Billing code 41007: Mouth lesion drainageMedicare rate & RVUs

Medicare pays $336.68 for 41007 nationally in the office and $206.42 in a hospital or facility. Local office rates run $299.77–$440.00.

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

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.

Where 41007 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

41007 rates by state

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

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.

Payment rules and modifiers for 41007

41007 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

41007 compared with similar codes

How to choose

41008Tongue drainage

Use 41007 for an intraoral route to a floor-of-mouth collection; 41008 represents an extraoral route.

41005Oral drainage

41005 is for a collection in the mouth’s vestibule. 41007 is specific to floor-of-mouth spaces.

41009Abscess drainage

41009 is for drainage of a collection in the tongue; 41007 is for floor-of-mouth spaces.

Codes related to 41007

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

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