No office rate
Both describe lateral-lobe parotid excision, but 42415 includes facial nerve dissection and preservation; 42410 does not.
On this page
CMS RVU26D · Effective 2026-10-01
42415 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$917.86
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.
Head and neck surgery
About 42415: Lateral parotid excision with nerve preservation
Reports removal of a parotid lesion or lateral gland lobe when the surgeon dissects and preserves the facial nerve during surgery.
An otolaryngologist or head and neck surgeon reports this operation when removing a lesion from the lateral lobe of the parotid, or removing that lobe, while dissecting and preserving the facial nerve. It may be performed for a parotid mass, such as a benign salivary tumor, in a hospital or other surgical setting. The nerve dissection and preservation are defining features of this service, not simply incidental details of a lesion excision.
Choose the code based on the operative extent and documented facial nerve management, not pathology results alone. The operative report should identify the parotid tissue removed and describe the nerve dissection and preservation. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 42415
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.73 · 61%
- Practice expense (office) RVU8.31 · 30%
- Malpractice RVU2.51 · 9%
5.7K
Medicare services in 2024 · #1786 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.
42415 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
42420 describes total parotid excision with facial nerve dissection and preservation. Choose 42415 when the operation is limited to the lateral lobe.
$100.11
42400 is for biopsy of a salivary gland to obtain tissue for diagnosis; 42415 is an operation removing parotid tissue or a lesion with facial nerve dissection and preservation.
The same code, a different location
How does El Centro compare?
42415 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Modesto
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Napa
California · 42415
Office
Unavailable
Facility
$1002.42
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 42415
Office
Unavailable
Facility
$954.75
No comparable office rate is available.
Redding
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Rest Of California
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 42415
Office
Unavailable
Facility
$944.58
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 42415
Office
Unavailable
Facility
$946.65
No comparable office rate is available.
Salinas
California · 42415
Office
Unavailable
Facility
$942.75
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 42415
Office
Unavailable
Facility
$952.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 42415
Office
Unavailable
Facility
$1041.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 42415
Office
Unavailable
Facility
$1038.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 42415
Office
Unavailable
Facility
$1065.44
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 42415
Office
Unavailable
Facility
$1053.79
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 42415
Office
Unavailable
Facility
$929.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 42415
Office
Unavailable
Facility
$952.71
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 42415
Office
Unavailable
Facility
$943.02
No comparable office rate is available.
Santa Rosa-Petaluma
California · 42415
Office
Unavailable
Facility
$961.34
No comparable office rate is available.
Stockton
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Vallejo
California · 42415
Office
Unavailable
Facility
$998.31
No comparable office rate is available.
Visalia
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Yuba City
California · 42415
Office
Unavailable
Facility
$917.44
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 42415
Office
Unavailable
Facility
$1009.25
No comparable office rate is available.
Miami
Florida · 42415
Office
Unavailable
Facility
$1059.76
No comparable office rate is available.
Chicago
Illinois · 42415
Office
Unavailable
Facility
$1034.06
No comparable office rate is available.
Manhattan
New York · 42415
Office
Unavailable
Facility
$1050.05
No comparable office rate is available.
Alaska*
Alaska · 42415
Office
Unavailable
Facility
$1179.99
No comparable office rate is available.
Alabama
Alabama · 42415
Office
Unavailable
Facility
$849.11
No comparable office rate is available.
Arkansas
Arkansas · 42415
Office
Unavailable
Facility
$840.40
No comparable office rate is available.
Arizona
Arizona · 42415
Office
Unavailable
Facility
$899.52
No comparable office rate is available.
Colorado
Colorado · 42415
Office
Unavailable
Facility
$926.30
No comparable office rate is available.
Connecticut
Connecticut · 42415
Office
Unavailable
Facility
$970.35
No comparable office rate is available.
Delaware
Delaware · 42415
Office
Unavailable
Facility
$911.19
No comparable office rate is available.
Fort Lauderdale
Florida · 42415
Office
Unavailable
Facility
$991.54
No comparable office rate is available.
Rest Of Florida
Florida · 42415
Office
Unavailable
Facility
$950.15
No comparable office rate is available.
Atlanta
Georgia · 42415
Office
Unavailable
Facility
$943.16
No comparable office rate is available.
Rest Of Georgia
Georgia · 42415
Office
Unavailable
Facility
$906.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 42415
Office
Unavailable
Facility
$922.93
No comparable office rate is available.
Iowa
Iowa · 42415
Office
Unavailable
Facility
$846.05
No comparable office rate is available.
Idaho
Idaho · 42415
Office
Unavailable
Facility
$853.81
No comparable office rate is available.
East St. Louis
Illinois · 42415
Office
Unavailable
Facility
$983.00
No comparable office rate is available.
Rest Of Illinois
Illinois · 42415
Office
Unavailable
Facility
$943.25
No comparable office rate is available.
Suburban Chicago
Illinois · 42415
Office
Unavailable
Facility
$996.32
No comparable office rate is available.
Indiana
Indiana · 42415
Office
Unavailable
Facility
$856.84
No comparable office rate is available.
Kansas
Kansas · 42415
Office
Unavailable
Facility
$851.97
No comparable office rate is available.
Kentucky
Kentucky · 42415
Office
Unavailable
Facility
$882.26
No comparable office rate is available.
New Orleans
Louisiana · 42415
Office
Unavailable
Facility
$915.22
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 42415
Office
Unavailable
Facility
$884.75
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 42415
Office
Unavailable
Facility
$987.73
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 42415
Office
Unavailable
Facility
$926.83
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 42415
Office
Unavailable
Facility
$969.27
No comparable office rate is available.
Rest Of Maryland
Maryland · 42415
Office
Unavailable
Facility
$922.24
No comparable office rate is available.
Rest Of Maine
Maine · 42415
Office
Unavailable
Facility
$866.30
No comparable office rate is available.
Southern Maine
Maine · 42415
Office
Unavailable
Facility
$886.76
No comparable office rate is available.
Detroit
Michigan · 42415
Office
Unavailable
Facility
$967.99
No comparable office rate is available.
Rest Of Michigan
Michigan · 42415
Office
Unavailable
Facility
$906.86
No comparable office rate is available.
Minnesota
Minnesota · 42415
Office
Unavailable
Facility
$869.22
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 42415
Office
Unavailable
Facility
$901.34
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 42415
Office
Unavailable
Facility
$907.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 42415
Office
Unavailable
Facility
$879.71
No comparable office rate is available.
Mississippi
Mississippi · 42415
Office
Unavailable
Facility
$859.73
No comparable office rate is available.
Montana**
Montana · 42415
Office
Unavailable
Facility
$920.03
No comparable office rate is available.
North Carolina
North Carolina · 42415
Office
Unavailable
Facility
$871.33
No comparable office rate is available.
North Dakota**
North Dakota · 42415
Office
Unavailable
Facility
$870.40
No comparable office rate is available.
Nebraska
Nebraska · 42415
Office
Unavailable
Facility
$846.68
No comparable office rate is available.
New Hampshire
New Hampshire · 42415
Office
Unavailable
Facility
$921.10
No comparable office rate is available.
Northern Nj
New Jersey · 42415
Office
Unavailable
Facility
$1005.51
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 42415
Office
Unavailable
Facility
$976.21
No comparable office rate is available.
New Mexico
New Mexico · 42415
Office
Unavailable
Facility
$914.01
No comparable office rate is available.
Nevada**
Nevada · 42415
Office
Unavailable
Facility
$906.47
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 42415
Office
Unavailable
Facility
$1080.26
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 42415
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Queens
New York · 42415
Office
Unavailable
Facility
$1043.53
No comparable office rate is available.
Rest Of New York
New York · 42415
Office
Unavailable
Facility
$881.42
No comparable office rate is available.
Ohio
Ohio · 42415
Office
Unavailable
Facility
$896.72
No comparable office rate is available.
Oklahoma
Oklahoma · 42415
Office
Unavailable
Facility
$871.80
No comparable office rate is available.
Portland
Oregon · 42415
Office
Unavailable
Facility
$938.48
No comparable office rate is available.
Rest Of Oregon
Oregon · 42415
Office
Unavailable
Facility
$894.19
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 42415
Office
Unavailable
Facility
$957.81
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 42415
Office
Unavailable
Facility
$892.82
No comparable office rate is available.
Puerto Rico
Puerto Rico · 42415
Office
Unavailable
Facility
$921.99
No comparable office rate is available.
Rhode Island
Rhode Island · 42415
Office
Unavailable
Facility
$930.92
No comparable office rate is available.
South Carolina
South Carolina · 42415
Office
Unavailable
Facility
$886.52
No comparable office rate is available.
South Dakota**
South Dakota · 42415
Office
Unavailable
Facility
$864.53
No comparable office rate is available.
Tennessee
Tennessee · 42415
Office
Unavailable
Facility
$856.12
No comparable office rate is available.
Austin
Texas · 42415
Office
Unavailable
Facility
$927.85
No comparable office rate is available.
Beaumont
Texas · 42415
Office
Unavailable
Facility
$889.26
No comparable office rate is available.
Brazoria
Texas · 42415
Office
Unavailable
Facility
$903.72
No comparable office rate is available.
Dallas
Texas · 42415
Office
Unavailable
Facility
$912.21
No comparable office rate is available.
Fort Worth
Texas · 42415
Office
Unavailable
Facility
$910.52
No comparable office rate is available.
Galveston
Texas · 42415
Office
Unavailable
Facility
$908.30
No comparable office rate is available.
Houston
Texas · 42415
Office
Unavailable
Facility
$954.24
No comparable office rate is available.
Rest Of Texas
Texas · 42415
Office
Unavailable
Facility
$897.91
No comparable office rate is available.
Utah
Utah · 42415
Office
Unavailable
Facility
$894.99
No comparable office rate is available.
Virginia
Virginia · 42415
Office
Unavailable
Facility
$890.83
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 42415
Office
Unavailable
Facility
$921.99
No comparable office rate is available.
Vermont
Vermont · 42415
Office
Unavailable
Facility
$876.00
No comparable office rate is available.
Rest Of Washington
Washington · 42415
Office
Unavailable
Facility
$922.13
No comparable office rate is available.
Seattle (King Cnty)
Washington · 42415
Office
Unavailable
Facility
$995.80
No comparable office rate is available.
Wisconsin
Wisconsin · 42415
Office
Unavailable
Facility
$850.52
No comparable office rate is available.
West Virginia
West Virginia · 42415
Office
Unavailable
Facility
$919.97
No comparable office rate is available.
Wyoming**
Wyoming · 42415
Office
Unavailable
Facility
$898.40
No comparable office rate is available.
See how rates vary across the country
42415 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 42415 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1009.65
$917.86 × 110% = $1009.65
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 42415 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,033
- Code
- 42415
- Physician work
- 16.73
- Practice expense
- 8.31
- Malpractice
- 2.51
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.73 | × 1.017 | 17.0144 |
| Practice expense | 8.31 | × 1.096 | 9.1078 |
| Malpractice | 2.51 | × 0.541 | 1.3579 |
| Total RVUs | 27.4801 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$917.86
Open 42415 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.73 | 1.017 |
| Practice expense | 8.31 | 1.096 |
| Malpractice | 2.51 | 0.541 |
(16.73 × 1.017 + 8.31 × 1.096 + 2.51 × 0.541) × $33.4009 = $917.86
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
42415 · 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 | $917.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $917.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $917.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $917.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $1044.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $1044.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $1044.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $1044.35 | RVU25A |
42415 billing questions
How does 42415 differ from 42410?
42415 includes dissection and preservation of the facial nerve during lateral-lobe excision. 42410 is for lateral-lobe excision without that nerve dissection and preservation.
When is 42420 more appropriate?
Use 42420 when the operative service removes the total parotid gland with facial nerve dissection and preservation, rather than excising the lateral lobe.
Is facial nerve dissection separately reported?
The dissection and preservation of the facial nerve are part of the service represented by 42415. The operative report should document that work and the extent of parotid removal.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How is bilateral surgery handled?
For bilateral performance, modifier 50 applies, and CMS pays the procedure at 150%.
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.
5,03042409,,Drainage of salivary cyst,A,,2.84,8.33,,3.04,,0.42,11.59,6.30,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,0314240F,,Instr xrcz back pain 12 wks,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
5,03242410,,Excise parotid gland/lesion,A,,9.33,5.90,NA,5.90,,1.45,16.68,16.68,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,03342415,,Excise parotid gland/lesion,A,,16.73,8.31,NA,8.31,,2.51,27.55,27.55,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,03442420,,Excise parotid gland/lesion,A,,19.04,8.84,NA,8.84,,2.83,30.71,30.71,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,03542425,,Excise parotid gland/lesion,A,,13.08,6.85,NA,6.85,,1.94,21.87,21.87,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,03642426,,Excise parotid gland/lesion,A,,22.09,9.34,NA,9.34,,3.48,34.91,34.91,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,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