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CMS RVU26D · Effective 2026-10-01

41008 in Arkansas

Office / nonfacility

$366.30

Base rate per service

Facility setting

$220.55

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Oral surgery

About 41008: Intraoral tongue collection drainage

Reports incision and drainage of a collection involving the tongue when the surgeon reaches the site through the mouth.

This procedure drains a localized collection, such as an abscess, cyst, or hematoma, involving the tongue through an incision made from inside the mouth. Oral and maxillofacial surgeons and other qualified surgeons may perform it in an operating room or another setting equipped for the procedure. The operative note should identify the tongue as the treated site and describe the intraoral route and drainage performed.

Choose this code when the collection is in the tongue and is accessed intraorally; a different site or an external approach points to a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 41008

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.37 · 27%
  • Practice expense (office) RVU8.55 · 69%
  • Malpractice RVU0.49 · 4%

220

Medicare services in 2024 · #4237 by national volume

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.

41008 compared with similar codes

Office rates for Arkansas, from the same CMS release.

41009

Abscess drainage

Intraoral pharyngeal space

$383.37

Both concern drainage of a tongue collection, but 41008 is for access through the mouth and 41009 for an external approach.

41000

Oral abscess drainage

Floor of mouth

$141.01

41008 identifies a tongue collection. Use 41000 when the collection involves dentoalveolar structures instead.

41005

Oral drainage

Mouth vestibule

$202.73

41005 concerns drainage at the floor of the mouth through a sublingual approach; 41008 concerns a tongue collection reached intraorally.

The same code, a different location

How does Arkansas compare?

41008 across payment areas

Same release and payment basis · bars start at $0

  1. Arkansas · This locality

    $366.30

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $465.88

    $99.58 higher than Arkansas

  3. Dc + Md/Va Suburbs

    $473.27

    $106.97 higher than Arkansas

  4. Miami

    $451.24

    $84.94 higher than Arkansas

  5. Chicago

    $437.92

    $71.62 higher than Arkansas

  6. Manhattan

    $477.56

    $111.26 higher than Arkansas

  7. Alaska*

    $482.00

    $115.70 higher than Arkansas

Other payment areas listed in Arkansas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 41008 ranges from $366.30 in Arkansas to $545.52 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 41008

    Office

    $371.70

    Facility

    $223.24

    $5.40 higher than Arkansas for the office setting.

  • Arizona

    Arizona · 41008

    Office

    $403.30

    Facility

    $238.88

    $37.00 higher than Arkansas for the office setting.

  • Bakersfield

    California · 41008

    Office

    $437.66

    Facility

    $251.69

    $71.36 higher than Arkansas for the office setting.

  • Chico

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • El Centro

    California · 41008

    Office

    $436.32

    Facility

    $250.36

    $70.02 higher than Arkansas for the office setting.

  • Fresno

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Hanford-Corcoran

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Madera

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Merced

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Modesto

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Napa

    California · 41008

    Office

    $504.36

    Facility

    $280.72

    $138.06 higher than Arkansas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41008

    Office

    $463.46

    Facility

    $262.90

    $97.16 higher than Arkansas for the office setting.

  • Redding

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Rest Of California

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41008

    Office

    $441.54

    Facility

    $255.58

    $75.24 higher than Arkansas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41008

    Office

    $457.51

    Facility

    $260.18

    $91.21 higher than Arkansas for the office setting.

  • Salinas

    California · 41008

    Office

    $455.81

    Facility

    $259.15

    $89.51 higher than Arkansas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41008

    Office

    $466.36

    Facility

    $263.43

    $100.06 higher than Arkansas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41008

    Office

    $533.43

    Facility

    $294.19

    $167.13 higher than Arkansas for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 41008

    Office

    $532.87

    Facility

    $293.63

    $166.57 higher than Arkansas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 41008

    Office

    $545.52

    Facility

    $300.84

    $179.22 higher than Arkansas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 41008

    Office

    $543.24

    Facility

    $298.57

    $176.94 higher than Arkansas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41008

    Office

    $448.52

    Facility

    $255.26

    $82.22 higher than Arkansas for the office setting.

