No office rate
40700 is for a primary unilateral repair. Choose 40701 when the initial repair addresses both sides.
On this page
CMS RVU26D · Effective 2026-10-01
40701 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1021.77
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.
Craniofacial surgery
About 40701: Primary bilateral cleft lip repair
Reports initial surgical repair of a bilateral cleft lip with associated nasal deformity, typically performed by a plastic or craniofacial surgeon.
This code describes the initial operative reconstruction of a cleft involving both sides of the lip, with repair of the associated nasal deformity. It is typically performed by a plastic, craniofacial, or oral and maxillofacial surgeon in an operating room, often as part of an infant’s cleft-care plan. The work addresses the bilateral defect in the same operation rather than a later revision of a prior repair.
Report the code when the operative record supports a primary repair and bilateral involvement; document the defect and the reconstruction performed. The code is priced as bilateral, so modifier 50 does not increase payment. It 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 multiple-procedure reduction. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 40701
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.80 · 53%
- Practice expense (office) RVU11.98 · 38%
- Malpractice RVU3.11 · 10%
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.
40701 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
40702 describes a secondary unilateral repair; 40701 is for the initial bilateral repair.
No office rate
40720 is for secondary bilateral repair, while 40701 describes the primary bilateral operation.
No office rate
40761 describes a secondary major revision. It is not the code for an initial bilateral repair.
The same code, a different location
How does Beaumont compare?
40701 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 40701
Office
Unavailable
Facility
$1034.67
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 40701
Office
Unavailable
Facility
$1126.48
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 40701
Office
Unavailable
Facility
$1178.42
No comparable office rate is available.
Miami
Florida · 40701
Office
Unavailable
Facility
$1240.39
No comparable office rate is available.
Chicago
Illinois · 40701
Office
Unavailable
Facility
$1205.60
No comparable office rate is available.
Manhattan
New York · 40701
Office
Unavailable
Facility
$1226.76
No comparable office rate is available.
Alaska*
Alaska · 40701
Office
Unavailable
Facility
$1325.09
No comparable office rate is available.
Alabama
Alabama · 40701
Office
Unavailable
Facility
$970.05
No comparable office rate is available.
Arkansas
Arkansas · 40701
Office
Unavailable
Facility
$958.35
No comparable office rate is available.
Arizona
Arizona · 40701
Office
Unavailable
Facility
$1037.79
No comparable office rate is available.
Bakersfield
California · 40701
Office
Unavailable
Facility
$1073.61
No comparable office rate is available.
Chico
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
El Centro
California · 40701
Office
Unavailable
Facility
$1065.43
No comparable office rate is available.
Fresno
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Hanford-Corcoran
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Madera
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Merced
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Modesto
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Napa
California · 40701
Office
Unavailable
Facility
$1176.64
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 40701
Office
Unavailable
Facility
$1114.53
No comparable office rate is available.
Redding
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Rest Of California
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 40701
Office
Unavailable
Facility
$1098.40
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 40701
Office
Unavailable
Facility
$1102.38
No comparable office rate is available.
Salinas
California · 40701
Office
Unavailable
Facility
$1097.97
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 40701
Office
Unavailable
Facility
$1112.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 40701
Office
Unavailable
Facility
$1226.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 40701
Office
Unavailable
Facility
$1222.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 40701
Office
Unavailable
Facility
$1255.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 40701
Office
Unavailable
Facility
$1241.10
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 40701
Office
Unavailable
Facility
$1082.12
No comparable office rate is available.
Santa Cruz-Watsonville
California · 40701
Office
Unavailable
Facility
$1114.77
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 40701
Office
Unavailable
Facility
$1099.09
No comparable office rate is available.
Santa Rosa-Petaluma
California · 40701
Office
Unavailable
Facility
$1125.02
No comparable office rate is available.
Stockton
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Vallejo
California · 40701
Office
Unavailable
Facility
$1171.55
No comparable office rate is available.
Visalia
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Yuba City
California · 40701
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Colorado
Colorado · 40701
Office
Unavailable
Facility
$1074.75
No comparable office rate is available.
Connecticut
Connecticut · 40701
Office
Unavailable
Facility
$1129.00
No comparable office rate is available.
Delaware
Delaware · 40701
Office
Unavailable
Facility
$1052.67
No comparable office rate is available.
