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CPT code 41006: Mouth lesion drainage, floor of mouth, extraoral2026 Medicare rate & RVUs in Houston, TX

Reports surgical drainage of a floor-of-mouth abscess, cyst, or hematoma reached through an external approach rather than through the mouth.

CMS RVU26DEffective Oct 1, 2026One payment locality665 Medicare services in 2024

In Houston, TX, Medicare pays $353.09 for 41006 in the office and $220.42 when it’s performed in a hospital or facility.

$353.09Office (non-facility)
$220.42Hospital or facility
+1.2%vs the national office rate ($349.04)

Check a contract rate as a % of Medicare · 41006 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 41006 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 41006 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 41006 covers

This service is drainage of a collection in the floor of the mouth through an incision made externally, such as through the skin beneath the jaw. The surgeon opens the collection and evacuates its contents. Oral and maxillofacial surgeons and otolaryngologists may perform it in an operating room or, when clinically appropriate, another surgical setting. The external route distinguishes this service from drainage approached through the oral cavity.

Select the code based on the documented site and operative route; the record should identify the floor-of-mouth collection and the external approach. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing 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 41006

Across 109 of 109 payment localities, the office rate for 41006 runs from $310.81 in Arkansas to $455.67 in San Benito County, CA. Houston, TX pays $353.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

41006 in Houston, TX vs other payment areas
  1. Houston, TX · this page$353.09
  2. Austin, TX · Texas$361.00+$7.91
  3. Beaumont, TX · Texas$327.67−$25.42
  4. Brazoria, TX · Texas$345.07−$8.02
  5. Dallas, TX · Texas$347.31−$5.78
  6. Fort Worth, TX · Texas$345.20−$7.89
  7. Galveston, TX · Texas$346.14−$6.95

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

Every other payment area

41006 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$336.21$209.42
Los Angeles, CACalifornia$390.86$232.81
Washington, DC areaDistrict of Columbia$396.84$239.46
Miami, FLFlorida$377.77$238.69
Chicago, ILIllinois$367.38$233.10
Manhattan, NYNew York$400.29$245.05
AlaskaAlaska$412.57$270.28
AlabamaAlabama$315.10$198.20

41006 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$310.81

$412.57

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

View every state and territory as a table
41006 office rate range by state
State / territoryOffice rate rangeLocalities
AK$412.571
AL$315.101
AR$310.811
AZ$340.161
CA$366.84–$455.6729
CO$362.121
CT$371.401
DC$396.841
DE$345.571
FL$345.42–$377.773
GA$326.91–$355.562
GU$374.861
HI$374.861
IA$322.051
ID$324.151
IL$336.40–$367.384
IN$325.911
KS$320.911
KY$322.711
LA$322.35–$337.352
MA$360.26–$396.232
MD$351.82–$396.843
ME$326.04–$342.312
MI$330.89–$349.792
MN$346.701
MO$317.32–$338.153
MS$314.111
MT$349.011
NC$329.221
ND$341.501
NE$323.631
NH$356.781
NJ$375.55–$393.162
NM$332.711
NV$347.151
NY$333.90–$409.885
OH$329.351
OK$321.871
OR$344.36–$372.782
PA$329.69–$362.772
PR$351.351
RI$357.241
SC$329.851
SD$340.611
TN$322.461
TX$327.67–$361.008
UT$334.101
VA$341.44–$396.842
VI$351.351
VT$340.491
WA$359.48–$403.792
WI$330.701
WV$324.711
WY$345.741

See 41006 in every payment locality

How the 41006 rate is calculated

Each of 41006’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 · 41006

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.26

3.26 RVUs× 1.000 GPCI

Practice expense6.81

6.81 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

10.4500

Conversion factor

$33.4009

Medicare rate

$349.04

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

4,884

Code
41006
Physician work
3.26
Practice expense
6.81
Malpractice
0.38

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 41006 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work3.26× 1.0083.2861
Practice expense6.81× 0.9936.7623
Malpractice0.38× 1.3760.5229
Total RVUs10.5713
Conversion factor× 33.4009

Office rate, Houston, TX$353.09

Office: (3.26 × 1.008 + 6.81 × 0.993 + 0.38 × 1.376) × $33.4009 = $353.09

Facility: (3.26 × 1.008 + 2.81 × 0.993 + 0.38 × 1.376) × $33.4009 = $220.42

Open 41006 in the RVU calculator

Payment rules and modifiers for 41006

41006 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41006

Mouth lesion drainage, floor of mouth, extraoral

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 41006

Mouth lesion drainage, floor of mouth, extraoral

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

41006 without 51 · national office

$349.04

Mouth lesion drainage, floor of mouth, extraoral

41006-51 · Second procedure: 50%

$174.52

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 41006

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

Codes related to 41006
CodeHow it relatesOffice range, Houston, TX
Same family
41005Oral drainage, mouth vestibuleFloor-of-mouth drainage approached intraorally.$232.20
41007Mouth lesion drainage, floor of mouth, intraoralDrainage of a mouth collection in the vestibule through an intraoral approach.$340.49
41008Tongue drainage, intraoral approachDrainage of a mouth collection in the vestibule through an external approach.$419.56
41015Mouth lesion drainage, extraoral floor-of-mouth approachDrainage of sublingual, submandibular, or submental space through an intraoral approach.$415.37
41016Abscess drainage, intraoral deep-space approachDrainage of sublingual, submandibular, or submental space through an external approach.$489.47

How 41006 has changed in Houston, TX

41006 · Office / nonfacility

$353.09

Effective 2026-10-01

The base rate is $13.92 higher than on 2025-10-01, moving from $339.17 to $353.09 (4.1%).