  • Santa Cruz-Watsonville

    California · 41008

    Office

    $470.67

    Facility

    $264.52

    $104.37 higher than Arkansas for the office setting.

  • Santa Maria-Santa Barbara

    California · 41008

    Office

    $457.47

    Facility

    $259.63

    $91.17 higher than Arkansas for the office setting.

  • Santa Rosa-Petaluma

    California · 41008

    Office

    $475.40

    Facility

    $267.04

    $109.10 higher than Arkansas for the office setting.

  • Stockton

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Vallejo

    California · 41008

    Office

    $503.56

    Facility

    $279.92

    $137.26 higher than Arkansas for the office setting.

  • Visalia

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Yuba City

    California · 41008

    Office

    $436.24

    Facility

    $250.27

    $69.94 higher than Arkansas for the office setting.

  • Colorado

    Colorado · 41008

    Office

    $430.55

    Facility

    $250.01

    $64.25 higher than Arkansas for the office setting.

  • Connecticut

    Connecticut · 41008

    Office

    $442.18

    Facility

    $259.44

    $75.88 higher than Arkansas for the office setting.

  • Delaware

    Delaware · 41008

    Office

    $409.99

    Facility

    $242.35

    $43.69 higher than Arkansas for the office setting.

  • Fort Lauderdale

    Florida · 41008

    Office

    $431.44

    Facility

    $259.56

    $65.14 higher than Arkansas for the office setting.

  • Rest Of Florida

    Florida · 41008

    Office

    $410.17

    Facility

    $247.96

    $43.87 higher than Arkansas for the office setting.

  • Atlanta

    Georgia · 41008

    Office

    $422.70

    Facility

    $250.31

    $56.40 higher than Arkansas for the office setting.

  • Rest Of Georgia

    Georgia · 41008

    Office

    $386.81

    Facility

    $235.45

    $20.51 higher than Arkansas for the office setting.

  • Hawaii, Guam

    Hawaii · 41008

    Office

    $446.74

    Facility

    $253.82

    $80.44 higher than Arkansas for the office setting.

  • Iowa

    Iowa · 41008

    Office

    $380.36

    Facility

    $225.11

    $14.06 higher than Arkansas for the office setting.

  • Idaho

    Idaho · 41008

    Office

    $383.03

    Facility

    $226.93

    $16.73 higher than Arkansas for the office setting.

  • East St. Louis

    Illinois · 41008

    Office

    $408.25

    Facility

    $252.15

    $41.95 higher than Arkansas for the office setting.

  • Rest Of Illinois

    Illinois · 41008

    Office

    $398.87

    Facility

    $243.96

    $32.57 higher than Arkansas for the office setting.

  • Suburban Chicago

    Illinois · 41008

    Office

    $435.64

    Facility

    $261.38

    $69.34 higher than Arkansas for the office setting.

  • Indiana

    Indiana · 41008

    Office

    $385.25

    Facility

    $227.96

    $18.95 higher than Arkansas for the office setting.

  • Kansas

    Kansas · 41008

    Office

    $378.97

    Facility

    $225.58

    $12.67 higher than Arkansas for the office setting.

  • Kentucky

    Kentucky · 41008

    Office

    $381.41

    Facility

    $230.57

    $15.11 higher than Arkansas for the office setting.

  • New Orleans

    Louisiana · 41008

    Office

    $399.88

    Facility

    $240.22

    $33.58 higher than Arkansas for the office setting.

  • Rest Of Louisiana

    Louisiana · 41008

    Office

    $380.98

    Facility

    $230.81

    $14.68 higher than Arkansas for the office setting.

  • Metropolitan Boston

    Massachusetts · 41008

    Office

    $472.72

    Facility

    $270.13

    $106.42 higher than Arkansas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41008

    Office

    $428.12

    Facility

    $249.45

    $61.82 higher than Arkansas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41008

    Office

    $441.03

    Facility

    $258.97

    $74.73 higher than Arkansas for the office setting.

  • Rest Of Maryland

    Maryland · 41008

    Office

    $417.72

    Facility

    $246.00

    $51.42 higher than Arkansas for the office setting.

  • Rest Of Maine

    Maine · 41008

    Office

    $385.47

    Facility

    $229.37

    $19.17 higher than Arkansas for the office setting.

  • Southern Maine

    Maine · 41008

    Office

    $405.90

    Facility

    $237.75

    $39.60 higher than Arkansas for the office setting.

  • Detroit

    Michigan · 41008

    Office

    $415.74

    Facility

    $252.00

    $49.44 higher than Arkansas for the office setting.

  • Rest Of Michigan

    Michigan · 41008

    Office

    $391.77

    Facility

    $236.86

    $25.47 higher than Arkansas for the office setting.

  • Minnesota

    Minnesota · 41008

    Office

    $411.26

    Facility

    $236.67

    $44.96 higher than Arkansas for the office setting.

  • Metropolitan Kansas City

    Missouri · 41008

    Office

    $396.71

    Facility

    $237.38

    $30.41 higher than Arkansas for the office setting.

  • Metropolitan St. Louis

    Missouri · 41008

    Office

    $400.83

    Facility

    $239.30

    $34.53 higher than Arkansas for the office setting.

  • Rest Of Missouri

    Missouri · 41008

    Office

    $374.67

    Facility

    $228.41

    $8.37 higher than Arkansas for the office setting.

  • Mississippi

    Mississippi · 41008

    Office

    $370.54

    Facility

    $224.45

    $4.24 higher than Arkansas for the office setting.

  • Montana**

    Montana · 41008

    Office

    $414.47

    Facility

    $244.80

    $48.17 higher than Arkansas for the office setting.

  • North Carolina

    North Carolina · 41008

    Office

    $389.46

    Facility

    $231.15

    $23.16 higher than Arkansas for the office setting.

  • North Dakota**

    North Dakota · 41008

    Office

    $404.78

    Facility

    $235.11

    $38.48 higher than Arkansas for the office setting.

  • Nebraska

    Nebraska · 41008

    Office

    $382.34

    Facility

    $225.72

    $16.04 higher than Arkansas for the office setting.

  • New Hampshire

    New Hampshire · 41008

    Office

    $424.17

    Facility

    $247.53

    $57.87 higher than Arkansas for the office setting.

  • Northern Nj

    New Jersey · 41008

    Office

    $468.40

    Facility

    $271.58

    $102.10 higher than Arkansas for the office setting.

  • Rest Of New Jersey

    New Jersey · 41008

    Office

    $446.87

    Facility

    $261.58

    $80.57 higher than Arkansas for the office setting.

  • New Mexico

    New Mexico · 41008

    Office

    $394.09

    Facility

    $238.50

    $27.79 higher than Arkansas for the office setting.

  • Nevada**

    Nevada · 41008

    Office

    $412.06

    Facility

    $242.21

    $45.76 higher than Arkansas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41008

    Office

    $489.71

    Facility

    $287.96

    $123.41 higher than Arkansas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41008

    Office

    $450.14

    Facility

    $264.34

    $83.84 higher than Arkansas for the office setting.

  • Queens

    New York · 41008

    Office

    $480.92

    Facility

    $280.36

    $114.62 higher than Arkansas for the office setting.

  • Rest Of New York

    New York · 41008

    Office

    $395.37

    Facility

    $234.17

    $29.07 higher than Arkansas for the office setting.

  • Ohio

    Ohio · 41008

    Office

    $389.79

    Facility

    $234.88

    $23.49 higher than Arkansas for the office setting.

  • Oklahoma

    Oklahoma · 41008

    Office

    $380.30

    Facility

    $228.78

    $14.00 higher than Arkansas for the office setting.

