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CPT code 41007: Mouth lesion drainage, floor of mouth, intraoral2026 Medicare rate & RVUs in Santa Clara County, CA

Reports surgical drainage through the mouth of an abscess, cyst, or hematoma located in the floor-of-mouth spaces.

CMS RVU26DEffective Oct 1, 2026One payment locality35 Medicare services in 2024

In Santa Clara County, CA, Medicare pays $438.33 for 41007 in the office and $250.49 when it’s performed in a hospital or facility.

$438.33Office (non-facility)
$250.49Hospital or facility
+30.2%vs the national office rate ($336.68)

Check a contract rate as a % of Medicare · 41007 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 41007 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 41007 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 41007 covers

This service drains a collection in the floor of the mouth through an intraoral incision. Typical targets include sublingual or submandibular space collections and submental collections approached from inside the mouth. Oral and maxillofacial surgeons, otolaryngologists, and other surgeons who manage oral or head-and-neck infections may perform it, often in a facility when the infection requires operative drainage.

Select the code based on the collection’s anatomic site and the route used; document the location, findings, incision, and drainage performed. The service has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. 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 code. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment 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 Santa Clara County, CA compares for 41007

Across 109 of 109 payment localities, the office rate for 41007 runs from $299.77 in Arkansas to $440.00 in San Benito County, CA. Santa Clara County, CA pays $438.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

41007 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$438.33
  2. Bakersfield, CA · California$355.12−$83.21
  3. Chico, CA · California$354.04−$84.29
  4. El Centro, CA · California$354.10−$84.23
  5. Fresno, CA · California$354.04−$84.29
  6. Hanford, CA · California$354.04−$84.29
  7. Los Angeles, CA · California$377.26−$61.07

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

Every other payment area

41007 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$354.04$211.27
Merced, CACalifornia$354.04$211.27
Modesto, CACalifornia$354.04$211.27
Napa, CACalifornia$407.43$235.74
Oxnard, CACalifornia$375.19$221.22
Redding, CACalifornia$354.04$211.27
Rest of CaliforniaCalifornia$354.04$211.27
Riverside, CACalifornia$357.95$215.18

41007 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.

$299.77

$397.72

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

View every state and territory as a table
41007 office rate range by state
State / territoryOffice rate rangeLocalities
AK$397.721
AL$303.911
AR$299.771
AZ$328.121
CA$354.04–$440.0029
CO$349.411
CT$358.261
DC$382.911
DE$333.341
FL$333.03–$364.103
GA$315.18–$342.942
GU$361.821
HI$361.821
IA$310.691
ID$312.711
IL$324.27–$354.084
IN$314.411
KS$309.551
KY$311.191
LA$310.82–$325.312
MA$347.59–$382.402
MD$339.38–$382.913
ME$314.50–$330.262
MI$319.05–$337.212
MN$334.611
MO$305.95–$326.123
MS$302.901
MT$336.661
NC$317.571
ND$329.541
NE$312.231
NH$344.221
NJ$362.30–$379.342
NM$320.801
NV$334.891
NY$322.09–$395.325
OH$317.601
OK$310.411
OR$332.23–$359.742
PA$317.94–$349.922
PR$338.931
RI$344.641
SC$318.121
SD$328.701
TN$311.051
TX$315.99–$348.308
UT$322.231
VA$329.40–$382.912
VI$338.931
VT$328.541
WA$346.85–$389.732
WI$319.101
WV$312.991
WY$333.551

See 41007 in every payment locality

How the 41007 rate is calculated

Each of 41007’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 · 41007

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.12

3.12 RVUs× 1.000 GPCI

Practice expense6.60

6.60 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

10.0800

Conversion factor

$33.4009

Medicare rate

$336.68

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

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,885

Code
41007
Physician work
3.12
Practice expense
6.60
Malpractice
0.36

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 41007 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work3.12× 1.1103.4632
Practice expense6.60× 1.4429.5172
Malpractice0.36× 0.3970.1429
Total RVUs13.1233
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$438.33

Office: (3.12 × 1.11 + 6.6 × 1.442 + 0.36 × 0.397) × $33.4009 = $438.33

Facility: (3.12 × 1.11 + 2.7 × 1.442 + 0.36 × 0.397) × $33.4009 = $250.49

Open 41007 in the RVU calculator

Payment rules and modifiers for 41007

41007 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41007

Mouth lesion drainage, floor of mouth, intraoral

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 · 41007

Mouth lesion drainage, floor of mouth, intraoral

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

41007 without 51 · national office

$336.68

Mouth lesion drainage, floor of mouth, intraoral

41007-51 · Second procedure: 50%

$168.34

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 41007

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

Codes related to 41007
CodeHow it relatesOffice range, Santa Clara County, CA
Used instead
41008Tongue drainage, intraoral approachFloor-of-mouth drainage approached externally rather than through the mouth.$543.24
Same family
41005Oral drainage, mouth vestibuleIntraoral drainage for a collection in the vestibule of the mouth.$313.52
41006Mouth lesion drainage, floor of mouth, extraoralExtraoral drainage for a collection in the vestibule of the mouth.$453.90
41009Abscess drainage, intraoral pharyngeal spaceIntraoral drainage for a collection located in the tongue.$567.31
41000Oral abscess drainage, floor of mouthDrainage for a collection arising from dentoalveolar structures.$208.82

How 41007 has changed in Santa Clara County, CA

41007 · Office / nonfacility

$438.33

Effective 2026-10-01

The base rate is $20.68 higher than on 2025-10-01, moving from $417.65 to $438.33 (5.0%).