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

  1. January 1, 2026

    RVU26A

    $339.17changed to$353.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.34 changed to 3.26
    • Practice expense RVU 6.60 changed to 6.81
    • Malpractice RVU 0.34 changed to 0.38
    • 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.

  2. January 1, 2025

    RVU25A

    $345.70changed to$339.17

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.50 changed to 6.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $340.06changed to$345.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $354.25changed to$340.06

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.54 changed to 6.50
    • 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

  5. January 1, 2023

    RVU23A

    $383.77changed to$354.25

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.13 changed to 6.54
    • 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.

  6. January 1, 2022

    RVU22A

    $357.78changed to$383.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.37 changed to 7.13
    • Malpractice RVU 0.28 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $360.81changed to$357.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.19 changed to 6.37
    • 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.

  8. January 1, 2020

    RVU20A

    $371.44changed to$360.81

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.30 changed to 6.19
    • Malpractice RVU 0.56 changed to 0.28
    • 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.

  9. January 1, 2019

    RVU19A

    $377.59changed to$371.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.48 changed to 6.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $406.35changed to$377.59

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.32 changed to 6.48
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $377.06changed to$406.35

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.62 changed to 7.32
    • Malpractice RVU 0.49 changed to 0.56
    • 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.

  12. January 1, 2016

    RVU16A

    $404.70changed to$377.06

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.29 changed to 6.62
    • Malpractice RVU 0.55 changed to 0.49

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $402.69changed to$404.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $372.87changed to$402.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.62 changed to 7.29
    • Malpractice RVU 0.40 changed to 0.55
    • 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.

  15. January 1, 2014

    RVU14A

    $377.74changed to$372.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.33 changed to 6.62
    • Malpractice RVU 0.42 changed to 0.40
    • 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.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $377.74

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$353.09$220.42RVU26D
2026-07-01$353.09$220.42RVU26C
2026-04-01$353.09$220.42RVU26B
2026-01-01$353.09$220.42RVU26A
2025-10-01$339.17$236.33RVU25D
2025-07-01$339.17$236.33RVU25C
2025-04-01$339.17$236.33RVU25B
2025-01-01$339.17$236.33RVU25A
2024-10-01$345.70$237.86RVU24D
2024-07-01$345.70$237.86RVU24C
2024-04-01$345.70$237.86RVU24B
2024-03-09$345.70$237.86RVU24AR
2024-01-01$340.06$233.98RVU24A
2023-10-01$354.25$239.60RVU23D
2023-07-01$354.25$239.60RVU23C
2023-04-01$354.25$239.60RVU23B
2023-01-01$354.25$239.60RVU23A
2022-10-01$383.77$250.23RVU22D
2022-07-01$383.77$250.23RVU22C
2022-04-01$383.77$250.23RVU22B
2022-01-01$383.77$250.23RVU22A
2021-10-01$357.78$238.93RVU21D
2021-07-01$357.78$238.93RVU21C
2021-04-01$357.78$238.93RVU21B
2021-01-01$357.78$238.93RVU21A
2020-10-01$360.81$251.85RVU20D
2020-07-01$360.81$251.85RVU20C
2020-04-01$360.81$251.85RVU20B
2020-01-01$360.81$251.85RVU20A
2019-10-01$371.44$267.86RVU19D
2019-07-01$371.44$267.86RVU19C
2019-04-01$371.44$267.86RVU19B
2019-01-01$371.44$267.86RVU19A
2018-10-01$377.59$277.40RVU18D
2018-07-01$377.59$277.40RVU18C
2018-04-01$377.59$277.40RVU18B
2018-01-01$377.59$277.40RVU18AR1
2017-10-01$406.35$285.76RVU17D
2017-07-01$406.35$285.76RVU17C
2017-04-01$406.35$285.76RVU17B
2017-01-01$406.35$285.76RVU17A
2016-10-01$377.06$266.84RVU16D
2016-07-01$377.06$266.84RVU16C
2016-04-01$377.06$266.84RVU16B
2016-01-01$377.06$266.84RVU16A
2015-10-01$404.70$283.96RVU15D
2015-07-01$404.70$283.96RVU15C
2015-04-01$402.69$282.55RVU15B
2015-01-01$402.69$282.55RVU15A
2014-10-01$372.87$263.54RVU14D
2014-07-01$372.87$263.54RVU14C
2014-04-01$372.87$263.54RVU14B
2014-01-01$372.87$263.54RVU14A
2013-10-01$377.74$272.74RVU13D
2013-07-01$377.74$272.74RVU13C
2013-04-01$377.74$272.74RVU13B
2013-01-01$377.74$272.74RVU13AR

Price 41006 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.

Browse all communities in Texas

41006 billing questions

How does this differ from 41005?

Both address drainage in the floor of the mouth. Use 41006 for an external approach and 41005 when the collection is drained through the oral cavity.

When is 41006 preferred over 41016?

41006 is for a floor-of-mouth collection reached externally. 41016 describes external drainage of a sublingual, submandibular, or submental space collection; choose by the documented anatomic space.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this code’s descriptor and anatomy.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

When may an assistant-at-surgery be paid?

CMS payment for an assistant at surgery requires documentation of 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
RVUs for 41006PPRRVU2026_Oct_nonQPP.csv, line 4,884 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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