  • Portland

    Oregon · 41008

    Office

    $443.82

    Facility

    $255.30

    $77.52 higher than Arkansas for the office setting.

  • Rest Of Oregon

    Oregon · 41008

    Office

    $408.50

    Facility

    $239.50

    $42.20 higher than Arkansas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41008

    Office

    $431.40

    Facility

    $254.77

    $65.10 higher than Arkansas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41008

    Office

    $390.19

    Facility

    $234.42

    $23.89 higher than Arkansas for the office setting.

  • Puerto Rico

    Puerto Rico · 41008

    Office

    $417.40

    Facility

    $245.86

    $51.10 higher than Arkansas for the office setting.

  • Rhode Island

    Rhode Island · 41008

    Office

    $424.30

    Facility

    $249.02

    $58.00 higher than Arkansas for the office setting.

  • South Carolina

    South Carolina · 41008

    Office

    $390.35

    Facility

    $233.57

    $24.05 higher than Arkansas for the office setting.

  • South Dakota**

    South Dakota · 41008

    Office

    $403.64

    Facility

    $233.96

    $37.34 higher than Arkansas for the office setting.

  • Tennessee

    Tennessee · 41008

    Office

    $380.94

    Facility

    $226.70

    $14.64 higher than Arkansas for the office setting.

  • Austin

    Texas · 41008

    Office

    $429.43

    Facility

    $249.91

    $63.13 higher than Arkansas for the office setting.

  • Beaumont

    Texas · 41008

    Office

    $387.64

    Facility

    $233.24

    $21.34 higher than Arkansas for the office setting.

  • Brazoria

    Texas · 41008

    Office

    $409.23

    Facility

    $241.09

    $42.93 higher than Arkansas for the office setting.

  • Dallas

    Texas · 41008

    Office

    $412.05

    Facility

    $243.05

    $45.75 higher than Arkansas for the office setting.

  • Fort Worth

    Texas · 41008

    Office

    $409.41

    Facility

    $242.11

    $43.11 higher than Arkansas for the office setting.

  • Galveston

    Texas · 41008

    Office

    $410.59

    Facility

    $242.10

    $44.29 higher than Arkansas for the office setting.

  • Houston

    Texas · 41008

    Office

    $419.56

    Facility

    $251.07

    $53.26 higher than Arkansas for the office setting.

  • Rest Of Texas

    Texas · 41008

    Office

    $398.35

    Facility

    $237.33

    $32.05 higher than Arkansas for the office setting.

  • Utah

    Utah · 41008

    Office

    $395.70

    Facility

    $236.21

    $29.40 higher than Arkansas for the office setting.

  • Virginia

    Virginia · 41008

    Office

    $404.84

    Facility

    $238.05

    $38.54 higher than Arkansas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41008

    Office

    $417.40

    Facility

    $245.86

    $51.10 higher than Arkansas for the office setting.

  • Vermont

    Vermont · 41008

    Office

    $403.56

    Facility

    $235.58

    $37.26 higher than Arkansas for the office setting.

  • Rest Of Washington

    Washington · 41008

    Office

    $427.19

    Facility

    $248.52

    $60.89 higher than Arkansas for the office setting.

  • Seattle (King Cnty)

    Washington · 41008

    Office

    $481.96

    Facility

    $273.77

    $115.66 higher than Arkansas for the office setting.

  • Wisconsin

    Wisconsin · 41008

    Office

    $391.19

    Facility

    $228.64

    $24.89 higher than Arkansas for the office setting.

  • West Virginia

    West Virginia · 41008

    Office

    $384.15

    Facility

    $236.70

    $17.85 higher than Arkansas for the office setting.

  • Wyoming**

    Wyoming · 41008

    Office

    $410.25

    Facility

    $240.57

    $43.95 higher than Arkansas for the office setting.

See how rates vary across the country

41008 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$366.30

$490.88

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$482.001
AL$371.701
AR$366.301
AZ$403.301
CA$436.24–$545.5229
CO$430.551
CT$442.181
DC$473.271
DE$409.991
FL$410.17–$451.243
GA$386.81–$422.702
GU$446.741
HI$446.741
IA$380.361
ID$383.031
IL$398.87–$437.924
IN$385.251
KS$378.971
KY$381.411
LA$380.98–$399.882
MA$428.12–$472.722
MD$417.72–$473.273
ME$385.47–$405.902
MI$391.77–$415.742
MN$411.261
MO$374.67–$400.833
MS$370.541
MT$414.471
NC$389.461
ND$404.781
NE$382.341
NH$424.171
NJ$446.87–$468.402
NM$394.091
NV$412.061
NY$395.37–$489.715
OH$389.791
OK$380.301
OR$408.50–$443.822
PA$390.19–$431.402
PR$417.401
RI$424.301
SC$390.351
SD$403.641
TN$380.941
TX$387.64–$429.438
UT$395.701
VA$404.84–$473.272
VI$417.401
VT$403.561
WA$427.19–$481.962
WI$391.191
WV$384.151
WY$410.251

Explore 41008 on the national rate map →

Where does this rate apply?

Arkansas is a Medicare payment area. Our Census mapping connects it to 626 cities and communities in Arkansas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Arkansas →

Why are the office and facility amounts different?

For 41008 in Arkansas, the physician’s office rate is $366.30 and the facility-setting rate is $220.55: a difference of $145.75.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 41008 in Arkansas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$402.93

$366.30 × 110% = $402.93

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 41008 in Arkansas.

PPRRVU2026_Oct_nonQPP.csv

4,886

Code
41008
Physician work
3.37
Practice expense
8.55
Malpractice
0.49

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office / nonfacility calculation for 41008 in Arkansas
ComponentRVULocality factorAdjusted
Physician work3.37× 1.0003.3700
Practice expense8.55× 0.8597.3445
Malpractice0.49× 0.5150.2524
Total RVUs10.9668
Conversion factor× 33.4009

Office / nonfacility rate, Arkansas$366.30

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 41008 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.371
Practice expense8.550.859
Malpractice0.490.515

(3.37 × 1 + 8.55 × 0.859 + 0.49 × 0.515) × $33.4009 = $366.30

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.371
Practice expense3.470.859
Malpractice0.490.515

(3.37 × 1 + 3.47 × 0.859 + 0.49 × 0.515) × $33.4009 = $220.55

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

41008 · Office / nonfacility

$366.30

Effective 2026-10-01

The base rate is $21.01 higher than on 2025-10-01, moving from $345.29 to $366.30 (6.1%).

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

    $345.29changed to$366.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.46 changed to 3.37
    • Practice expense RVU 8.10 changed to 8.55
    • Malpractice RVU 0.48 changed to 0.49
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $345.29

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$366.30$220.55RVU26D
2026-07-01$366.30$220.55RVU26C
2026-04-01$366.30$220.55RVU26B
2026-01-01$366.30$220.55RVU26A
2025-10-01$345.29$232.62RVU25D
2025-07-01$345.29$232.62RVU25C
2025-04-01$345.29$232.62RVU25B
2025-01-01$345.29$232.62RVU25A

41008 billing questions

When should this code be chosen over 41009?

Use 41008 for drainage of a tongue collection reached through the mouth. Code 41009 is the related alternative for an external approach.

Does this code cover drainage of a tooth-related abscess?

No. When the treated collection is in dentoalveolar structures rather than the tongue, consider 41000.

What should the operative note identify?

Document the tongue as the site, the intraoral route, and the incision and drainage performed. This supports distinguishing the service from drainage at another oral site or by an external approach.

Can modifier 50 be used?

No. The code's descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.

When is assistant-at-surgery payment allowed?

Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 41008PPRRVU2026_Oct_nonQPP.csv, line 4,886 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet