CPT code 41015: Mouth lesion drainage, extraoral floor-of-mouth approach2026 Medicare rate & RVUs in Auburn, Georgia
CPT 41015: $385.03–$418.12 office ($268.54–$285.43 facility) across 2 localities in Auburn, GA in 2026 Medicare. Compare each area.
Medicare pays $385.03–$418.12 for 41015 in the office in Auburn, Georgia, from Rest of Georgia to Atlanta, GA. Which amount applies depends on the service address.
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 6 sections
Where 41015 pays more and less in Auburn, Georgia
Auburn, Georgia maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta, GA | $418.12 | $285.43 |
| Rest of Georgia | $385.03 | $268.54 |
How payment areas work in Auburn
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Rest Of State · Barrow County
- Atlanta · Gwinnett County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 41015 rate is calculated
Each of 41015’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 · 41015
RVUs × geographic indexes × conversion factor
Work3.98
3.98 RVUs× 1.000 GPCI
Practice expense7.86
7.86 RVUs× 1.000 GPCI
Malpractice0.45
0.45 RVUs× 1.000 GPCI
Adjusted RVUs
12.2900
Conversion factor
$33.4009
Medicare rate
$410.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 41015
41015 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41015
Mouth lesion drainage, extraoral floor-of-mouth approach
| 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 · 41015
Mouth lesion drainage, extraoral floor-of-mouth approach
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41015 without 51 · national office
$410.50
Mouth lesion drainage, extraoral floor-of-mouth approach
41015-51 · Second procedure: 50%
$205.25
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%).
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
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