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CPT code 41007: Mouth lesion drainage, floor of mouth, intraoral2026 Medicare rate & RVUs in Ohio

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 Ohio, Medicare pays $317.60 for 41007 in the office and $198.67 when it’s performed in a hospital or facility.

$317.60Office (non-facility)
$198.67Hospital or facility
−5.7%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 Ohio
  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 Ohio 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. Ohio pays $317.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

41007 in Ohio vs other payment areas
  1. Ohio · this page$317.60
  2. Los Angeles, CA · California$377.26+$59.66
  3. Washington, DC area · District of Columbia$382.91+$65.31
  4. Miami, FL · Florida$364.10+$46.50
  5. Chicago, IL · Illinois$354.08+$36.48
  6. Manhattan, NY · New York$386.11+$68.51
  7. Alaska · Alaska$397.72+$80.12

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

Every other payment area

41007 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$303.91$189.93
ArkansasArkansas$299.77$187.87
ArizonaArizona$328.12$201.89
Bakersfield, CACalifornia$355.12$212.35
Chico, CACalifornia$354.04$211.27
El Centro, CACalifornia$354.10$211.33
Fresno, CACalifornia$354.04$211.27
Hanford, CACalifornia$354.04$211.27

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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 41007 in Ohio
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0003.1200
Practice expense6.60× 0.9136.0258
Malpractice0.36× 1.0080.3629
Total RVUs9.5087
Conversion factor× 33.4009

Office rate, Ohio$317.60

Office: (3.12 × 1 + 6.6 × 0.913 + 0.36 × 1.008) × $33.4009 = $317.60

Facility: (3.12 × 1 + 2.7 × 0.913 + 0.36 × 1.008) × $33.4009 = $198.67

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, Ohio
Used instead
41008Tongue drainage, intraoral approachFloor-of-mouth drainage approached externally rather than through the mouth.$389.79
Same family
41005Oral drainage, mouth vestibuleIntraoral drainage for a collection in the vestibule of the mouth.$215.25
41006Mouth lesion drainage, floor of mouth, extraoralExtraoral drainage for a collection in the vestibule of the mouth.$329.35
41009Abscess drainage, intraoral pharyngeal spaceIntraoral drainage for a collection located in the tongue.$407.26
41000Oral abscess drainage, floor of mouthDrainage for a collection arising from dentoalveolar structures.$149.87

How 41007 has changed in Ohio

41007 · Office / nonfacility

$317.60

Effective 2026-10-01

The base rate is $14.04 higher than on 2025-10-01, moving from $303.56 to $317.60 (4.6%).

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

  1. January 1, 2026

    RVU26A

    $303.56changed to$317.60

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $310.05changed to$303.56

    • 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

    $304.99changed to$310.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $315.18changed to$304.99

    • 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
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $320.33changed to$315.18

    • 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
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $323.88changed to$320.33

    • 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

    $329.12changed to$323.88

    • 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
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $342.09changed to$329.12

    • 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
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $347.33changed to$342.09

    • 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

    $375.34changed to$347.33

    • 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
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $346.52changed to$375.34

    • 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
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $373.71changed to$346.52

    • 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

    $371.85changed to$373.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $348.46changed to$371.85

    • 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
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $357.35changed to$348.46

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $357.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$317.60$198.67RVU26D
2026-07-01$317.60$198.67RVU26C
2026-04-01$317.60$198.67RVU26B
2026-01-01$317.60$198.67RVU26A
2025-10-01$303.56$210.74RVU25D
2025-07-01$303.56$210.74RVU25C
2025-04-01$303.56$210.74RVU25B
2025-01-01$303.56$210.74RVU25A
2024-10-01$310.05$212.70RVU24D
2024-07-01$310.05$212.70RVU24C
2024-04-01$310.05$212.70RVU24B
2024-03-09$310.05$212.70RVU24AR
2024-01-01$304.99$209.23RVU24A
2023-10-01$315.18$214.12RVU23D
2023-07-01$315.18$214.12RVU23C
2023-04-01$315.18$214.12RVU23B
2023-01-01$315.18$214.12RVU23A
2022-10-01$320.33$214.80RVU22D
2022-07-01$320.33$214.80RVU22C
2022-04-01$320.33$214.80RVU22B
2022-01-01$320.33$214.80RVU22A
2021-10-01$323.88$217.16RVU21D
2021-07-01$323.88$217.16RVU21C
2021-04-01$323.88$217.16RVU21B
2021-01-01$323.88$217.16RVU21A
2020-10-01$329.12$230.39RVU20D
2020-07-01$329.12$230.39RVU20C
2020-04-01$329.12$230.39RVU20B
2020-01-01$329.12$230.39RVU20A
2019-10-01$342.09$246.59RVU19D
2019-07-01$342.09$246.59RVU19C
2019-04-01$342.09$246.59RVU19B
2019-01-01$342.09$246.59RVU19A
2018-10-01$347.33$255.23RVU18D
2018-07-01$347.33$255.23RVU18C
2018-04-01$347.33$255.23RVU18B
2018-01-01$347.33$255.23RVU18AR1
2017-10-01$375.34$262.99RVU17D
2017-07-01$375.34$262.99RVU17C
2017-04-01$375.34$262.99RVU17B
2017-01-01$375.34$262.99RVU17A
2016-10-01$346.52$244.63RVU16D
2016-07-01$346.52$244.63RVU16C
2016-04-01$346.52$244.63RVU16B
2016-01-01$346.52$244.63RVU16A
2015-10-01$373.71$261.89RVU15D
2015-07-01$373.71$261.89RVU15C
2015-04-01$371.85$260.58RVU15B
2015-01-01$371.85$260.58RVU15A
2014-10-01$348.46$246.63RVU14D
2014-07-01$348.46$246.63RVU14C
2014-04-01$348.46$246.63RVU14B
2014-01-01$348.46$246.63RVU14A
2013-10-01$357.35$248.23RVU13D
2013-07-01$357.35$248.23RVU13C
2013-04-01$357.35$248.23RVU13B
2013-01-01$357.35$248.23RVU13AR

Price 41007 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

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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