Fort Lauderdale
Florida · 40701
Office
Unavailable
Facility
$1154.29
No comparable office rate is available.
Rest Of Florida
Florida · 40701
Office
Unavailable
Facility
$1099.80
No comparable office rate is available.
Atlanta
Georgia · 40701
Office
Unavailable
Facility
$1094.12
No comparable office rate is available.
Rest Of Georgia
Georgia · 40701
Office
Unavailable
Facility
$1041.88
No comparable office rate is available.
Hawaii, Guam
Hawaii · 40701
Office
Unavailable
Facility
$1076.24
No comparable office rate is available.
Iowa
Iowa · 40701
Office
Unavailable
Facility
$968.50
No comparable office rate is available.
Idaho
Idaho · 40701
Office
Unavailable
Facility
$978.40
No comparable office rate is available.
East St. Louis
Illinois · 40701
Office
Unavailable
Facility
$1138.47
No comparable office rate is available.
Rest Of Illinois
Illinois · 40701
Office
Unavailable
Facility
$1088.82
No comparable office rate is available.
Suburban Chicago
Illinois · 40701
Office
Unavailable
Facility
$1160.08
No comparable office rate is available.
Indiana
Indiana · 40701
Office
Unavailable
Facility
$982.55
No comparable office rate is available.
Kansas
Kansas · 40701
Office
Unavailable
Facility
$975.22
No comparable office rate is available.
Kentucky
Kentucky · 40701
Office
Unavailable
Facility
$1011.91
No comparable office rate is available.
New Orleans
Louisiana · 40701
Office
Unavailable
Facility
$1055.67
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 40701
Office
Unavailable
Facility
$1014.78
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 40701
Office
Unavailable
Facility
$1154.36
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 40701
Office
Unavailable
Facility
$1074.25
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 40701
Office
Unavailable
Facility
$1127.96
No comparable office rate is available.
Rest Of Maryland
Maryland · 40701
Office
Unavailable
Facility
$1067.05
No comparable office rate is available.
Rest Of Maine
Maine · 40701
Office
Unavailable
Facility
$993.88
No comparable office rate is available.
Southern Maine
Maine · 40701
Office
Unavailable
Facility
$1023.22
No comparable office rate is available.
Detroit
Michigan · 40701
Office
Unavailable
Facility
$1122.41
No comparable office rate is available.
Rest Of Michigan
Michigan · 40701
Office
Unavailable
Facility
$1043.74
No comparable office rate is available.
Minnesota
Minnesota · 40701
Office
Unavailable
Facility
$1003.63
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 40701
Office
Unavailable
Facility
$1038.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 40701
Office
Unavailable
Facility
$1046.16
No comparable office rate is available.
Rest Of Missouri
Missouri · 40701
Office
Unavailable
Facility
$1007.23
No comparable office rate is available.
Mississippi
Mississippi · 40701
Office
Unavailable
Facility
$982.42
No comparable office rate is available.
Montana**
Montana · 40701
Office
Unavailable
Facility
$1064.95
No comparable office rate is available.
North Carolina
North Carolina · 40701
Office
Unavailable
Facility
$1000.85
No comparable office rate is available.
North Dakota**
North Dakota · 40701
Office
Unavailable
Facility
$1003.45
No comparable office rate is available.
Nebraska
Nebraska · 40701
Office
Unavailable
Facility
$969.73
No comparable office rate is available.
New Hampshire
New Hampshire · 40701
Office
Unavailable
Facility
$1068.58
No comparable office rate is available.
Northern Nj
New Jersey · 40701
Office
Unavailable
Facility
$1171.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 40701
Office
Unavailable
Facility
$1134.49
No comparable office rate is available.
New Mexico
New Mexico · 40701
Office
Unavailable
Facility
$1052.82
No comparable office rate is available.
Nevada**
Nevada · 40701
Office
Unavailable
Facility
$1048.21
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 40701
Office
Unavailable
Facility
$1265.72
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 40701
Office
Unavailable
Facility
$1150.23
No comparable office rate is available.
Queens
New York · 40701
Office
Unavailable
Facility
$1219.81
No comparable office rate is available.
Rest Of New York
New York · 40701
Office
Unavailable
Facility
$1014.30
No comparable office rate is available.
Ohio
Ohio · 40701
Office
Unavailable
Facility
$1031.17
No comparable office rate is available.
Oklahoma
Oklahoma · 40701
Office
Unavailable
Facility
$999.17
No comparable office rate is available.
Portland
Oregon · 40701
Office
Unavailable
Facility
$1091.96
No comparable office rate is available.
Rest Of Oregon
Oregon · 40701
Office
Unavailable
Facility
$1032.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 40701
Office
Unavailable
Facility
$1111.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 40701
Office
Unavailable
Facility
$1026.63
No comparable office rate is available.
Puerto Rico
Puerto Rico · 40701
Office
Unavailable
Facility
$1068.00
No comparable office rate is available.
Rhode Island
Rhode Island · 40701
Office
Unavailable
Facility
$1077.80
No comparable office rate is available.
South Carolina
South Carolina · 40701
Office
Unavailable
Facility
$1019.16
No comparable office rate is available.
South Dakota**
South Dakota · 40701
Office
Unavailable
Facility
$996.18
No comparable office rate is available.
Tennessee
Tennessee · 40701
Office
Unavailable
Facility
$980.65
No comparable office rate is available.
Utah
Utah · 40701
Office
Unavailable
Facility
$1030.55
No comparable office rate is available.
Virginia
Virginia · 40701
Office
Unavailable
Facility
$1027.81
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 40701
Office
Unavailable
Facility
$1068.00
No comparable office rate is available.
Vermont
Vermont · 40701
Office
Unavailable
Facility
$1009.84
No comparable office rate is available.
Rest Of Washington
Washington · 40701
Office
Unavailable
Facility
$1068.83
No comparable office rate is available.
Seattle (King Cnty)
Washington · 40701
Office
Unavailable
Facility
$1165.03
No comparable office rate is available.
Wisconsin
Wisconsin · 40701
Office
Unavailable
Facility
$976.47
No comparable office rate is available.
West Virginia
West Virginia · 40701
Office
Unavailable
Facility
$1057.51
No comparable office rate is available.
Wyoming**
Wyoming · 40701
Office
Unavailable
Facility
$1038.15
No comparable office rate is available.
See how rates vary across the country
40701 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 40701 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1123.95
$1021.77 × 110% = $1123.95
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.
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 40701 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
4,847
- Code
- 40701
- Physician work
- 16.80
- Practice expense
- 11.98
- Malpractice
- 3.11
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.80 | × 1.000 | 16.8000 |
| Practice expense | 11.98 | × 0.910 | 10.9018 |
| Malpractice | 3.11 | × 0.929 | 2.8892 |
| Total RVUs | 30.5910 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$1021.77
Open 40701 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.8 | 1 |
| Practice expense | 11.98 | 0.91 |
| Malpractice | 3.11 | 0.929 |
(16.8 × 1 + 11.98 × 0.91 + 3.11 × 0.929) × $33.4009 = $1021.77
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
40701 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1021.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $1021.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $1021.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $1021.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $1110.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $1110.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $1110.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $1110.93 | RVU25A |
40701 billing questions
When should 40701 be selected instead of 40700?
Use 40701 for a primary repair involving both sides. Code 40700 describes a primary unilateral repair.
Should modifier 50 be appended for bilateral repair?
The code is already priced as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
What documentation supports primary bilateral repair?
The operative report should establish that this is the initial repair, describe the bilateral cleft and associated nasal deformity, and document the reconstruction 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 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.
4,8444067F,,Pt referral for ect docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8454069F,,Vte prophylaxis rcvd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,84640700,,Repair cleft lip/nasal,A,,13.82,10.90,NA,10.90,,2.57,27.29,27.29,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,84740701,,Repair cleft lip/nasal,A,,16.80,11.98,NA,11.98,,3.11,31.89,31.89,0,090,0.09,0.81,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,84840702,,Repair cleft lip/nasal,A,,13.91,10.44,NA,10.44,,2.58,26.93,26.93,0,090,0.09,0.81,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8494070F,,Dvt prophylx recvd day 2,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,85040720,,Repair cleft lip/nasal,A,,14.35,10.60,NA,10.60,,2.67,27.62,27.62,0,090,0.09,0.81,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871