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

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 Houston, TX, Medicare pays $1,511.29 for 40845 in the office and $1,086.42 when it’s performed in a hospital or facility.

$1,511.29Office (non-facility)

$1,086.42Hospital or facility

+2.3%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 Houston, TX
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 Houston, TX 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. Houston, TX pays $1,511.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

40845 in Houston, TX vs other payment areas

Houston, TX · this page$1,511.29
Austin, TX · Texas$1,511.54+$0.25
Beaumont, TX · Texas$1,402.56−$108.73
Brazoria, TX · Texas$1,455.03−$56.26
Dallas, TX · Texas$1,466.60−$44.69
Fort Worth, TX · Texas$1,460.25−$51.04
Galveston, TX · Texas$1,460.95−$50.34

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

Every other payment area

40845 in every other Medicare payment locality
Payment locality	Office	Facility
Rest of TexasTexas	$1,429.60	$1,023.55
Los Angeles, CACalifornia	$1,610.06	$1,103.89
Washington, DC areaDistrict of Columbia	$1,655.73	$1,151.70
Miami, FLFlorida	$1,648.37	$1,202.96
Chicago, ILIllinois	$1,604.12	$1,174.12
Manhattan, NYNew York	$1,693.41	$1,196.23
AlaskaAlaska	$1,800.09	$1,344.42
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
OhioOhio	$1,412.08	$1,021.44
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
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 Houston, TX 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

102

Locality: Houston, TX
Physician work: 1.008
Practice expense: 0.993
Malpractice: 1.376

Office calculation for 40845 in Houston, TX
Component	RVU	Locality factor	Adjusted
Physician work	18.88	× 1.008	19.0310
Practice expense	22.59	× 0.993	22.4319
Malpractice	2.75	× 1.376	3.7840
Total RVUs			45.2469
Conversion factor			× 33.4009

Office rate, Houston, TX$1511.29

Office: (18.88 × 1.008 + 22.59 × 0.993 + 2.75 × 1.376) × $33.4009 = $1511.29

Facility: (18.88 × 1.008 + 9.78 × 0.993 + 2.75 × 1.376) × $33.4009 = $1086.42

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, Houston, TX
Same family
40840	Mouth reconstruction, anterior vestibuloplastyLimited floor-of-mouth reconstruction without a graft.	$899.14
40842	Mouth reconstruction, extensive reconstructionLimited floor-of-mouth reconstruction using a split-thickness skin graft.	$853.65
40843	Mouth reconstruction, extensive, with skin graftExtensive floor-of-mouth reconstruction without a graft.	$1,321.15
40844	Mouth reconstruction, mucosal graft includedExtensive floor-of-mouth reconstruction using a split-thickness skin graft.	$1,657.69

How 40845 has changed in Houston, TX

40845 · Office / nonfacility

$1511.29

Effective 2026-10-01

Compare with release effective

The base rate is $23.90 higher than on 2025-10-01, moving from $1487.39 to $1511.29 (1.6%).

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
$1487.39changed to$1511.29
- 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
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1530.52changed to$1487.39
- 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
$1505.54changed to$1530.52
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1548.34changed to$1505.54
- 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
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.016 changed to 1.003
- Malpractice GPCI 1.154 changed to 1.409
January 1, 2023
RVU23A
$1566.00changed to$1548.34
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 22.19 changed to 22.40
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.029 changed to 1.016
- Malpractice GPCI 0.900 changed to 1.154
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1557.85changed to$1566.00
- 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
$1544.34changed to$1557.85
- 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
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.020 changed to 1.029
- Malpractice GPCI 0.918 changed to 0.900
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1536.99changed to$1544.34
- 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
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.012 changed to 1.020
- Malpractice GPCI 0.936 changed to 0.918
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1517.15changed to$1536.99
- 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
$1527.02changed to$1517.15
- 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 1.009 changed to 1.012
- Malpractice GPCI 0.946 changed to 0.936
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1531.95changed to$1527.02
- 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
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.006 changed to 1.009
- Malpractice GPCI 0.955 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1541.02changed to$1531.95
- 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
$1533.35changed to$1541.02
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1513.79changed to$1533.35
- 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
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 1.004 changed to 1.006
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$1504.09changed to$1513.79
- 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
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 1.002 changed to 1.004
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1504.09
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,511.29	$1,086.42	RVU26D
2026-07-01	$1,511.29	$1,086.42	RVU26C
2026-04-01	$1,511.29	$1,086.42	RVU26B
2026-01-01	$1,511.29	$1,086.42	RVU26A
2025-10-01	$1,487.39	$1,225.57	RVU25D
2025-07-01	$1,487.39	$1,225.57	RVU25C
2025-04-01	$1,487.39	$1,225.57	RVU25B
2025-01-01	$1,487.39	$1,225.57	RVU25A
2024-10-01	$1,530.52	$1,253.74	RVU24D
2024-07-01	$1,530.52	$1,253.74	RVU24C
2024-04-01	$1,530.52	$1,253.74	RVU24B
2024-03-09	$1,530.52	$1,253.74	RVU24AR
2024-01-01	$1,505.54	$1,233.28	RVU24A
2023-10-01	$1,548.34	$1,261.20	RVU23D
2023-07-01	$1,548.34	$1,261.20	RVU23C
2023-04-01	$1,548.34	$1,261.20	RVU23B
2023-01-01	$1,548.34	$1,261.20	RVU23A
2022-10-01	$1,566.00	$1,264.74	RVU22D
2022-07-01	$1,566.00	$1,264.74	RVU22C
2022-04-01	$1,566.00	$1,264.74	RVU22B
2022-01-01	$1,566.00	$1,264.74	RVU22A
2021-10-01	$1,557.85	$1,259.48	RVU21D
2021-07-01	$1,557.85	$1,259.48	RVU21C
2021-04-01	$1,557.85	$1,259.48	RVU21B
2021-01-01	$1,557.85	$1,259.48	RVU21A
2020-10-01	$1,544.34	$1,277.09	RVU20D
2020-07-01	$1,544.34	$1,277.09	RVU20C
2020-04-01	$1,544.34	$1,277.09	RVU20B
2020-01-01	$1,544.34	$1,277.09	RVU20A
2019-10-01	$1,536.99	$1,283.15	RVU19D
2019-07-01	$1,536.99	$1,283.15	RVU19C
2019-04-01	$1,536.99	$1,283.15	RVU19B
2019-01-01	$1,536.99	$1,283.15	RVU19A
2018-10-01	$1,517.15	$1,276.70	RVU18D
2018-07-01	$1,517.15	$1,276.70	RVU18C
2018-04-01	$1,517.15	$1,276.70	RVU18B
2018-01-01	$1,517.15	$1,276.70	RVU18AR1
2017-10-01	$1,527.02	$1,286.94	RVU17D
2017-07-01	$1,527.02	$1,286.94	RVU17C
2017-04-01	$1,527.02	$1,286.94	RVU17B
2017-01-01	$1,527.02	$1,286.94	RVU17A
2016-10-01	$1,531.95	$1,289.54	RVU16D
2016-07-01	$1,531.95	$1,289.54	RVU16C
2016-04-01	$1,531.95	$1,289.54	RVU16B
2016-01-01	$1,531.95	$1,289.54	RVU16A
2015-10-01	$1,541.02	$1,297.38	RVU15D
2015-07-01	$1,541.02	$1,297.38	RVU15C
2015-04-01	$1,533.35	$1,290.92	RVU15B
2015-01-01	$1,533.35	$1,290.92	RVU15A
2014-10-01	$1,513.79	$1,272.10	RVU14D
2014-07-01	$1,513.79	$1,272.10	RVU14C
2014-04-01	$1,513.79	$1,272.10	RVU14B
2014-01-01	$1,513.79	$1,272.10	RVU14A
2013-10-01	$1,504.09	$1,248.40	RVU13D
2013-07-01	$1,504.09	$1,248.40	RVU13C
2013-04-01	$1,504.09	$1,248.40	RVU13B
2013-01-01	$1,504.09	$1,248.40	RVU13AR

Price 40845 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

40845 in Houston · multiple payment areas
Aldine
Atascocita
Barrett
40845 in Baytown · multiple payment areas
Bellaire
Bunker Hill Village
Channelview

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

9904412,TX,11,DALLAS,1.009,0.996,0.858

10004412,TX,28,FORT WORTH,1.009,0.986,0.871

10104412,TX,15,GALVESTON,1.008,0.993,0.828

10204412,TX,18,HOUSTON,1.008,0.993,1.376

10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903

10403502,UT,09,UTAH,1.000,0.940,0.898

10514512,VT,50,VERMONT,1.000,0.990,0.506

Open CMS source How we calculate rates

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What 40845 covers

How Houston, TX 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 Houston, TX

Where the Houston, TX 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 Houston, TX?

Put 40845 and the rest of your codes on one sheet