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CMS RVU26D · Effective 2026-10-01

40830 in El Centro

Office / nonfacility

$245.12

Base rate per service

Facility setting

$142.99

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 40830: Simple oral vestibule laceration repair

Report this code for simple repair of a traumatic laceration in the mouth vestibule, such as a cut along the inner lip or cheek.

This code describes simple repair of a traumatic cut in the oral vestibule—the space between the inner lip or cheek and the teeth or gums. A clinician may use it for an uncomplicated mucosal laceration, such as one caused by a fall or impact. Oral and maxillofacial surgeons, dentists, otolaryngologists, and emergency clinicians may perform the repair in an office, emergency department, or operating room. The key distinction from 40831 is that 40830 is for a simple repair; the record should identify the wound’s location and describe the repair performed.

Report one unit for the repair and document the injury, vestibular site, and basis for selecting the simple repair code. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 40830

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.77 · 26%
  • Practice expense (office) RVU4.94 · 71%
  • Malpractice RVU0.23 · 3%

463

Medicare services in 2024 · #3629 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.

40830 compared with similar codes

Office rates for El Centro, from the same CMS release.

40831

Laceration repair

Complicated vestibular wound

$329.72

Both address mouth vestibule lacerations; choose 40830 for a simple repair and 40831 when the repair is complicated.

40812

Oral lesion excision

Simple repair

$296.76

40812 describes excision of a mouth lesion with repair. 40830 is for repair of a traumatic laceration, without lesion excision as the service.

40808

Mouth biopsy

Oral vestibule

$178.85

40808 is for biopsy of a mouth lesion. It is not a repair code for a traumatic vestibular cut.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 40830 is $245.76—$0.64 higher than the $245.12 rate in El Centro. Both use the same code, release and participation basis.

40830 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $245.12

  2. Bakersfield

    $245.76

    $0.64 higher than El Centro

  3. Chico

    $245.08

    $0.04 lower than El Centro

  4. Fresno

    $245.08

    $0.04 lower than El Centro

  5. Hanford-Corcoran

    $245.08

    $0.04 lower than El Centro

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

    $261.84

    $16.72 higher than El Centro

  7. Madera

    $245.08

    $0.04 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, 40830 ranges from $204.81 in Arkansas to $307.67 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 · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Modesto

    California · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Napa

    California · 40830

    Office

    $284.22

    Facility

    $161.39

    $39.10 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 40830

    Office

    $260.59

    Facility

    $150.44

    $15.47 higher than El Centro for the office setting.

  • Redding

    California · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Rest Of California

    California · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 40830

    Office

    $247.58

    Facility

    $145.44

    $2.46 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 40830

    Office

    $257.26

    Facility

    $148.88

    $12.14 higher than El Centro for the office setting.

  • Salinas

    California · 40830

    Office

    $256.31

    Facility

    $148.30

    $11.19 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 40830

    Office

    $262.40

    Facility

    $150.94

    $17.28 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 40830

    Office

    $300.91

    Facility

    $169.52

    $55.79 higher than El Centro for the office setting.

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

    California · 40830

    Office

    $300.65

    Facility

    $169.26

    $55.53 higher than El Centro for the office setting.

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

    California · 40830

    Office

    $307.67

    Facility

    $173.29

    $62.55 higher than El Centro for the office setting.

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

    California · 40830

    Office

    $306.60

    Facility

    $172.23

    $61.48 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 40830

    Office

    $252.18

    Facility

    $146.04

    $7.06 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 40830

    Office

    $264.95

    Facility

    $151.73

    $19.83 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 40830

    Office

    $257.28

    Facility

    $148.63

    $12.16 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 40830

    Office

    $267.63

    Facility

    $153.20

    $22.51 higher than El Centro for the office setting.

  • Stockton

    California · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Vallejo

    California · 40830

    Office

    $283.84

    Facility

    $161.02

    $38.72 higher than El Centro for the office setting.

  • Visalia

    California · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Yuba City

    California · 40830

    Office

    $245.08

    Facility

    $142.95

    $0.04 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 40830

    Office

    $265.23

    Facility

    $155.46

    $20.11 higher than El Centro for the office setting.

  • Miami

    Florida · 40830

    Office

    $250.31

    Facility

    $153.30

    $5.19 higher than El Centro for the office setting.

  • Chicago

    Illinois · 40830

    Office

    $242.99

    Facility

    $149.34

    $2.13 lower than El Centro for the office setting.

  • Manhattan

    New York · 40830

    Office

    $266.82

    Facility

    $158.53

    $21.70 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 40830

    Office

    $268.64

    Facility

    $169.39

    $23.52 higher than El Centro for the office setting.

  • Alabama

    Alabama · 40830

    Office

    $207.84

    Facility

    $126.30

    $37.28 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 40830

    Office

    $204.81

    Facility

    $124.76

    $40.31 lower than El Centro for the office setting.

  • Arizona

    Arizona · 40830

    Office

    $225.58

    Facility

    $135.28

    $19.54 lower than El Centro for the office setting.

  • Colorado

    Colorado · 40830

    Office

    $241.39

    Facility

    $142.24

    $3.73 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 40830

    Office

    $247.30

    Facility

    $146.94

    $2.18 higher than El Centro for the office setting.

  • Delaware

    Delaware · 40830

    Office

    $229.34

    Facility

    $137.27

    $15.78 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 40830

    Office

    $240.15

    Facility

    $145.75

    $4.97 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 40830

    Office

    $228.41

    Facility

    $139.32

    $16.71 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 40830

    Office

    $236.16

    Facility

    $141.48

    $8.96 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 40830

    Office

    $215.46

    Facility

    $132.33

    $29.66 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 40830

    Office

    $251.17

    Facility

    $145.22

    $6.05 higher than El Centro for the office setting.

  • Iowa

    Iowa · 40830

    Office

    $213.14

    Facility

    $127.88

    $31.98 lower than El Centro for the office setting.

  • Idaho

    Idaho · 40830

    Office

    $214.55

    Facility

    $128.82

    $30.57 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 40830

    Office

    $226.39

    Facility

    $140.66

    $18.73 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 40830

    Office

    $221.77

    Facility

    $136.69

    $23.35 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 40830

    Office

    $242.60

    Facility

    $146.90

    $2.52 lower than El Centro for the office setting.

  • Indiana

    Indiana · 40830

    Office

    $215.81

    Facility

    $129.42

    $29.31 lower than El Centro for the office setting.

  • Kansas

    Kansas · 40830

    Office

    $212.15

    Facility

    $127.91

    $32.97 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 40830

    Office

    $212.83

    Facility

    $129.99

    $32.29 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 40830

    Office

    $223.11

    Facility

    $135.42

    $22.01 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 40830

    Office

    $212.50

    Facility

    $130.03

    $32.62 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 40830

    Office

    $265.39

    Facility

    $154.12

    $20.27 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 40830

    Office

    $239.93

    Facility

    $141.81

    $5.19 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 40830

    Office

    $246.61

    Facility

    $146.62

    $1.49 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 40830

    Office

    $233.74

    Facility

    $139.44

    $11.38 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 40830

    Office

    $215.70

    Facility

    $129.96

    $29.42 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 40830

    Office

    $227.48

    Facility

    $135.13

    $17.64 lower than El Centro for the office setting.

  • Detroit

    Michigan · 40830

    Office

    $231.30

    Facility

    $141.37

    $13.82 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 40830

    Office

    $218.44

    Facility

    $133.36

    $26.68 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 40830

    Office

    $231.18

    Facility

    $135.29

    $13.94 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 40830

    Office

    $221.56

    Facility

    $134.06

    $23.56 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 40830

    Office

    $223.90

    Facility

    $135.18

    $21.22 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 40830

    Office

    $208.83

    Facility

    $128.50

    $36.29 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 40830

    Office

    $206.86

    Facility

    $126.63

    $38.26 lower than El Centro for the office setting.

