No office rate
Use 21040 for intraoral removal of a benign mandibular lesion without the osteotomy specified for 21046. The operative report should establish whether osteotomy was required.
On this page
CMS RVU26D · Effective 2026-10-01
21040 in El Centro
Office / nonfacility
$502.47
Base rate per service
Facility setting
$346.52
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 and maxillofacial surgery
About 21040: Intraoral excision of benign mandibular lesion
Reports intraoral removal of a benign lesion of the mandible when the procedure requires more than routine dental extraction or simple cyst care.
CPT 21040 describes removal of a benign tumor or cyst from the mandible through an intraoral approach. Oral and maxillofacial surgeons and other surgeons with appropriate training may perform it in an office, ambulatory surgery center, or hospital operating room. The operative work may involve incising oral mucosa, exposing the mandibular lesion, removing it, and closing the site. The code is for a benign lesion, not a malignant jaw tumor or an exostosis.
Select the code based on the documented lesion, mandibular site, and intraoral route; distinguish it from procedures that require osteotomy, address a different jaw, or remove bone for another indication. The operative report should describe the lesion and approach, the removal performed, and any relevant pathology. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 21040
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.79 · 33%
- Practice expense (office) RVU8.99 · 63%
- Malpractice RVU0.59 · 4%
1.3K
Medicare services in 2024 · #2756 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.
21040 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
21047 describes benign mandibular lesion removal requiring an extraoral osteotomy. 21040 describes an intraoral approach.
No office rate
21040 is for a benign mandibular lesion; 21044 is used for the applicable malignant mandibular tumor procedure.
$498.08
Both address benign jaw lesions, but 21030 is for the maxilla and 21040 is for the mandible.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 21040 is $504.13—$1.66 higher than the $502.47 rate in El Centro. Both use the same code, release and participation basis.
21040 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$502.47
$504.13
$1.66 higher than El Centro
$502.37
$0.10 lower than El Centro
$502.37
$0.10 lower than El Centro
$502.37
$0.10 lower than El Centro
$32.39 higher than El Centro
$502.37
$0.10 lower than El Centro
Other payment areas listed in California 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, 21040 ranges from $428.07 in Arkansas to $621.15 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
Merced
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Modesto
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Napa
California · 21040
Office
$575.84
Facility
$388.31
$73.37 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 21040
Office
$531.67
Facility
$363.49
$29.20 higher than El Centro for the office setting.
Redding
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Rest Of California
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 21040
Office
$508.78
Facility
$352.83
$6.31 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 21040
Office
$525.53
Facility
$360.05
$23.06 higher than El Centro for the office setting.
Salinas
California · 21040
Office
$523.53
Facility
$358.62
$21.06 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 21040
Office
$534.60
Facility
$364.42
$32.13 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21040
Office
$607.62
Facility
$407.00
$105.15 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21040
Office
$606.95
Facility
$406.33
$104.48 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21040
Office
$621.15
Facility
$415.97
$118.68 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21040
Office
$618.41
Facility
$413.23
$115.94 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 21040
Office
$515.29
Facility
$353.22
$12.82 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 21040
Office
$538.75
Facility
$365.87
$36.28 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 21040
Office
$525.15
Facility
$359.24
$22.68 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 21040
Office
$544.09
Facility
$369.36
$41.62 higher than El Centro for the office setting.
Stockton
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Vallejo
California · 21040
Office
$574.88
Facility
$387.34
$72.41 higher than El Centro for the office setting.
Visalia
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Yuba City
California · 21040
Office
$502.37
Facility
$346.43
$0.10 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 21040
Office
$544.29
Facility
$376.67
$41.82 higher than El Centro for the office setting.
Miami
Florida · 21040
Office
$522.41
Facility
$374.29
$19.94 higher than El Centro for the office setting.
Chicago
Illinois · 21040
Office
$508.11
Facility
$365.11
$5.64 higher than El Centro for the office setting.
Manhattan
New York · 21040
Office
$550.40
Facility
$385.06
$47.93 higher than El Centro for the office setting.
Alaska*
Alaska · 21040
Office
$570.64
Facility
$419.10
$68.17 higher than El Centro for the office setting.
Alabama
Alabama · 21040
Office
$433.88
Facility
$309.38
$68.59 lower than El Centro for the office setting.
Arkansas
Arkansas · 21040
Office
$428.07
Facility
$305.85
$74.40 lower than El Centro for the office setting.
Arizona
Arizona · 21040
Office
$467.82
Facility
$329.95
$34.65 lower than El Centro for the office setting.
Colorado
Colorado · 21040
Office
$496.79
Facility
$345.40
$5.68 lower than El Centro for the office setting.
Connecticut
Connecticut · 21040
Office
$510.43
Facility
$357.19
$7.96 higher than El Centro for the office setting.
Delaware
Delaware · 21040
Office
$475.18
Facility
$334.60
$27.29 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 21040
Office
$499.80
Facility
$355.66
$2.67 lower than El Centro for the office setting.
Rest Of Florida
Florida · 21040
Office
$476.67
Facility
$340.64
$25.80 lower than El Centro for the office setting.
Atlanta
Georgia · 21040
Office
$489.22
Facility
$344.65
$13.25 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 21040
Office
$451.32
Facility
$324.40
$51.15 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 21040
Office
$512.81
Facility
$351.03
$10.34 higher than El Centro for the office setting.
Iowa
Iowa · 21040
Office
$442.56
Facility
$312.37
$59.91 lower than El Centro for the office setting.
Idaho
Idaho · 21040
Office
$445.56
Facility
$314.66
$56.91 lower than El Centro for the office setting.
East St. Louis
Illinois · 21040
Office
$475.93
Facility
$345.03
$26.54 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 21040
Office
$464.94
Facility
$335.03
$37.53 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 21040
Office
$504.41
Facility
$358.28
$1.94 higher than El Centro for the office setting.
Indiana
Indiana · 21040
Office
$447.92
Facility
$316.02
$54.55 lower than El Centro for the office setting.
Kansas
Kansas · 21040
Office
$441.37
Facility
$312.74
$61.10 lower than El Centro for the office setting.
Kentucky
Kentucky · 21040
Office
$444.97
Facility
$318.47
$57.50 lower than El Centro for the office setting.
New Orleans
Louisiana · 21040
Office
$464.93
Facility
$331.04
$37.54 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 21040
Office
$444.61
Facility
$318.69
$57.86 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 21040
Office
$542.62
Facility
$372.72
$40.15 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 21040
Office
$494.44
Facility
$344.62
$8.03 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 21040
Office
$509.12
Facility
$356.45
$6.65 higher than El Centro for the office setting.
Rest Of Maryland
Maryland · 21040
Office
$483.56
Facility
$339.56
$18.91 lower than El Centro for the office setting.
Rest Of Maine
Maine · 21040
Office
$448.50
Facility
$317.60
$53.97 lower than El Centro for the office setting.
Southern Maine
Maine · 21040
Office
$470.00
Facility
$328.99
$32.47 lower than El Centro for the office setting.
Detroit
Michigan · 21040
Office
$482.98
Facility
$345.67
$19.49 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 21040
Office
$456.39
Facility
$326.48
$46.08 lower than El Centro for the office setting.
Minnesota
Minnesota · 21040
Office
$474.81
Facility
$328.39
$27.66 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 21040
Office
$461.20
Facility
$327.59
$41.27 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 21040
Office
$465.60
Facility
$330.14
$36.87 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 21040
Office
$438.02
Facility
$315.37
$64.45 lower than El Centro for the office setting.
Mississippi
Mississippi · 21040
Office
$433.09
Facility
$310.58
$69.38 lower than El Centro for the office setting.
Montana**
Montana · 21040
Office
$479.93
Facility
$337.64
$22.54 lower than El Centro for the office setting.
North Carolina
North Carolina · 21040
Office
$452.74
Facility
$319.98
$49.73 lower than El Centro for the office setting.
North Dakota**
North Dakota · 21040
Office
$468.27
Facility
$325.98
$34.20 lower than El Centro for the office setting.
Nebraska
Nebraska · 21040
Office
$444.59
Facility
$313.26
$57.88 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 21040
Office
$489.82
Facility
$341.70
$12.65 lower than El Centro for the office setting.
Northern Nj
New Jersey · 21040
Office
$539.43
Facility
$374.38
$36.96 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 21040
Office
$515.91
Facility
$360.53
$13.44 higher than El Centro for the office setting.
New Mexico
New Mexico · 21040
Office
$459.01
Facility
$328.53
$43.46 lower than El Centro for the office setting.
