Billing code 41806: Jaw foreign-body removalMedicare rate & RVUs

Medicare pays $426.20 for 41806 nationally in the office and $262.53 in a hospital or facility. Local office rates run $374.32–$572.31.

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

What 41806 covers

This service removes a retained object embedded in the upper or lower jawbone. An oral and maxillofacial surgeon or another qualified clinician may perform it in an office or facility setting, depending on the object’s location and the access required. The defining feature is that the object is in bone, not merely in the gum or another soft-tissue area of the mouth.

Report the code when the operative record supports removal from jawbone. Document the object, its precise location, the procedure performed, and findings that establish the bony site. Related postoperative visits during the 10-day global period are included. If multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others 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-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.

Where 41806 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

41806 rates by state

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

How the 41806 rate is calculated

Each of 41806’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 41806

41806 has a 10-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

41806 compared with similar codes

How to choose

41805Foreign body removal

The key distinction is the site: 41806 is for an object embedded in jawbone, while 41805 is for one in gum tissue.

40804Foreign body removal

Code 40804 concerns a foreign body in the mouth’s vestibule. Choose 41806 when the object is embedded in the maxilla or mandible.

41899Unlisted px dentalvlr strux

Use 41806 when it specifically describes removal from jawbone. Consider 41899 only when the dentoalveolar service lacks a specific code.

Codes related to 41806

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