  • Montana**

    Montana · 40830

    Office

    $231.79

    Facility

    $138.60

    $13.33 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 40830

    Office

    $217.97

    Facility

    $131.03

    $27.15 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 40830

    Office

    $227.24

    Facility

    $134.05

    $17.88 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 40830

    Office

    $214.32

    Facility

    $128.31

    $30.80 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 40830

    Office

    $237.61

    Facility

    $140.60

    $7.51 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 40830

    Office

    $262.45

    Facility

    $154.35

    $17.33 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 40830

    Office

    $250.09

    Facility

    $148.33

    $4.97 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 40830

    Office

    $219.65

    Facility

    $134.20

    $25.47 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 40830

    Office

    $230.68

    Facility

    $137.40

    $14.44 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 40830

    Office

    $273.35

    Facility

    $162.55

    $28.23 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 40830

    Office

    $251.75

    Facility

    $149.71

    $6.63 higher than El Centro for the office setting.

  • Queens

    New York · 40830

    Office

    $269.01

    Facility

    $158.86

    $23.89 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 40830

    Office

    $221.27

    Facility

    $132.74

    $23.85 lower than El Centro for the office setting.

  • Ohio

    Ohio · 40830

    Office

    $217.51

    Facility

    $132.43

    $27.61 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 40830

    Office

    $212.43

    Facility

    $129.22

    $32.69 lower than El Centro for the office setting.

  • Portland

    Oregon · 40830

    Office

    $249.10

    Facility

    $145.56

    $3.98 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 40830

    Office

    $228.86

    Facility

    $136.04

    $16.26 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 40830

    Office

    $241.11

    Facility

    $144.10

    $4.01 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 40830

    Office

    $217.85

    Facility

    $132.30

    $27.27 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 40830

    Office

    $233.50

    Facility

    $139.29

    $11.62 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 40830

    Office

    $237.54

    Facility

    $141.28

    $7.58 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 40830

    Office

    $218.11

    Facility

    $132.00

    $27.01 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 40830

    Office

    $226.70

    Facility

    $133.51

    $18.42 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 40830

    Office

    $213.23

    Facility

    $128.52

    $31.89 lower than El Centro for the office setting.

  • Austin

    Texas · 40830

    Office

    $240.61

    Facility

    $142.02

    $4.51 lower than El Centro for the office setting.

  • Beaumont

    Texas · 40830

    Office

    $216.41

    Facility

    $131.61

    $28.71 lower than El Centro for the office setting.

  • Brazoria

    Texas · 40830

    Office

    $229.10

    Facility

    $136.75

    $16.02 lower than El Centro for the office setting.

  • Dallas

    Texas · 40830

    Office

    $230.58

    Facility

    $137.77

    $14.54 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 40830

    Office

    $229.03

    Facility

    $137.15

    $16.09 lower than El Centro for the office setting.

  • Galveston

    Texas · 40830

    Office

    $229.80

    Facility

    $137.26

    $15.32 lower than El Centro for the office setting.

  • Houston

    Texas · 40830

    Office

    $234.01

    Facility

    $141.47

    $11.11 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 40830

    Office

    $222.64

    Facility

    $134.21

    $22.48 lower than El Centro for the office setting.

  • Utah

    Utah · 40830

    Office

    $221.12

    Facility

    $133.52

    $24.00 lower than El Centro for the office setting.

  • Virginia

    Virginia · 40830

    Office

    $226.74

    Facility

    $135.13

    $18.38 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 40830

    Office

    $233.50

    Facility

    $139.29

    $11.62 lower than El Centro for the office setting.

  • Vermont

    Vermont · 40830

    Office

    $226.36

    Facility

    $134.10

    $18.76 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 40830

    Office

    $239.48

    Facility

    $141.35

    $5.64 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 40830

    Office

    $270.81

    Facility

    $156.47

    $25.69 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 40830

    Office

    $219.56

    Facility

    $130.28

    $25.56 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 40830

    Office

    $213.50

    Facility

    $132.52

    $31.62 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 40830

    Office

    $229.80

    Facility

    $136.62

    $15.32 lower than El Centro for the office setting.

See how rates vary across the country

40830 · 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.

$204.81

$276.38

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$268.641
AL$207.841
AR$204.811
AZ$225.581
CA$245.08–$307.6729
CO$241.391
CT$247.301
DC$265.231
DE$229.341
FL$228.41–$250.313
GA$215.46–$236.162
GU$251.171
HI$251.171
IA$213.141
ID$214.551
IL$221.77–$242.994
IN$215.811
KS$212.151
KY$212.831
LA$212.50–$223.112
MA$239.93–$265.392
MD$233.74–$265.233
ME$215.70–$227.482
MI$218.44–$231.302
MN$231.181
MO$208.83–$223.903
MS$206.861
MT$231.791
NC$217.971
ND$227.241
NE$214.321
NH$237.611
NJ$250.09–$262.452
NM$219.651
NV$230.681
NY$221.27–$273.355
OH$217.511
OK$212.431
OR$228.86–$249.102
PA$217.85–$241.112
PR$233.501
RI$237.541
SC$218.111
SD$226.701
TN$213.231
TX$216.41–$240.618
UT$221.121
VA$226.74–$265.232
VI$233.501
VT$226.361
WA$239.48–$270.812
WI$219.561
WV$213.501
WY$229.801

Explore 40830 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 40830 in El Centro, the physician’s office rate is $245.12 and the facility-setting rate is $142.99: a difference of $102.13.

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 40830 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$269.63

$245.12 × 110% = $269.63

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 40830 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

4,870

Code
40830
Physician work
1.77
Practice expense
4.94
Malpractice
0.23

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 40830 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0171.8001
Practice expense4.94× 1.0965.4142
Malpractice0.23× 0.5410.1244
Total RVUs7.3388
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$245.12

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

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Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense4.941.096
Malpractice0.230.541

(1.77 × 1.017 + 4.94 × 1.096 + 0.23 × 0.541) × $33.4009 = $245.12

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense2.151.096
Malpractice0.230.541

(1.77 × 1.017 + 2.15 × 1.096 + 0.23 × 0.541) × $33.4009 = $142.99

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

40830 · Office / nonfacility

$245.12

Effective 2026-10-01

The base rate is $14.33 higher than on 2025-10-01, moving from $230.79 to $245.12 (6.2%).

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

    $230.79changed to$245.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 4.73 changed to 4.94
    • Malpractice RVU 0.21 changed to 0.23
    • 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $230.79

    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$245.12$142.99RVU26D
2026-07-01$245.12$142.99RVU26C
2026-04-01$245.12$142.99RVU26B
2026-01-01$245.12$142.99RVU26A
2025-10-01$230.79$149.13RVU25D
2025-07-01$230.79$149.13RVU25C
2025-04-01$230.79$149.13RVU25B
2025-01-01$230.79$149.13RVU25A

40830 billing questions

How does 40830 differ from 40831?

40830 is for simple repair of a laceration in the mouth vestibule. Use 40831 when the repair is documented as complicated.

Can this code be used for a mouth lesion that is excised?

No. This code describes repair of a traumatic laceration. Lesion excision with repair is represented by lesion-specific codes such as 40812 or 40814, as appropriate.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure.

Should modifier 50 be appended for wounds on both sides of the mouth?

No. Modifier 50 is inappropriate for this descriptor and anatomy; report the repair without a bilateral adjustment.

When is an assistant-at-surgery payable?

Medicare pays an assistant at surgery only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 40830PPRRVU2026_Oct_nonQPP.csv, line 4,870 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet