No office rate
40700 is for a primary repair on one side; 40701 describes primary repair of a bilateral cleft.
On this page
CMS RVU26D · Effective 2026-10-01
40700 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$900.78
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.
Plastic surgery
About 40700: Primary unilateral cleft lip repair
Reports initial surgical reconstruction of one side of a cleft lip, including associated nasal deformity repair, for partial or complete clefts.
This code represents the initial reconstruction of one side of a cleft lip, with associated nasal deformity addressed as part of the repair. The surgeon restores the continuity and shape of the upper lip and may correct related nasal asymmetry during the same operation. A plastic or craniofacial surgeon typically performs the procedure in an operating room as part of congenital cleft care.
Select the code for a primary unilateral repair, whether the cleft is partial or complete; documentation should establish laterality, that the repair is primary, and the lip and nasal work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and 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 40700
- 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 RVU13.82 · 51%
- Practice expense (office) RVU10.90 · 40%
- Malpractice RVU2.57 · 9%
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.
40700 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
40700 is the initial repair. 40702 describes a secondary operation that recreates the defect before closure.
No office rate
Use 40720 for an intermediate secondary repair, not the initial unilateral repair reported with 40700.
No office rate
40761 describes extensive secondary repair requiring osteotomies; 40700 is for primary unilateral repair.
The same code, a different location
How does Delaware compare?
40700 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 40700
Office
Unavailable
Facility
$828.75
No comparable office rate is available.
Arkansas
Arkansas · 40700
Office
Unavailable
Facility
$818.54
No comparable office rate is available.
Arizona
Arizona · 40700
Office
Unavailable
Facility
$887.86
No comparable office rate is available.
Bakersfield
California · 40700
Office
Unavailable
Facility
$921.67
No comparable office rate is available.
Chico
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
El Centro
California · 40700
Office
Unavailable
Facility
$914.91
No comparable office rate is available.
Fresno
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Hanford-Corcoran
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Madera
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Merced
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Modesto
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Napa
California · 40700
Office
Unavailable
Facility
$1014.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 40700
Office
Unavailable
Facility
$958.33
No comparable office rate is available.
Redding
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Rest Of California
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 40700
Office
Unavailable
Facility
$942.15
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 40700
Office
Unavailable
Facility
$947.64
No comparable office rate is available.
Salinas
California · 40700
Office
Unavailable
Facility
$943.88
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 40700
Office
Unavailable
Facility
$957.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 40700
Office
Unavailable
Facility
$1058.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 40700
Office
Unavailable
Facility
$1055.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 40700
Office
Unavailable
Facility
$1083.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 40700
Office
Unavailable
Facility
$1071.44
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 40700
Office
Unavailable
Facility
$930.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 40700
Office
Unavailable
Facility
$959.65
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 40700
Office
Unavailable
Facility
$945.04
No comparable office rate is available.
Santa Rosa-Petaluma
California · 40700
Office
Unavailable
Facility
$968.54
No comparable office rate is available.
Stockton
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Vallejo
California · 40700
Office
Unavailable
Facility
$1009.93
No comparable office rate is available.
Visalia
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Yuba City
California · 40700
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Colorado
Colorado · 40700
Office
Unavailable
Facility
$921.55
No comparable office rate is available.
Connecticut
Connecticut · 40700
Office
Unavailable
Facility
$966.80
No comparable office rate is available.
Fort Lauderdale
Florida · 40700
Office
Unavailable
Facility
$985.60
No comparable office rate is available.
Rest Of Florida
Florida · 40700
Office
Unavailable
Facility
$938.67
No comparable office rate is available.
Atlanta
Georgia · 40700
Office
Unavailable
Facility
$935.97
No comparable office rate is available.
Rest Of Georgia
Georgia · 40700
Office
Unavailable
Facility
$888.67
No comparable office rate is available.
Hawaii, Guam
Hawaii · 40700
Office
Unavailable
Facility
$925.25
No comparable office rate is available.
Iowa
Iowa · 40700
Office
Unavailable
Facility
$828.80
No comparable office rate is available.
Idaho
Idaho · 40700
Office
Unavailable
Facility
$837.15
No comparable office rate is available.