Nevada**
Nevada · 21040
Office
$476.98
Facility
$334.55
$25.49 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 21040
Office
$563.85
Facility
$394.67
$61.38 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 21040
Office
$519.83
Facility
$364.03
$17.36 higher than El Centro for the office setting.
Queens
New York · 21040
Office
$553.57
Facility
$385.39
$51.10 higher than El Centro for the office setting.
Rest Of New York
New York · 21040
Office
$459.10
Facility
$323.93
$43.37 lower than El Centro for the office setting.
Ohio
Ohio · 21040
Office
$454.00
Facility
$324.10
$48.47 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 21040
Office
$443.45
Facility
$316.38
$59.02 lower than El Centro for the office setting.
Portland
Oregon · 21040
Office
$510.82
Facility
$352.73
$8.35 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 21040
Office
$472.92
Facility
$331.20
$29.55 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 21040
Office
$498.97
Facility
$350.84
$3.50 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 21040
Office
$454.26
Facility
$323.64
$48.21 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 21040
Office
$482.98
Facility
$339.13
$19.49 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 21040
Office
$490.79
Facility
$343.81
$11.68 lower than El Centro for the office setting.
South Carolina
South Carolina · 21040
Office
$454.19
Facility
$322.72
$48.28 lower than El Centro for the office setting.
South Dakota**
South Dakota · 21040
Office
$466.89
Facility
$324.60
$35.58 lower than El Centro for the office setting.
Tennessee
Tennessee · 21040
Office
$443.52
Facility
$314.18
$58.95 lower than El Centro for the office setting.
Austin
Texas · 21040
Office
$495.46
Facility
$344.92
$7.01 lower than El Centro for the office setting.
Beaumont
Texas · 21040
Office
$451.55
Facility
$322.07
$50.92 lower than El Centro for the office setting.
Brazoria
Texas · 21040
Office
$474.21
Facility
$333.21
$28.26 lower than El Centro for the office setting.
Dallas
Texas · 21040
Office
$477.41
Facility
$335.69
$25.06 lower than El Centro for the office setting.
Fort Worth
Texas · 21040
Office
$474.66
Facility
$334.37
$27.81 lower than El Centro for the office setting.
Galveston
Texas · 21040
Office
$475.76
Facility
$334.47
$26.71 lower than El Centro for the office setting.
Houston
Texas · 21040
Office
$486.56
Facility
$345.27
$15.91 lower than El Centro for the office setting.
Rest Of Texas
Texas · 21040
Office
$462.75
Facility
$327.71
$39.72 lower than El Centro for the office setting.
Utah
Utah · 21040
Office
$459.94
Facility
$326.19
$42.53 lower than El Centro for the office setting.
Virginia
Virginia · 21040
Office
$469.07
Facility
$329.20
$33.40 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 21040
Office
$482.98
Facility
$339.13
$19.49 lower than El Centro for the office setting.
Vermont
Vermont · 21040
Office
$467.23
Facility
$326.37
$35.24 lower than El Centro for the office setting.
Rest Of Washington
Washington · 21040
Office
$493.26
Facility
$343.43
$9.21 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 21040
Office
$552.53
Facility
$377.94
$50.06 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 21040
Office
$453.72
Facility
$317.41
$48.75 lower than El Centro for the office setting.
West Virginia
West Virginia · 21040
Office
$449.13
Facility
$325.48
$53.34 lower than El Centro for the office setting.
Wyoming**
Wyoming · 21040
Office
$474.85
Facility
$332.56
$27.62 lower than El Centro for the office setting.
See how rates vary across the country
21040 · 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.
$428.07
$570.64
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $570.64 | 1 |
| AL | $433.88 | 1 |
| AR | $428.07 | 1 |
| AZ | $467.82 | 1 |
| CA | $502.37–$621.15 | 29 |
| CO | $496.79 | 1 |
| CT | $510.43 | 1 |
| DC | $544.29 | 1 |
| DE | $475.18 | 1 |
| FL | $476.67–$522.41 | 3 |
| GA | $451.32–$489.22 | 2 |
| GU | $512.81 | 1 |
| HI | $512.81 | 1 |
| IA | $442.56 | 1 |
| ID | $445.56 | 1 |
| IL | $464.94–$508.11 | 4 |
| IN | $447.92 | 1 |
| KS | $441.37 | 1 |
| KY | $444.97 | 1 |
| LA | $444.61–$464.93 | 2 |
| MA | $494.44–$542.62 | 2 |
| MD | $483.56–$544.29 | 3 |
| ME | $448.50–$470.00 | 2 |
| MI | $456.39–$482.98 | 2 |
| MN | $474.81 | 1 |
| MO | $438.02–$465.60 | 3 |
| MS | $433.09 | 1 |
| MT | $479.93 | 1 |
| NC | $452.74 | 1 |
| ND | $468.27 | 1 |
| NE | $444.59 | 1 |
| NH | $489.82 | 1 |
| NJ | $515.91–$539.43 | 2 |
| NM | $459.01 | 1 |
| NV | $476.98 | 1 |
| NY | $459.10–$563.85 | 5 |
| OH | $454.00 | 1 |
| OK | $443.45 | 1 |
| OR | $472.92–$510.82 | 2 |
| PA | $454.26–$498.97 | 2 |
| PR | $482.98 | 1 |
| RI | $490.79 | 1 |
| SC | $454.19 | 1 |
| SD | $466.89 | 1 |
| TN | $443.52 | 1 |
| TX | $451.55–$495.46 | 8 |
| UT | $459.94 | 1 |
| VA | $469.07–$544.29 | 2 |
| VI | $482.98 | 1 |
| VT | $467.23 | 1 |
| WA | $493.26–$552.53 | 2 |
| WI | $453.72 | 1 |
| WV | $449.13 | 1 |
| WY | $474.85 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.
Why are the office and facility amounts different?
For 21040 in El Centro, the physician’s office rate is $502.47 and the facility-setting rate is $346.52: a difference of $155.95.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 21040 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$552.72
$502.47 × 110% = $552.72
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 21040 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
1,850
- Code
- 21040
- Physician work
- 4.79
- Practice expense
- 8.99
- Malpractice
- 0.59
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.79 | × 1.017 | 4.8714 |
| Practice expense | 8.99 | × 1.096 | 9.8530 |
| Malpractice | 0.59 | × 0.541 | 0.3192 |
| Total RVUs | 15.0437 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$502.47
Open 21040 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.79 | 1.017 |
| Practice expense | 8.99 | 1.096 |
| Malpractice | 0.59 | 0.541 |
(4.79 × 1.017 + 8.99 × 1.096 + 0.59 × 0.541) × $33.4009 = $502.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.79 | 1.017 |
| Practice expense | 4.73 | 1.096 |
| Malpractice | 0.59 | 0.541 |
(4.79 × 1.017 + 4.73 × 1.096 + 0.59 × 0.541) × $33.4009 = $346.52
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
21040 · Office / nonfacility
$502.47
Effective 2026-10-01
The base rate is $27.80 higher than on 2025-10-01, moving from $474.67 to $502.47 (5.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$474.67changed to$502.47
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.91 changed to 4.79
- Practice expense RVU 8.61 changed to 8.99
- Malpractice RVU 0.50 changed to 0.59
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $474.67
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
21040 billing questions
How is 21040 different from 21046?
21040 is for intraoral removal of a benign mandibular lesion without the osteotomy described for 21046. Report 21046 when the documented procedure requires that intraoral osteotomy.
Can 21040 be reported for a malignant mandibular lesion?
No. This code is for a benign lesion; a malignant mandibular tumor requires the code that describes the applicable malignant-tumor procedure.
What documentation supports 21040?
Document the mandibular location, benign lesion or cyst diagnosis, intraoral approach, and the removal performed. Include pathology findings when available.
Should modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment is not appropriate for this code, so do not report it with modifier 50.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the surgical global package.
Can an assistant or co-surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for this code. 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.
1,84721031,,Remove exostosis mandible,A,,3.22,8.01,,3.93,,0.43,11.66,7.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84821032,,Remove exostosis maxilla,A,,3.26,7.80,,3.62,,0.43,11.49,7.31,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84921034,,Excise max/zygoma mal tumor,A,,16.95,19.64,,10.13,,2.50,39.09,29.58,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85021040,,Excise mandible lesion,A,,4.79,8.99,,4.73,,0.59,14.37,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85121044,,Removal of jaw bone lesion,A,,12.48,8.57,NA,8.57,,1.85,22.90,22.90,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85221045,,Extensive jaw surgery,A,,17.91,11.15,NA,11.15,,2.71,31.77,31.77,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85321046,,Remove mandible cyst complex,A,,13.85,11.32,NA,11.32,,1.76,26.93,26.93,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664