FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

42408 in El Centro

Office / nonfacility

$600.86

Base rate per service

Facility setting

$331.43

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.

Salivary gland surgery

About 42408: Excision of salivary cyst

Report this service when a surgeon removes a salivary cyst, such as a ranula, rather than draining it or taking a diagnostic sample.

CPT 42408 represents surgical removal of a cyst arising from salivary tissue. A typical presentation is a persistent or recurrent fluid-filled lesion in the floor of the mouth, such as a ranula. Otolaryngologists and oral and maxillofacial surgeons commonly perform the procedure in an operating room or another setting suited to the lesion and anesthesia. The operative note should identify the cyst’s location and approach, describe what was removed, and state whether tissue was sent for pathology.

Report 42408 for excision; opening the cyst to release its contents is represented by 42409, while a biopsy code describes sampling. Document the diagnosis, operative findings, and excision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. 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 42408

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 RVU4.54 · 27%
  • Practice expense (office) RVU11.88 · 70%
  • Malpractice RVU0.65 · 4%

52

Medicare services in 2024 · #5330 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.

42408 compared with similar codes

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

42409

Salivary cyst drainage

Drainage, not excision

$409.00

42408 is for excision of the cyst; 42409 describes drainage. Select according to the procedure actually performed.

42400

Salivary biopsy

Needle tissue sampling

$100.11

42400 represents salivary gland biopsy. It is for tissue sampling, not definitive excision of a salivary cyst.

42405

Salivary gland biopsy

Incisional tissue sampling

$319.29

42405 is also a salivary gland biopsy code. Use 42408 when the operative service removes the cyst rather than sampling it.

42410

Parotid excision

Lateral lobe, no nerve dissection

No office rate

42410 concerns excision involving the parotid gland or a parotid lesion. 42408 is for excision of a salivary cyst.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 42408 is $602.64—$1.78 higher than the $600.86 rate in El Centro. Both use the same code, release and participation basis.

42408 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $600.86

  2. Bakersfield

    $602.64

    $1.78 higher than El Centro

  3. Chico

    $600.75

    $0.11 lower than El Centro

  4. Fresno

    $600.75

    $0.11 lower than El Centro

  5. Hanford-Corcoran

    $600.75

    $0.11 lower than El Centro

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

    $641.69

    $40.83 higher than El Centro

  7. Madera

    $600.75

    $0.11 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, 42408 ranges from $503.67 in Arkansas to $752.15 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 · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Modesto

    California · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Napa

    California · 42408

    Office

    $695.21

    Facility

    $371.20

    $94.35 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 42408

    Office

    $638.43

    Facility

    $347.86

    $37.57 higher than El Centro for the office setting.

  • Redding

    California · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Rest Of California

    California · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 42408

    Office

    $607.78

    Facility

    $338.35

    $6.92 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 42408

    Office

    $630.22

    Facility

    $344.32

    $29.36 higher than El Centro for the office setting.

  • Salinas

    California · 42408

    Office

    $627.87

    Facility

    $342.95

    $27.01 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 42408

    Office

    $642.53

    Facility

    $348.52

    $41.67 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 42408

    Office

    $735.50

    Facility

    $388.88

    $134.64 higher than El Centro for the office setting.

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

    California · 42408

    Office

    $734.76

    Facility

    $388.14

    $133.90 higher than El Centro for the office setting.

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

    California · 42408

    Office

    $752.15

    Facility

    $397.66

    $151.29 higher than El Centro for the office setting.

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

    California · 42408

    Office

    $749.13

    Facility

    $394.64

    $148.27 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 42408

    Office

    $617.81

    Facility

    $337.81

    $16.95 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 42408

    Office

    $648.58

    Facility

    $349.89

    $47.72 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 42408

    Office

    $630.19

    Facility

    $343.56

    $29.33 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 42408

    Office

    $655.10

    Facility

    $353.22

    $54.24 higher than El Centro for the office setting.

  • Stockton

    California · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Vallejo

    California · 42408

    Office

    $694.14

    Facility

    $370.14

    $93.28 higher than El Centro for the office setting.

  • Visalia

    California · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Yuba City

    California · 42408

    Office

    $600.75

    Facility

    $331.32

    $0.11 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 42408

    Office

    $651.43

    Facility

    $361.84

    $50.57 higher than El Centro for the office setting.

  • Miami

    Florida · 42408

    Office

    $619.62

    Facility

    $363.71

    $18.76 higher than El Centro for the office setting.

  • Chicago

    Illinois · 42408

    Office

    $601.31

    Facility

    $354.25

    $0.45 higher than El Centro for the office setting.

  • Manhattan

    New York · 42408

    Office

    $656.86

    Facility

    $371.21

    $56.00 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 42408

    Office

    $662.02

    Facility

    $400.21

    $61.16 higher than El Centro for the office setting.

  • Alabama

    Alabama · 42408

    Office

    $511.13

    Facility

    $296.03

    $89.73 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 42408

    Office

    $503.67

    Facility

    $292.51

    $97.19 lower than El Centro for the office setting.

  • Arizona

    Arizona · 42408

    Office

    $554.73

    Facility

    $316.52

    $46.13 lower than El Centro for the office setting.

  • Colorado

    Colorado · 42408

    Office

    $592.61

    Facility

    $331.05

    $8.25 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 42408

    Office

    $608.30

    Facility

    $343.54

    $7.44 higher than El Centro for the office setting.

  • Delaware

    Delaware · 42408

    Office

    $563.96

    Facility

    $321.08

    $36.90 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 42408

    Office

    $592.85

    Facility

    $343.83

    $8.01 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 42408

    Office

    $563.61

    Facility

    $328.60

    $37.25 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 42408

    Office

    $581.32

    Facility

    $331.56

    $19.54 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 42408

    Office

    $531.47

    Facility

    $312.19

    $69.39 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 42408

    Office

    $615.38

    Facility

    $335.87

    $14.52 higher than El Centro for the office setting.

  • Iowa

    Iowa · 42408

    Office

    $523.33

    Facility

    $298.40

    $77.53 lower than El Centro for the office setting.

  • Idaho

    Idaho · 42408

    Office

    $526.97

    Facility

    $300.80

    $73.89 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 42408

    Office

    $560.42

    Facility

    $334.26

    $40.44 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 42408

    Office

    $547.85

    Facility

    $323.41

    $53.01 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 42408

    Office

    $598.69

    Facility

    $346.22

    $2.17 lower than El Centro for the office setting.

  • Indiana

    Indiana · 42408

    Office

    $530.03

    Facility

    $302.14

    $70.83 lower than El Centro for the office setting.

  • Kansas

    Kansas · 42408

    Office

    $521.29

    Facility

    $299.06

    $79.57 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 42408

    Office

    $524.26

    Facility

    $305.72

    $76.60 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 42408

    Office

    $549.69

    Facility

    $318.37

    $51.17 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 42408

    Office

    $523.61

    Facility

    $306.05

    $77.25 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 42408

    Office

    $650.96

    Facility

    $357.44

    $50.10 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 42408

    Office

    $589.20

    Facility

    $330.34

    $11.66 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 42408

    Office

    $606.69

    Facility

    $342.92

    $5.83 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 42408

    Office

    $574.65

    Facility

    $325.87

    $26.21 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 42408

    Office

    $530.20

    Facility

    $304.04

    $70.66 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 42408

    Office

    $558.57

    Facility

    $314.95

    $42.29 lower than El Centro for the office setting.

  • Detroit

    Michigan · 42408

    Office

    $571.16

    Facility

    $333.93

    $29.70 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 42408

    Office

    $538.43

    Facility

    $313.99

    $62.43 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 42408

    Office

    $566.38

    Facility

    $313.42

    $34.48 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 42408

    Office

    $545.45

    Facility

    $314.61

    $55.41 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 42408

    Office

    $551.15

    Facility

    $317.12

    $49.71 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 42408

    Office

    $514.83

    Facility

    $302.92

    $86.03 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 42408

    Office

    $509.33

    Facility

    $297.67

    $91.53 lower than El Centro for the office setting.

  • Montana**

    Montana · 42408

    Office

    $570.11

    Facility

    $324.28

    $30.75 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 42408

    Office

    $535.73

    Facility

    $306.37

    $65.13 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 42408

    Office

    $557.26

    Facility

    $311.43

    $43.60 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 42408

    Office

    $526.10

    Facility

    $299.19

    $74.76 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 42408

    Office

    $583.71

    Facility

    $327.80

    $17.15 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 42408

    Office

    $644.67

    Facility

    $359.51

    $43.81 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 42408

    Office

    $614.83

    Facility

    $346.38

    $13.97 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 42408

    Office

    $541.58

    Facility

    $316.16

    $59.28 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 42408

    Office

    $566.92

    Facility

    $320.85

    $33.94 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 42408

    Office

    $673.46

    Facility

    $381.17

    $72.60 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 42408

    Office

    $619.23

    Facility

    $350.05

    $18.37 higher than El Centro for the office setting.

  • Queens

    New York · 42408

    Office

    $661.67

    Facility

    $371.10

    $60.81 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 42408

    Office

    $543.87

    Facility

    $310.33

    $56.99 lower than El Centro for the office setting.

  • Ohio

    Ohio · 42408

    Office

    $535.81

    Facility

    $311.36

    $65.05 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 42408

    Office

    $522.85

    Facility

    $303.33

    $78.01 lower than El Centro for the office setting.

  • Portland

    Oregon · 42408

    Office

    $611.07

    Facility

    $337.95

    $10.21 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 42408

    Office

    $562.12

    Facility

    $317.27

    $38.74 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 42408

    Office

    $593.34

    Facility

    $337.43

    $7.52 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 42408

    Office

    $536.42

    Facility

    $310.75

    $64.44 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 42408

    Office

    $574.19

    Facility

    $325.66

    $26.67 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 42408

    Office

    $583.78

    Facility

    $329.84

    $17.08 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 42408

    Office

    $536.74

    Facility

    $309.59

    $64.12 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 42408

    Office

    $555.74

    Facility

    $309.91

    $45.12 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 42408

    Office

    $523.99

    Facility

    $300.53

    $76.87 lower than El Centro for the office setting.

  • Austin

    Texas · 42408

    Office

    $591.00

    Facility

    $330.91

    $9.86 lower than El Centro for the office setting.

  • Beaumont

    Texas · 42408

    Office

    $532.90

    Facility

    $309.19

    $67.96 lower than El Centro for the office setting.

  • Brazoria

    Texas · 42408

    Office

    $563.02

    Facility

    $319.40

    $37.84 lower than El Centro for the office setting.

  • Dallas

    Texas · 42408

    Office

    $566.85

    Facility

    $322.00

    $34.01 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 42408

    Office

    $563.16

    Facility

    $320.77

    $37.70 lower than El Centro for the office setting.

  • Galveston

    Texas · 42408

    Office

    $564.85

    Facility

    $320.74

    $36.01 lower than El Centro for the office setting.

  • Houston

    Texas · 42408

    Office

    $576.75

    Facility

    $332.64

    $24.11 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 42408

    Office

    $547.81

    Facility

    $314.52

    $53.05 lower than El Centro for the office setting.

  • Utah

    Utah · 42408

    Office

    $544.13

    Facility

    $313.05

    $56.73 lower than El Centro for the office setting.

  • Virginia

    Virginia · 42408

    Office

    $557.02

    Facility

    $315.37

    $43.84 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 42408

    Office

    $574.19

    Facility

    $325.66

    $26.67 lower than El Centro for the office setting.

  • Vermont

    Vermont · 42408

    Office

    $555.46

    Facility

    $312.09

    $45.40 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 42408

    Office

    $587.97

    Facility

    $329.11

    $12.89 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 42408

    Office

    $663.84

    Facility

    $362.20

    $62.98 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 42408

    Office

    $538.46

    Facility

    $302.96

    $62.40 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 42408

    Office

    $527.53

    Facility

    $313.90

    $73.33 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 42408

    Office

    $564.51

    Facility

    $318.68

    $36.35 lower than El Centro for the office setting.

See how rates vary across the country

42408 · 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.

$503.67

$676.45

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$662.021
AL$511.131
AR$503.671
AZ$554.731
CA$600.75–$752.1529
CO$592.611
CT$608.301
DC$651.431
DE$563.961
FL$563.61–$619.623
GA$531.47–$581.322
GU$615.381
HI$615.381
IA$523.331
ID$526.971
IL$547.85–$601.314
IN$530.031
KS$521.291
KY$524.261
LA$523.61–$549.692
MA$589.20–$650.962
MD$574.65–$651.433
ME$530.20–$558.572
MI$538.43–$571.162
MN$566.381
MO$514.83–$551.153
MS$509.331
MT$570.111
NC$535.731
ND$557.261
NE$526.101
NH$583.711
NJ$614.83–$644.672
NM$541.581
NV$566.921
NY$543.87–$673.465
OH$535.811
OK$522.851
OR$562.12–$611.072
PA$536.42–$593.342
PR$574.191
RI$583.781
SC$536.741
SD$555.741
TN$523.991
TX$532.90–$591.008
UT$544.131
VA$557.02–$651.432
VI$574.191
VT$555.461
WA$587.97–$663.842
WI$538.461
WV$527.531
WY$564.511

Explore 42408 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 42408 in El Centro, the physician’s office rate is $600.86 and the facility-setting rate is $331.43: a difference of $269.43.

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 42408 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$660.95

$600.86 × 110% = $660.95

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.

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 42408 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

5,029

Code
42408
Physician work
4.54
Practice expense
11.88
Malpractice
0.65

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 42408 in El Centro
ComponentRVULocality factorAdjusted
Physician work4.54× 1.0174.6172
Practice expense11.88× 1.09613.0205
Malpractice0.65× 0.5410.3517
Total RVUs17.9893
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$600.86

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

Open 42408 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.541.017
Practice expense11.881.096
Malpractice0.650.541

(4.54 × 1.017 + 11.88 × 1.096 + 0.65 × 0.541) × $33.4009 = $600.86

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.541.017
Practice expense4.521.096
Malpractice0.650.541

(4.54 × 1.017 + 4.52 × 1.096 + 0.65 × 0.541) × $33.4009 = $331.43

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

42408 · Office / nonfacility

$600.86

Effective 2026-10-01

The base rate is $47.25 higher than on 2025-10-01, moving from $553.61 to $600.86 (8.5%).

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

    $553.61changed to$600.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.66 changed to 4.54
    • Practice expense RVU 11.08 changed to 11.88
    • Malpractice RVU 0.49 changed to 0.65
    • 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: $553.61

    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$600.86$331.43RVU26D
2026-07-01$600.86$331.43RVU26C
2026-04-01$600.86$331.43RVU26B
2026-01-01$600.86$331.43RVU26A
2025-10-01$553.61$355.27RVU25D
2025-07-01$553.61$355.27RVU25C
2025-04-01$553.61$355.27RVU25B
2025-01-01$553.61$355.27RVU25A

42408 billing questions

When should 42408 be chosen over 42409?

Use 42408 when the surgeon removes the salivary cyst. Use 42409 when the documented procedure drains the cyst rather than excising it.

Can a biopsy code be reported for the same cyst?

A biopsy code describes diagnostic tissue sampling, not removal of the cyst. The operative documentation should establish whether the surgeon sampled tissue or excised the cyst.

Can modifier 50 be used for bilateral cyst excision?

No. CMS identifies bilateral adjustment as inappropriate for 42408, so modifier 50 should not be used.

What postoperative care is included?

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

How is 42408 affected when other procedures occur in the same session?

CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction.

What documentation supports assistant-at-surgery payment?

The record must document the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment 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 42408PPRRVU2026_Oct_nonQPP.csv, line 5,029 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet