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CPT code 41017: Lesion drainage, floor of mouth, intraoral2026 Medicare rate & RVUs in Ohio

Reports intraoral incision and drainage of an abscess, cyst, or hematoma located in the floor of the mouth beneath the tongue.

CMS RVU26DEffective Oct 1, 2026One payment locality379 Medicare services in 2024

In Ohio, Medicare pays $450.93 for 41017 in the office and $306.99 when it’s performed in a hospital or facility.

$450.93Office (non-facility)
$306.99Hospital or facility
−5.9%vs the national office rate ($478.97)

Check a contract rate as a % of Medicare · 41017 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 41017 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 41017 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 41017 covers

This procedure drains an abscess, cyst, or hematoma in the floor of the mouth through an incision made from inside the oral cavity. The target is the tissue beneath the tongue, rather than a lesion in the tongue itself or the cheek-side vestibule. Oral and maxillofacial surgeons and otolaryngologists may perform it, commonly in a surgical setting; the operative note should identify the floor-of-mouth location and describe the intraoral approach and drainage performed.

Select this code based on both the lesion’s anatomic site and the route used. The record should support that the treated lesion was in the floor of the mouth and accessed intraorally. Medicare treats the service as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery is paid only when medical necessity is documented; 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 Ohio compares for 41017

Across 109 of 109 payment localities, the office rate for 41017 runs from $424.38 in Arkansas to $628.68 in San Benito County, CA. Ohio pays $450.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

41017 in Ohio vs other payment areas
  1. Ohio · this page$450.93
  2. Los Angeles, CA · California$537.69+$86.76
  3. Washington, DC area · District of Columbia$546.09+$95.16
  4. Miami, FL · Florida$520.34+$69.41
  5. Chicago, IL · Illinois$505.33+$54.40
  6. Manhattan, NY · New York$550.96+$100.03
  7. Alaska · Alaska$560.08+$109.15

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

Every other payment area

41017 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$430.50$292.55
ArkansasArkansas$424.38$288.95
ArizonaArizona$466.28$313.51
Bakersfield, CACalifornia$505.48$332.70
Chico, CACalifornia$503.87$331.08
El Centro, CACalifornia$503.96$331.18
Fresno, CACalifornia$503.87$331.08
Hanford, CACalifornia$503.87$331.08

41017 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.

$424.38

$566.28

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

View every state and territory as a table
41017 office rate range by state
State / territoryOffice rate rangeLocalities
AK$560.081
AL$430.501
AR$424.381
AZ$466.281
CA$503.87–$628.6829
CO$497.321
CT$510.511
DC$546.091
DE$473.911
FL$473.95–$520.343
GA$447.51–$488.262
GU$515.621
HI$515.621
IA$440.351
ID$443.371
IL$461.12–$505.334
IN$445.881
KS$438.751
KY$441.441
LA$440.94–$462.352
MA$494.60–$545.402
MD$482.72–$546.093
ME$446.11–$469.272
MI$453.15–$480.232
MN$475.431
MO$433.78–$463.453
MS$429.141
MT$478.931
NC$450.631
ND$468.061
NE$442.601
NH$489.961
NJ$516.02–$540.662
NM$455.771
NV$476.231
NY$457.31–$564.695
OH$450.931
OK$440.211
OR$472.22–$512.412
PA$451.39–$498.262
PR$482.261
RI$490.271
SC$451.591
SD$466.771
TN$440.981
TX$448.51–$495.948
UT$457.661
VA$468.06–$546.092
VI$482.261
VT$466.651
WA$493.53–$555.982
WI$452.651
WV$444.441
WY$474.191

See 41017 in every payment locality

How the 41017 rate is calculated

Each of 41017’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 · 41017

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.09

4.09 RVUs× 1.000 GPCI

Practice expense9.70

9.70 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

14.3400

Conversion factor

$33.4009

Medicare rate

$478.97

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

4,892

Code
41017
Physician work
4.09
Practice expense
9.70
Malpractice
0.55

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 41017 in Ohio
ComponentRVULocality factorAdjusted
Physician work4.09× 1.0004.0900
Practice expense9.70× 0.9138.8561
Malpractice0.55× 1.0080.5544
Total RVUs13.5005
Conversion factor× 33.4009

Office rate, Ohio$450.93

Office: (4.09 × 1 + 9.7 × 0.913 + 0.55 × 1.008) × $33.4009 = $450.93

Facility: (4.09 × 1 + 4.98 × 0.913 + 0.55 × 1.008) × $33.4009 = $306.99

Open 41017 in the RVU calculator

Payment rules and modifiers for 41017

41017 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41017

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 · 41017

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

41017 without 51 · national office

$478.97

Lesion drainage, floor of mouth, intraoral

41017-51 · Second procedure: 50%

$239.49

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 41017

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

Codes related to 41017
CodeHow it relatesOffice range, Ohio
Same family
41018Abscess drainage, parapharyngeal space, external approachFloor-of-mouth drainage using an extraoral approach.$517.77
41016Abscess drainage, intraoral deep-space approachExtraoral drainage for a lesion of the tongue.$455.23
41015Mouth lesion drainage, extraoral floor-of-mouth approachIntraoral drainage for a lesion of the tongue.$387.78
41005Oral drainage, mouth vestibuleIntraoral drainage for a lesion in the vestibule of the mouth.$215.25
41006Mouth lesion drainage, floor of mouth, extraoralExtraoral drainage for a lesion in the vestibule of the mouth.$329.35

How 41017 has changed in Ohio

41017 · Office / nonfacility

$450.93

Effective 2026-10-01

The base rate is $26.78 higher than on 2025-10-01, moving from $424.15 to $450.93 (6.3%).

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

    $424.15changed to$450.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.19 changed to 4.09
    • Practice expense RVU 9.25 changed to 9.70
    • Malpractice RVU 0.48 changed to 0.55
    • 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

    $437.88changed to$424.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.33 changed to 9.25
    • Malpractice RVU 0.45 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $430.73changed to$437.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $448.65changed to$430.73

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.41 changed to 9.33
    • Malpractice RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $454.42changed to$448.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.29 changed to 9.41
    • Malpractice RVU 0.42 changed to 0.44
    • 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

    $456.98changed to$454.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.24 changed to 9.29
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $442.85changed to$456.98

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.35 changed to 9.24
    • Malpractice RVU 0.42 changed to 0.43
    • 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

    $444.67changed to$442.85

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.13 changed to 8.35
    • Malpractice RVU 0.69 changed to 0.42
    • 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

    $441.22changed to$444.67

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.04 changed to 8.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $441.94changed to$441.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.11 changed to 8.04
    • Malpractice RVU 0.68 changed to 0.69
    • 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

    $442.46changed to$441.94

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.14 changed to 8.11
    • Malpractice RVU 0.70 changed to 0.68
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $444.71changed to$442.46

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.16 changed to 8.14

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $442.50changed to$444.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $438.99changed to$442.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.12 changed to 8.16
    • Malpractice RVU 0.51 changed to 0.70
    • 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

    $442.46changed to$438.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.80 changed to 8.12
    • Malpractice RVU 0.53 changed to 0.51
    • 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: $442.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$450.93$306.99RVU26D
2026-07-01$450.93$306.99RVU26C
2026-04-01$450.93$306.99RVU26B
2026-01-01$450.93$306.99RVU26A
2025-10-01$424.15$320.13RVU25D
2025-07-01$424.15$320.13RVU25C
2025-04-01$424.15$320.13RVU25B
2025-01-01$424.15$320.13RVU25A
2024-10-01$437.88$326.59RVU24D
2024-07-01$437.88$326.59RVU24C
2024-04-01$437.88$326.59RVU24B
2024-03-09$437.88$326.59RVU24AR
2024-01-01$430.73$321.26RVU24A
2023-10-01$448.65$332.45RVU23D
2023-07-01$448.65$332.45RVU23C
2023-04-01$448.65$332.45RVU23B
2023-01-01$448.65$332.45RVU23A
2022-10-01$454.42$334.36RVU22D
2022-07-01$454.42$334.36RVU22C
2022-04-01$454.42$334.36RVU22B
2022-01-01$454.42$334.36RVU22A
2021-10-01$456.98$338.79RVU21D
2021-07-01$456.98$338.79RVU21C
2021-04-01$456.98$338.79RVU21B
2021-01-01$456.98$338.79RVU21A
2020-10-01$442.85$340.48RVU20D
2020-07-01$442.85$340.48RVU20C
2020-04-01$442.85$340.48RVU20B
2020-01-01$442.85$340.48RVU20A
2019-10-01$444.67$350.82RVU19D
2019-07-01$444.67$350.82RVU19C
2019-04-01$444.67$350.82RVU19B
2019-01-01$444.67$350.82RVU19A
2018-10-01$441.22$354.73RVU18D
2018-07-01$441.22$354.73RVU18C
2018-04-01$441.22$354.73RVU18B
2018-01-01$441.22$354.73RVU18AR1
2017-10-01$441.94$355.96RVU17D
2017-07-01$441.94$355.96RVU17C
2017-04-01$441.94$355.96RVU17B
2017-01-01$441.94$355.96RVU17A
2016-10-01$442.46$356.34RVU16D
2016-07-01$442.46$356.34RVU16C
2016-04-01$442.46$356.34RVU16B
2016-01-01$442.46$356.34RVU16A
2015-10-01$444.71$357.30RVU15D
2015-07-01$444.71$357.30RVU15C
2015-04-01$442.50$355.52RVU15B
2015-01-01$442.50$355.52RVU15A
2014-10-01$438.99$353.35RVU14D
2014-07-01$438.99$353.35RVU14C
2014-04-01$438.99$353.35RVU14B
2014-01-01$438.99$353.35RVU14A
2013-10-01$442.46$352.89RVU13D
2013-07-01$442.46$352.89RVU13C
2013-04-01$442.46$352.89RVU13B
2013-01-01$442.46$352.89RVU13AR

Price 41017 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

41017 billing questions

How is this code distinguished from 41018?

Both concern drainage in the floor-of-mouth region, but 41017 is for an intraoral approach and 41018 is for an extraoral approach. Document the route used to reach the lesion.

When would 41016 be a closer code?

41016 concerns drainage of a lesion of the tongue by an extraoral approach. Use 41017 for a floor-of-mouth lesion reached from inside the mouth.

Can modifier 50 be reported?

No. The anatomy and descriptor make modifier 50 inappropriate for this service.

What documentation supports reporting 41017?

Document the lesion’s floor-of-mouth location, the intraoral route, and the drainage performed. A general reference to a mouth abscess without site and approach detail may not establish the code selection.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment 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 41017PPRRVU2026_Oct_nonQPP.csv, line 4,892 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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