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

    $417.65changed to$438.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.20 changed to 3.12
    • Practice expense RVU 6.46 changed to 6.60
    • Malpractice RVU 0.29 changed to 0.36
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $425.31changed to$417.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.36 changed to 6.46
    • Malpractice RVU 0.31 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $418.37changed to$425.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $426.02changed to$418.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.34 changed to 6.36
    • Malpractice RVU 0.30 changed to 0.31
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $427.24changed to$426.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.31 changed to 6.34
    • Malpractice RVU 0.27 changed to 0.30
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $432.57changed to$427.24

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.35 changed to 6.31
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $434.02changed to$432.57

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.16 changed to 6.35
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $438.40changed to$434.02

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.27 changed to 6.16
    • Malpractice RVU 0.54 changed to 0.27
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $446.21changed to$438.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.44 changed to 6.27

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $487.77changed to$446.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.33 changed to 6.44
    • Malpractice RVU 0.53 changed to 0.54
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $448.22changed to$487.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.57 changed to 7.33
    • Malpractice RVU 0.45 changed to 0.53
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $484.91changed to$448.22

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.27 changed to 6.57
    • Malpractice RVU 0.53 changed to 0.45

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $482.50changed to$484.91

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $447.95changed to$482.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.60 changed to 7.27
    • Malpractice RVU 0.39 changed to 0.53
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $457.89changed to$447.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.33 changed to 6.60
    • Malpractice RVU 0.41 changed to 0.39
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$457.89

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$438.33$250.49RVU26D
2026-07-01$438.33$250.49RVU26C
2026-04-01$438.33$250.49RVU26B
2026-01-01$438.33$250.49RVU26A
2025-10-01$417.65$271.44RVU25D
2025-07-01$417.65$271.44RVU25C
2025-04-01$417.65$271.44RVU25B
2025-01-01$417.65$271.44RVU25A
2024-10-01$425.31$271.97RVU24D
2024-07-01$425.31$271.97RVU24C
2024-04-01$425.31$271.97RVU24B
2024-03-09$425.31$271.97RVU24AR
2024-01-01$418.37$267.53RVU24A
2023-10-01$426.02$269.89RVU23D
2023-07-01$426.02$269.89RVU23C
2023-04-01$426.02$269.89RVU23B
2023-01-01$426.02$269.89RVU23A
2022-10-01$427.24$267.38RVU22D
2022-07-01$427.24$267.38RVU22C
2022-04-01$427.24$267.38RVU22B
2022-01-01$427.24$267.38RVU22A
2021-10-01$432.57$270.90RVU21D
2021-07-01$432.57$270.90RVU21C
2021-04-01$432.57$270.90RVU21B
2021-01-01$432.57$270.90RVU21A
2020-10-01$434.02$286.29RVU20D
2020-07-01$434.02$286.29RVU20C
2020-04-01$434.02$286.29RVU20B
2020-01-01$434.02$286.29RVU20A
2019-10-01$438.40$297.38RVU19D
2019-07-01$438.40$297.38RVU19C
2019-04-01$438.40$297.38RVU19B
2019-01-01$438.40$297.38RVU19A
2018-10-01$446.21$310.22RVU18D
2018-07-01$446.21$310.22RVU18C
2018-04-01$446.21$310.22RVU18B
2018-01-01$446.21$310.22RVU18AR1
2017-10-01$487.77$322.43RVU17D
2017-07-01$487.77$322.43RVU17C
2017-04-01$487.77$322.43RVU17B
2017-01-01$487.77$322.43RVU17A
2016-10-01$448.22$298.71RVU16D
2016-07-01$448.22$298.71RVU16C
2016-04-01$448.22$298.71RVU16B
2016-01-01$448.22$298.71RVU16A
2015-10-01$484.91$320.83RVU15D
2015-07-01$484.91$320.83RVU15C
2015-04-01$482.50$319.23RVU15B
2015-01-01$482.50$319.23RVU15A
2014-10-01$447.95$299.88RVU14D
2014-07-01$447.95$299.88RVU14C
2014-04-01$447.95$299.88RVU14B
2014-01-01$447.95$299.88RVU14A
2013-10-01$457.89$300.50RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 41007 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

41007 billing questions

How is 41007 distinguished from 41008?

Both describe drainage involving floor-of-mouth spaces, but 41007 is for an intraoral approach and 41008 for an extraoral approach. Document the route used.

When is 41005 a better fit?

41005 is for drainage of a collection in the vestibule of the mouth. Use 41007 when the collection is in the floor-of-mouth spaces.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

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.

What documentation supports an assistant-at-surgery claim?

The record must document the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment for this service.

How are other procedures in the same session paid?

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

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 41007PPRRVU2026_Oct_nonQPP.csv, line 4,885 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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