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CMS RVU26D · Effective 2026-10-01

41007 in Austin

Office / nonfacility

$348.30

Base rate per service

Facility setting

$210.49

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 41007: Intraoral floor-of-mouth abscess drainage

Reports surgical drainage through the mouth of an abscess, cyst, or hematoma located in the floor-of-mouth spaces.

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.

CMS billing rules for 41007

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 RVU3.12 · 31%
  • Practice expense (office) RVU6.60 · 65%
  • Malpractice RVU0.36 · 4%

35

Medicare services in 2024 · #5567 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.

41007 compared with similar codes

Office rates for Austin, from the same CMS release.

41008

Tongue drainage

Intraoral approach

$429.43

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

41005

Oral drainage

Mouth vestibule

$241.23

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

41009

Abscess drainage

Intraoral pharyngeal space

$448.45

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

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 41007 is $315.99—$32.31 lower than the $348.30 rate in Austin. Both use the same code, release and participation basis.

41007 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $348.30

  2. Beaumont

    $315.99

    $32.31 lower than Austin

  3. Brazoria

    $332.89

    $15.41 lower than Austin

  4. Dallas

    $335.03

    $13.27 lower than Austin

  5. Fort Worth

    $332.98

    $15.32 lower than Austin

  6. Galveston

    $333.90

    $14.40 lower than Austin

  7. Houston

    $340.49

    $7.81 lower than Austin

Other payment areas listed in Texas 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, 41007 ranges from $299.77 in Arkansas to $440.00 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

  • Rest Of Texas

    Texas · 41007

    Office

    $324.27

    Facility

    $200.65

    $24.03 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 41007

    Office

    $377.26

    Facility

    $223.15

    $28.96 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 41007

    Office

    $382.91

    Facility

    $229.46

    $34.61 higher than Austin for the office setting.

  • Miami

    Florida · 41007

    Office

    $364.10

    Facility

    $228.50

    $15.80 higher than Austin for the office setting.

  • Chicago

    Illinois · 41007

    Office

    $354.08

    Facility

    $223.17

    $5.78 higher than Austin for the office setting.

  • Manhattan

    New York · 41007

    Office

    $386.11

    Facility

    $234.74

    $37.81 higher than Austin for the office setting.

  • Alaska*

    Alaska · 41007

    Office

    $397.72

    Facility

    $258.99

    $49.42 higher than Austin for the office setting.

  • Alabama

    Alabama · 41007

    Office

    $303.91

    Facility

    $189.93

    $44.39 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 41007

    Office

    $299.77

    Facility

    $187.87

    $48.53 lower than Austin for the office setting.

  • Arizona

    Arizona · 41007

    Office

    $328.12

    Facility

    $201.89

    $20.18 lower than Austin for the office setting.

  • Bakersfield

    California · 41007

    Office

    $355.12

    Facility

    $212.35

    $6.82 higher than Austin for the office setting.

  • Chico

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • El Centro

    California · 41007

    Office

    $354.10

    Facility

    $211.33

    $5.80 higher than Austin for the office setting.

  • Fresno

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Madera

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Merced

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Modesto

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Napa

    California · 41007

    Office

    $407.43

    Facility

    $235.74

    $59.13 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41007

    Office

    $375.19

    Facility

    $221.22

    $26.89 higher than Austin for the office setting.

  • Redding

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Rest Of California

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41007

    Office

    $357.95

    Facility

    $215.18

    $9.65 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41007

    Office

    $370.79

    Facility

    $219.29

    $22.49 higher than Austin for the office setting.

  • Salinas

    California · 41007

    Office

    $369.38

    Facility

    $218.41

    $21.08 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41007

    Office

    $377.51

    Facility

    $221.71

    $29.21 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41007

    Office

    $430.46

    Facility

    $246.79

    $82.16 higher than Austin for the office setting.

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

    California · 41007

    Office

    $430.05

    Facility

    $246.38

    $81.75 higher than Austin for the office setting.

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

    California · 41007

    Office

    $440.00

    Facility

    $252.16

    $91.70 higher than Austin for the office setting.

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

    California · 41007

    Office

    $438.33

    Facility

    $250.49

    $90.03 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41007

    Office

    $363.52

    Facility

    $215.15

    $15.22 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 41007

    Office

    $380.69

    Facility

    $222.42

    $32.39 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 41007

    Office

    $370.61

    Facility

    $218.73

    $22.31 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 41007

    Office

    $384.49

    Facility

    $224.53

    $36.19 higher than Austin for the office setting.

  • Stockton

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Vallejo

    California · 41007

    Office

    $406.84

    Facility

    $235.16

    $58.54 higher than Austin for the office setting.

  • Visalia

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Yuba City

    California · 41007

    Office

    $354.04

    Facility

    $211.27

    $5.74 higher than Austin for the office setting.

  • Colorado

    Colorado · 41007

    Office

    $349.41

    Facility

    $210.81

    $1.11 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 41007

    Office

    $358.26

    Facility

    $217.97

    $9.96 higher than Austin for the office setting.

  • Delaware

    Delaware · 41007

    Office

    $333.34

    Facility

    $204.64

    $14.96 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 41007

    Office

    $349.26

    Facility

    $217.31

    $0.96 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 41007

    Office

    $333.03

    Facility

    $208.50

    $15.27 lower than Austin for the office setting.

  • Atlanta

    Georgia · 41007

    Office

    $342.94

    Facility

    $210.59

    $5.36 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 41007

    Office

    $315.18

    Facility

    $198.99

    $33.12 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 41007

    Office

    $361.82

    Facility

    $213.71

    $13.52 higher than Austin for the office setting.

  • Iowa

    Iowa · 41007

    Office

    $310.69

    Facility

    $191.50

    $37.61 lower than Austin for the office setting.

  • Idaho

    Idaho · 41007

    Office

    $312.71

    Facility

    $192.87

    $35.59 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 41007

    Office

    $331.24

    Facility

    $211.40

    $17.06 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 41007

    Office

    $324.27

    Facility

    $205.34

    $24.03 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 41007

    Office

    $352.65

    Facility

    $218.86

    $4.35 higher than Austin for the office setting.

  • Indiana

    Indiana · 41007

    Office

    $314.41

    Facility

    $193.65

    $33.89 lower than Austin for the office setting.

  • Kansas

    Kansas · 41007

    Office

    $309.55

    Facility

    $191.80

    $38.75 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 41007

    Office

    $311.19

    Facility

    $195.39

    $37.11 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 41007

    Office

    $325.31

    Facility

    $202.73

    $22.99 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 41007

    Office

    $310.82

    Facility

    $195.54

    $37.48 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 41007

    Office

    $382.40

    Facility

    $226.86

    $34.10 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41007

    Office

    $347.59

    Facility

    $210.42

    $0.71 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41007

    Office

    $357.29

    Facility

    $217.52

    $8.99 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 41007

    Office

    $339.38

    Facility

    $207.56

    $8.92 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 41007

    Office

    $314.50

    Facility

    $194.66

    $33.80 lower than Austin for the office setting.

  • Southern Maine

    Maine · 41007

    Office

    $330.26

    Facility

    $201.17

    $18.04 lower than Austin for the office setting.

  • Detroit

    Michigan · 41007

    Office

    $337.21

    Facility

    $211.51

    $11.09 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 41007

    Office

    $319.05

    Facility

    $200.12

    $29.25 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 41007

    Office

    $334.61

    Facility

    $200.57

    $13.69 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 41007

    Office

    $322.96

    Facility

    $200.64

    $25.34 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 41007

    Office

    $326.12

    Facility

    $202.11

    $22.18 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 41007

    Office

    $305.95

    Facility

    $193.66

    $42.35 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 41007

    Office

    $302.90

    Facility

    $190.74

    $45.40 lower than Austin for the office setting.

  • Montana**

    Montana · 41007

    Office

    $336.66

    Facility

    $206.39

    $11.64 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 41007

    Office

    $317.57

    Facility

    $196.03

    $30.73 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 41007

    Office

    $329.54

    Facility

    $199.28

    $18.76 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 41007

    Office

    $312.23

    Facility

    $191.99

    $36.07 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 41007

    Office

    $344.22

    Facility

    $208.61

    $4.08 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 41007

    Office

    $379.34

    Facility

    $228.23

    $31.04 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 41007

    Office

    $362.30

    Facility

    $220.05

    $14.00 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 41007

    Office

    $320.80

    Facility

    $201.35

    $27.50 lower than Austin for the office setting.

  • Nevada**

    Nevada · 41007

    Office

    $334.89

    Facility

    $204.50

    $13.41 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41007

    Office

    $395.32

    Facility

    $240.44

    $47.02 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41007

    Office

    $364.84

    Facility

    $222.20

    $16.54 higher than Austin for the office setting.

  • Queens

    New York · 41007

    Office

    $388.79

    Facility

    $234.82

    $40.49 higher than Austin for the office setting.

  • Rest Of New York

    New York · 41007

    Office

    $322.09

    Facility

    $198.34

    $26.21 lower than Austin for the office setting.

  • Ohio

    Ohio · 41007

    Office

    $317.60

    Facility

    $198.67

    $30.70 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 41007

    Office

    $310.41

    Facility

    $194.09

    $37.89 lower than Austin for the office setting.

  • Portland

    Oregon · 41007

    Office

    $359.74

    Facility

    $215.02

    $11.44 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 41007

    Office

    $332.23

    Facility

    $202.49

    $16.07 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41007

    Office

    $349.92

    Facility

    $214.31

    $1.62 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41007

    Office

    $317.94

    Facility

    $198.36

    $30.36 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 41007

    Office

    $338.93

    Facility

    $207.23

    $9.37 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 41007

    Office

    $344.64

    Facility

    $210.07

    $3.66 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 41007

    Office

    $318.12

    Facility

    $197.76

    $30.18 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 41007

    Office

    $328.70

    Facility

    $198.43

    $19.60 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 41007

    Office

    $311.05

    Facility

    $192.64

    $37.25 lower than Austin for the office setting.

  • Utah

    Utah · 41007

    Office

    $322.23

    Facility

    $199.78

    $26.07 lower than Austin for the office setting.

  • Virginia

    Virginia · 41007

    Office

    $329.40

    Facility

    $201.35

    $18.90 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41007

    Office

    $338.93

    Facility

    $207.23

    $9.37 lower than Austin for the office setting.

  • Vermont

    Vermont · 41007

    Office

    $328.54

    Facility

    $199.58

    $19.76 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 41007

    Office

    $346.85

    Facility

    $209.68

    $1.45 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 41007

    Office

    $389.73

    Facility

    $229.90

    $41.43 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 41007

    Office

    $319.10

    Facility

    $194.31

    $29.20 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 41007

    Office

    $312.99

    Facility

    $199.79

    $35.31 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 41007

    Office

    $333.55

    Facility

    $203.29

    $14.75 lower than Austin for the office setting.

See how rates vary across the country

41007 · 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.

$299.77

$397.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$397.721
AL$303.911
AR$299.771
AZ$328.121
CA$354.04–$440.0029
CO$349.411
CT$358.261
DC$382.911
DE$333.341
FL$333.03–$364.103
GA$315.18–$342.942
GU$361.821
HI$361.821
IA$310.691
ID$312.711
IL$324.27–$354.084
IN$314.411
KS$309.551
KY$311.191
LA$310.82–$325.312
MA$347.59–$382.402
MD$339.38–$382.913
ME$314.50–$330.262
MI$319.05–$337.212
MN$334.611
MO$305.95–$326.123
MS$302.901
MT$336.661
NC$317.571
ND$329.541
NE$312.231
NH$344.221
NJ$362.30–$379.342
NM$320.801
NV$334.891
NY$322.09–$395.325
OH$317.601
OK$310.411
OR$332.23–$359.742
PA$317.94–$349.922
PR$338.931
RI$344.641
SC$318.121
SD$328.701
TN$311.051
TX$315.99–$348.308
UT$322.231
VA$329.40–$382.912
VI$338.931
VT$328.541
WA$346.85–$389.732
WI$319.101
WV$312.991
WY$333.551

Explore 41007 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, 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 Texas →

Why are the office and facility amounts different?

For 41007 in Austin, the physician’s office rate is $348.30 and the facility-setting rate is $210.49: a difference of $137.81.

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 41007 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$383.13

$348.30 × 110% = $383.13

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 41007 in Austin.

PPRRVU2026_Oct_nonQPP.csv

4,885

Code
41007
Physician work
3.12
Practice expense
6.60
Malpractice
0.36

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 41007 in Austin
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0023.1262
Practice expense6.60× 1.0586.9828
Malpractice0.36× 0.8860.3190
Total RVUs10.4280
Conversion factor× 33.4009

Office / nonfacility rate, Austin$348.30

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

Open 41007 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.121.002
Practice expense6.61.058
Malpractice0.360.886

(3.12 × 1.002 + 6.6 × 1.058 + 0.36 × 0.886) × $33.4009 = $348.30

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.121.002
Practice expense2.71.058
Malpractice0.360.886

(3.12 × 1.002 + 2.7 × 1.058 + 0.36 × 0.886) × $33.4009 = $210.49

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

41007 · Office / nonfacility

$348.30

Effective 2026-10-01

The base rate is $17.65 higher than on 2025-10-01, moving from $330.65 to $348.30 (5.3%).

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

    $330.65changed to$348.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.20 changed to 3.12
    • Practice expense RVU 6.46 changed to 6.60
    • Malpractice RVU 0.29 changed to 0.36
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $330.65

    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$348.30$210.49RVU26D
2026-07-01$348.30$210.49RVU26C
2026-04-01$348.30$210.49RVU26B
2026-01-01$348.30$210.49RVU26A
2025-10-01$330.65$224.07RVU25D
2025-07-01$330.65$224.07RVU25C
2025-04-01$330.65$224.07RVU25B
2025-01-01$330.65$224.07RVU25A

41007 billing questions

How is 41007 distinguished from 41008?

Both describe drainage involving floor-of-mouth spaces, but 41007 is for an intraoral approach and 41008 for an extraoral approach. Document the route used.

When is 41005 a better fit?

41005 is for drainage of a collection in the vestibule of the mouth. Use 41007 when the collection is in the floor-of-mouth spaces.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

What documentation supports an assistant-at-surgery claim?

The record must document the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment for this service.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple-procedure reduction.

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 41007PPRRVU2026_Oct_nonQPP.csv, line 4,885 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet