CPT code 42140: Uvula excision, excision of uvula2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $299.85 for 42140 in the office and $146.87 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 42140 nationwide

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

What 42140 covers

An otolaryngologist removes uvular tissue when the uvula itself is the target of treatment, such as an isolated excision for symptomatic elongation or irritation. The procedure may be performed in an operating room or an appropriately equipped procedure setting, depending on the planned surgery and patient. When uvular removal is part of a broader palate and pharyngeal operation, the overall procedure may be represented by a different code rather than an isolated excision.

Select 42140 when the operative service is excision of the uvula, not merely sampling a lesion or destroying it. The operative note should identify the uvula as the site, describe the tissue removed, and establish the reason for excision. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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 South Dakota compares for 42140

Across 109 of 109 payment localities, the office rate for 42140 runs from $267.13 in Arkansas to $414.37 in San Benito County, CA. South Dakota pays $299.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

42140 rates by state

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

See 42140 in every payment locality

How the 42140 rate is calculated

Each of 42140’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.

Payment rules and modifiers for 42140

42140 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 42140

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

How 42140 has changed in South Dakota

Price 42140 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates