to 1.063
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1466.21changed to$1473.68
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 21.68 changed to 22.19
- Malpractice RVU 2.62 changed to 2.71
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1462.24changed to$1466.21
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 20.13 changed to 21.68
- Malpractice RVU 2.61 changed to 2.62
- Practice expense GPCI 0.915 changed to 0.913
- Malpractice GPCI 1.049 changed to 1.094
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1462.18changed to$1462.24
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 19.91 changed to 20.13
- Malpractice RVU 2.94 changed to 2.61
- Practice expense GPCI 0.917 changed to 0.915
- Malpractice GPCI 1.005 changed to 1.049
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1444.01changed to$1462.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 19.43 changed to 19.91
- Malpractice RVU 2.92 changed to 2.94
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1453.77changed to$1444.01
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 19.87 changed to 19.43
- Malpractice RVU 2.91 changed to 2.92
- Practice expense GPCI 0.918 changed to 0.917
- Malpractice GPCI 0.999 changed to 1.005
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1459.31changed to$1453.77
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 20.14 changed to 19.87
- Malpractice RVU 2.93 changed to 2.91
- Malpractice GPCI 0.993 changed to 0.999
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1467.98changed to$1459.31
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 20.20 changed to 20.14
- Malpractice RVU 2.97 changed to 2.93
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1460.68changed to$1467.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1460.23changed to$1460.68
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 20.32 changed to 20.20
- Malpractice RVU 2.37 changed to 2.97
- Practice expense GPCI 0.923 changed to 0.918
- Malpractice GPCI 1.117 changed to 0.993
Held through RVU15B.
January 1, 2014
RVU14A
$1467.90changed to$1460.23
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 22.34 changed to 20.32
- Malpractice RVU 2.48 changed to 2.37
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.240 changed to 1.117
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1467.90
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,412.08	$1,021.44	RVU26D
2026-07-01	$1,412.08	$1,021.44	RVU26C
2026-04-01	$1,412.08	$1,021.44	RVU26B
2026-01-01	$1,412.08	$1,021.44	RVU26A
2025-10-01	$1,378.49	$1,140.68	RVU25D
2025-07-01	$1,378.49	$1,140.68	RVU25C
2025-04-01	$1,378.49	$1,140.68	RVU25B
2025-01-01	$1,378.49	$1,140.68	RVU25A
2024-10-01	$1,418.55	$1,167.15	RVU24D
2024-07-01	$1,418.55	$1,167.15	RVU24C
2024-04-01	$1,418.55	$1,167.15	RVU24B
2024-03-09	$1,418.55	$1,167.15	RVU24AR
2024-01-01	$1,395.40	$1,148.10	RVU24A
2023-10-01	$1,445.95	$1,188.20	RVU23D
2023-07-01	$1,445.95	$1,188.20	RVU23C
2023-04-01	$1,445.95	$1,188.20	RVU23B
2023-01-01	$1,445.95	$1,188.20	RVU23A
2022-10-01	$1,473.68	$1,206.38	RVU22D
2022-07-01	$1,473.68	$1,206.38	RVU22C
2022-04-01	$1,473.68	$1,206.38	RVU22B
2022-01-01	$1,473.68	$1,206.38	RVU22A
2021-10-01	$1,466.21	$1,201.48	RVU21D
2021-07-01	$1,466.21	$1,201.48	RVU21C
2021-04-01	$1,466.21	$1,201.48	RVU21B
2021-01-01	$1,466.21	$1,201.48	RVU21A
2020-10-01	$1,462.24	$1,222.50	RVU20D
2020-07-01	$1,462.24	$1,222.50	RVU20C
2020-04-01	$1,462.24	$1,222.50	RVU20B
2020-01-01	$1,462.24	$1,222.50	RVU20A
2019-10-01	$1,462.18	$1,232.17	RVU19D
2019-07-01	$1,462.18	$1,232.17	RVU19C
2019-04-01	$1,462.18	$1,232.17	RVU19B
2019-01-01	$1,462.18	$1,232.17	RVU19A
2018-10-01	$1,444.01	$1,226.14	RVU18D
2018-07-01	$1,444.01	$1,226.14	RVU18C
2018-04-01	$1,444.01	$1,226.14	RVU18B
2018-01-01	$1,444.01	$1,226.14	RVU18AR1
2017-10-01	$1,453.77	$1,235.34	RVU17D
2017-07-01	$1,453.77	$1,235.34	RVU17C
2017-04-01	$1,453.77	$1,235.34	RVU17B
2017-01-01	$1,453.77	$1,235.34	RVU17A
2016-10-01	$1,459.31	$1,238.11	RVU16D
2016-07-01	$1,459.31	$1,238.11	RVU16C
2016-04-01	$1,459.31	$1,238.11	RVU16B
2016-01-01	$1,459.31	$1,238.11	RVU16A
2015-10-01	$1,467.98	$1,245.65	RVU15D
2015-07-01	$1,467.98	$1,245.65	RVU15C
2015-04-01	$1,460.68	$1,239.45	RVU15B
2015-01-01	$1,460.68	$1,239.45	RVU15A
2014-10-01	$1,460.23	$1,238.04	RVU14D
2014-07-01	$1,460.23	$1,238.04	RVU14C
2014-04-01	$1,460.23	$1,238.04	RVU14B
2014-01-01	$1,460.23	$1,238.04	RVU14A
2013-10-01	$1,467.90	$1,231.36	RVU13D
2013-07-01	$1,467.90	$1,231.36	RVU13C
2013-04-01	$1,467.90	$1,231.36	RVU13B
2013-01-01	$1,467.90	$1,231.36	RVU13AR

Price 40845 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

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40845 billing questions

How does 40845 differ from 40840–40844?

40845 is for floor-of-mouth reconstruction using a bone graft. The other codes distinguish reconstruction extent and whether a skin graft is used; select the code that matches the documented technique.

Can this code be used for excision of a mouth lesion?

No. Lesion removal alone is not reconstruction with a bone graft. Report the code that describes the documented lesion excision when that is the service performed.

What documentation supports reporting 40845?

The operative report should identify the floor-of-mouth site, reconstructive work, and bone graft. It should also support the clinical indication.

Can modifier 50 be reported?

No. The descriptor and anatomy make modifier 50 inappropriate for this service.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard 50% multiple-procedure reduction.

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.

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 40845PPRRVU2026_Oct_nonQPP.csv, line 4,876 (RVU26D)

4,87340842,,[CPT descriptor omitted],R,,8.92,14.84,,6.05,,1.33,25.09,16.30,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87440843,,[CPT descriptor omitted],R,,12.47,23.96,,8.52,,2.32,38.75,23.31,0,090,0.09,0.81,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87540844,,[CPT descriptor omitted],R,,16.38,29.14,,12.31,,3.04,48.56,31.73,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87640845,,[CPT descriptor omitted],R,,18.88,22.59,,9.78,,2.75,44.22,31.41,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,8774084F,,[CPT descriptor omitted],I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

4,8784086F,,[CPT descriptor omitted],M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87940899,,[CPT descriptor omitted],C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703

8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639

8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406

8515202,OH,00,OHIO,1.000,0.913,1.008

8604312,OK,00,OKLAHOMA,1.000,0.893,0.777

8702302,OR,01,PORTLAND,1.016,1.111,0.744

8802302,OR,99,REST OF OREGON,1.000,0.996,0.703

Open CMS source How we calculate rates

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What 40845 covers

How Ohio compares for 40845

Every other payment area

40845 rates by state

How the 40845 rate is calculated

Payment rules and modifiers for 40845

What modifiers do to the payment

Codes related to 40845

How 40845 has changed in Ohio

Where the Ohio rate applies

40845 billing questions

How does 40845 differ from 40840–40844?

Can this code be used for excision of a mouth lesion?

What documentation supports reporting 40845?

Can modifier 50 be reported?

How are other procedures in the same session paid?

What postoperative care is included?

Where these rates come from

Did this answer your question about what 40845 pays in Ohio?

Put 40845 and the rest of your codes on one sheet