East St. Louis
Illinois · 40700
Office
Unavailable
Facility
$969.43
No comparable office rate is available.
Rest Of Illinois
Illinois · 40700
Office
Unavailable
Facility
$928.16
No comparable office rate is available.
Suburban Chicago
Illinois · 40700
Office
Unavailable
Facility
$990.84
No comparable office rate is available.
Indiana
Indiana · 40700
Office
Unavailable
Facility
$840.81
No comparable office rate is available.
Kansas
Kansas · 40700
Office
Unavailable
Facility
$833.98
No comparable office rate is available.
Kentucky
Kentucky · 40700
Office
Unavailable
Facility
$863.80
No comparable office rate is available.
New Orleans
Louisiana · 40700
Office
Unavailable
Facility
$901.70
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 40700
Office
Unavailable
Facility
$866.04
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 40700
Office
Unavailable
Facility
$991.62
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 40700
Office
Unavailable
Facility
$920.77
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 40700
Office
Unavailable
Facility
$965.82
No comparable office rate is available.
Rest Of Maryland
Maryland · 40700
Office
Unavailable
Facility
$913.46
No comparable office rate is available.
Rest Of Maine
Maine · 40700
Office
Unavailable
Facility
$849.94
No comparable office rate is available.
Southern Maine
Maine · 40700
Office
Unavailable
Facility
$876.56
No comparable office rate is available.
Detroit
Michigan · 40700
Office
Unavailable
Facility
$957.65
No comparable office rate is available.
Rest Of Michigan
Michigan · 40700
Office
Unavailable
Facility
$890.91
No comparable office rate is available.
Minnesota
Minnesota · 40700
Office
Unavailable
Facility
$861.64
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 40700
Office
Unavailable
Facility
$887.33
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 40700
Office
Unavailable
Facility
$894.21
No comparable office rate is available.
Rest Of Missouri
Missouri · 40700
Office
Unavailable
Facility
$859.04
No comparable office rate is available.
Mississippi
Mississippi · 40700
Office
Unavailable
Facility
$838.50
No comparable office rate is available.
Montana**
Montana · 40700
Office
Unavailable
Facility
$911.34
No comparable office rate is available.
North Carolina
North Carolina · 40700
Office
Unavailable
Facility
$856.13
No comparable office rate is available.
North Dakota**
North Dakota · 40700
Office
Unavailable
Facility
$860.52
No comparable office rate is available.
Nebraska
Nebraska · 40700
Office
Unavailable
Facility
$830.08
No comparable office rate is available.
New Hampshire
New Hampshire · 40700
Office
Unavailable
Facility
$915.71
No comparable office rate is available.
Northern Nj
New Jersey · 40700
Office
Unavailable
Facility
$1004.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 40700
Office
Unavailable
Facility
$971.80
No comparable office rate is available.
New Mexico
New Mexico · 40700
Office
Unavailable
Facility
$898.55
No comparable office rate is available.
Nevada**
Nevada · 40700
Office
Unavailable
Facility
$897.54
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 40700
Office
Unavailable
Facility
$1083.43
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 40700
Office
Unavailable
Facility
$984.90
No comparable office rate is available.
Queens
New York · 40700
Office
Unavailable
Facility
$1045.26
No comparable office rate is available.
Rest Of New York
New York · 40700
Office
Unavailable
Facility
$867.81
No comparable office rate is available.
Ohio
Ohio · 40700
Office
Unavailable
Facility
$880.52
No comparable office rate is available.
Oklahoma
Oklahoma · 40700
Office
Unavailable
Facility
$853.41
No comparable office rate is available.
Portland
Oregon · 40700
Office
Unavailable
Facility
$937.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 40700
Office
Unavailable
Facility
$884.56
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 40700
Office
Unavailable
Facility
$951.31
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 40700
Office
Unavailable
Facility
$876.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 40700
Office
Unavailable
Facility
$914.23
No comparable office rate is available.
Rhode Island
Rhode Island · 40700
Office
Unavailable
Facility
$923.02
No comparable office rate is available.
South Carolina
South Carolina · 40700
Office
Unavailable
Facility
$870.97
No comparable office rate is available.
South Dakota**
South Dakota · 40700
Office
Unavailable
Facility
$854.51
No comparable office rate is available.
Tennessee
Tennessee · 40700
Office
Unavailable
Facility
$838.64
No comparable office rate is available.
Austin
Texas · 40700
Office
Unavailable
Facility
$923.76
No comparable office rate is available.
Beaumont
Texas · 40700
Office
Unavailable
Facility
$872.65
No comparable office rate is available.
Brazoria
Texas · 40700
Office
Unavailable
Facility
$893.04
No comparable office rate is available.
Dallas
Texas · 40700
Office
Unavailable
Facility
$902.02
No comparable office rate is available.
Fort Worth
Texas · 40700
Office
Unavailable
Facility
$899.49
No comparable office rate is available.
Galveston
Texas · 40700
Office
Unavailable
Facility
$897.89
No comparable office rate is available.
Houston
Texas · 40700
Office
Unavailable
Facility
$944.93
No comparable office rate is available.
Rest Of Texas
Texas · 40700
Office
Unavailable
Facility
$884.62
No comparable office rate is available.
Utah
Utah · 40700
Office
Unavailable
Facility
$880.91
No comparable office rate is available.
Virginia
Virginia · 40700
Office
Unavailable
Facility
$880.08
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 40700
Office
Unavailable
Facility
$914.23
No comparable office rate is available.
Vermont
Vermont · 40700
Office
Unavailable
Facility
$865.46
No comparable office rate is available.
Rest Of Washington
Washington · 40700
Office
Unavailable
Facility
$916.29
No comparable office rate is available.
Seattle (King Cnty)
Washington · 40700
Office
Unavailable
Facility
$1001.53
No comparable office rate is available.
Wisconsin
Wisconsin · 40700
Office
Unavailable
Facility
$836.82
No comparable office rate is available.
West Virginia
West Virginia · 40700
Office
Unavailable
Facility
$900.81
No comparable office rate is available.
Wyoming**
Wyoming · 40700
Office
Unavailable
Facility
$889.19
No comparable office rate is available.
See how rates vary across the country
40700 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 40700 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$990.86
$900.78 × 110% = $990.86
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 40700 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,846
- Code
- 40700
- Physician work
- 13.82
- Practice expense
- 10.90
- Malpractice
- 2.57
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.82 | × 1.005 | 13.8891 |
| Practice expense | 10.90 | × 0.988 | 10.7692 |
| Malpractice | 2.57 | × 0.899 | 2.3104 |
| Total RVUs | 26.9687 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$900.78
Open 40700 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.82 | 1.005 |
| Practice expense | 10.9 | 0.988 |
| Malpractice | 2.57 | 0.899 |
(13.82 × 1.005 + 10.9 × 0.988 + 2.57 × 0.899) × $33.4009 = $900.78
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
40700 · 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 | $900.78 | RVU26D |
| 2026-07-01 | Not available in this setting | $900.78 | RVU26C |
| 2026-04-01 | Not available in this setting | $900.78 | RVU26B |
| 2026-01-01 | Not available in this setting | $900.78 | RVU26A |
| 2025-10-01 | Not available in this setting | $985.74 | RVU25D |
| 2025-07-01 | Not available in this setting | $985.74 | RVU25C |
| 2025-04-01 | Not available in this setting | $985.74 | RVU25B |
| 2025-01-01 | Not available in this setting | $985.74 | RVU25A |
40700 billing questions
When is 40700 selected instead of a secondary-repair code?
Use 40700 for the initial repair on one side, including a partial or complete cleft. Codes for secondary repair apply when the operation revises a previously repaired cleft.
Can modifier 50 be used for bilateral cleft lip repair?
No. CMS identifies bilateral adjustment as inappropriate for 40700; this code represents unilateral repair.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and additional procedures are paid at 50%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What should the operative report establish?
Document that the repair is primary and unilateral, whether the cleft is partial or complete, and the lip and associated nasal work 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.
4,8434066F,,Ect provided,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
4,8444067F,,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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503