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CMS RVU26D · Effective 2026-10-01

41010 in Madera

Office / nonfacility

$225.15

Base rate per service

Facility setting

$106.54

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 41010: Lingual frenulum incision

Reports surgical division of a restrictive lingual frenulum, commonly for an infant whose limited tongue movement interferes with latch or feeding.

This procedure releases the tissue band beneath the tongue by incision to improve tongue mobility. A pediatrician, otolaryngologist, oral surgeon, or other qualified clinician may perform it, often in an office or outpatient setting. A common clinical situation is an infant with a restrictive lingual frenulum and difficulty latching during breastfeeding.

Select this code when the service is an incision-based release, rather than excision of the frenulum or a more involved frenoplasty. The record should identify the restriction and its functional effect, the site treated, and the release performed. CMS assigns a 10-day minor-procedure 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 50% multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.

CMS billing rules for 41010

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 RVU1.08 · 17%
  • Practice expense (office) RVU5.07 · 80%
  • Malpractice RVU0.16 · 3%

33

Medicare services in 2024 · #5599 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.

41010 compared with similar codes

Office rates for Madera, from the same CMS release.

41115

Tongue-tie surgery

Lingual frenum excision

$271.12

Use this code for incision-based division of the lingual frenulum. The other code describes excision of that tissue.

41520

Frenuloplasty

For restricted tongue movement

$380.96

This code covers a straightforward incision-based lingual release; the other describes frenoplasty, a surgical revision of the frenum.

40806

Lip frenum release

Labial frenum

$109.01

Both describe incision-based frenulum release, but this code concerns the lingual frenulum beneath the tongue; the other concerns a labial frenulum.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 41010 is $225.61—$0.46 higher than the $225.15 rate in Madera. Both use the same code, release and participation basis.

41010 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $225.15

  2. Bakersfield

    $225.61

    $0.46 higher than Madera

  3. Chico

    $225.15

    The same base rate than Madera

  4. El Centro

    $225.18

    $0.03 higher than Madera

  5. Fresno

    $225.15

    The same base rate than Madera

  6. Hanford-Corcoran

    $225.15

    The same base rate than Madera

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

    $241.43

    $16.28 higher than Madera

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, 41010 ranges from $184.29 in Arkansas to $287.10 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 · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Modesto

    California · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Napa

    California · 41010

    Office

    $264.25

    Facility

    $121.62

    $39.10 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41010

    Office

    $240.58

    Facility

    $112.66

    $15.43 higher than Madera for the office setting.

  • Redding

    California · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41010

    Office

    $226.88

    Facility

    $108.27

    $1.73 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41010

    Office

    $237.18

    Facility

    $111.32

    $12.03 higher than Madera for the office setting.

  • Salinas

    California · 41010

    Office

    $236.32

    Facility

    $110.90

    $11.17 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41010

    Office

    $242.59

    Facility

    $113.16

    $17.44 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41010

    Office

    $280.73

    Facility

    $128.14

    $55.58 higher than Madera for the office setting.

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

    California · 41010

    Office

    $280.54

    Facility

    $127.96

    $55.39 higher than Madera for the office setting.

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

    California · 41010

    Office

    $287.10

    Facility

    $131.05

    $61.95 higher than Madera for the office setting.

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

    California · 41010

    Office

    $286.35

    Facility

    $130.30

    $61.20 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41010

    Office

    $232.43

    Facility

    $109.17

    $7.28 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 41010

    Office

    $245.45

    Facility

    $113.96

    $20.30 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 41010

    Office

    $237.40

    Facility

    $111.22

    $12.25 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 41010

    Office

    $247.97

    Facility

    $115.08

    $22.82 higher than Madera for the office setting.

  • Stockton

    California · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 41010

    Office

    $263.99

    Facility

    $121.36

    $38.84 higher than Madera for the office setting.

  • Visalia

    California · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 41010

    Office

    $225.15

    Facility

    $106.54

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 41010

    Office

    $243.45

    Facility

    $115.97

    $18.30 higher than Madera for the office setting.

  • Miami

    Florida · 41010

    Office

    $225.87

    Facility

    $113.22

    $0.72 higher than Madera for the office setting.

  • Chicago

    Illinois · 41010

    Office

    $218.78

    Facility

    $110.02

    $6.37 lower than Madera for the office setting.

  • Manhattan

    New York · 41010

    Office

    $243.63

    Facility

    $117.88

    $18.48 higher than Madera for the office setting.

  • Alaska*

    Alaska · 41010

    Office

    $237.40

    Facility

    $122.15

    $12.25 higher than Madera for the office setting.

  • Alabama

    Alabama · 41010

    Office

    $187.27

    Facility

    $92.58

    $37.88 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 41010

    Office

    $184.29

    Facility

    $91.33

    $40.86 lower than Madera for the office setting.

  • Arizona

    Arizona · 41010

    Office

    $204.74

    Facility

    $99.88

    $20.41 lower than Madera for the office setting.

  • Colorado

    Colorado · 41010

    Office

    $220.86

    Facility

    $105.72

    $4.29 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 41010

    Office

    $225.64

    Facility

    $109.09

    $0.49 higher than Madera for the office setting.

  • Delaware

    Delaware · 41010

    Office

    $208.37

    Facility

    $101.45

    $16.78 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 41010

    Office

    $217.28

    Facility

    $107.65

    $7.87 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 41010

    Office

    $206.00

    Facility

    $102.54

    $19.15 lower than Madera for the office setting.

  • Atlanta

    Georgia · 41010

    Office

    $214.65

    Facility

    $104.70

    $10.50 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 41010

    Office

    $193.50

    Facility

    $96.97

    $31.65 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 41010

    Office

    $231.71

    Facility

    $108.66

    $6.56 higher than Madera for the office setting.

  • Iowa

    Iowa · 41010

    Office

    $193.14

    Facility

    $94.12

    $32.01 lower than Madera for the office setting.

  • Idaho

    Idaho · 41010

    Office

    $194.40

    Facility

    $94.83

    $30.75 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 41010

    Office

    $202.63

    Facility

    $103.07

    $22.52 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 41010

    Office

    $199.04

    Facility

    $100.23

    $26.11 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 41010

    Office

    $219.71

    Facility

    $108.57

    $5.44 lower than Madera for the office setting.

  • Indiana

    Indiana · 41010

    Office

    $195.65

    Facility

    $95.33

    $29.50 lower than Madera for the office setting.

  • Kansas

    Kansas · 41010

    Office

    $191.85

    Facility

    $94.02

    $33.30 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 41010

    Office

    $191.51

    Facility

    $95.30

    $33.64 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 41010

    Office

    $201.50

    Facility

    $99.66

    $23.65 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 41010

    Office

    $191.06

    Facility

    $95.29

    $34.09 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 41010

    Office

    $244.50

    Facility

    $115.29

    $19.35 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41010

    Office

    $219.23

    Facility

    $105.27

    $5.92 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41010

    Office

    $224.97

    Facility

    $108.85

    $0.18 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 41010

    Office

    $212.71

    Facility

    $103.20

    $12.44 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 41010

    Office

    $195.19

    Facility

    $95.63

    $29.96 lower than Madera for the office setting.

  • Southern Maine

    Maine · 41010

    Office

    $207.26

    Facility

    $100.02

    $17.89 lower than Madera for the office setting.

  • Detroit

    Michigan · 41010

    Office

    $208.50

    Facility

    $104.07

    $16.65 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 41010

    Office

    $196.72

    Facility

    $97.91

    $28.43 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 41010

    Office

    $211.91

    Facility

    $100.55

    $13.24 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 41010

    Office

    $200.31

    Facility

    $98.69

    $24.84 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 41010

    Office

    $202.64

    Facility

    $99.62

    $22.51 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 41010

    Office

    $187.25

    Facility

    $93.97

    $37.90 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 41010

    Office

    $185.83

    Facility

    $92.65

    $39.32 lower than Madera for the office setting.

  • Montana**

    Montana · 41010

    Office

    $210.75

    Facility

    $102.53

    $14.40 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 41010

    Office

    $197.48

    Facility

    $96.52

    $27.67 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 41010

    Office

    $207.59

    Facility

    $99.37

    $17.56 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 41010

    Office

    $194.40

    Facility

    $94.51

    $30.75 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 41010

    Office

    $217.03

    Facility

    $104.38

    $8.12 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 41010

    Office

    $240.49

    Facility

    $114.96

    $15.34 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 41010

    Office

    $228.30

    Facility

    $110.13

    $3.15 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 41010

    Office

    $197.78

    Facility

    $98.54

    $27.37 lower than Madera for the office setting.

  • Nevada**

    Nevada · 41010

    Office

    $210.04

    Facility

    $101.71

    $15.11 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41010

    Office

    $249.65

    Facility

    $120.98

    $24.50 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41010

    Office

    $229.59

    Facility

    $111.09

    $4.44 higher than Madera for the office setting.

  • Queens

    New York · 41010

    Office

    $246.25

    Facility

    $118.34

    $21.10 higher than Madera for the office setting.

  • Rest Of New York

    New York · 41010

    Office

    $200.71

    Facility

    $97.90

    $24.44 lower than Madera for the office setting.

  • Ohio

    Ohio · 41010

    Office

    $196.07

    Facility

    $97.27

    $29.08 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 41010

    Office

    $191.45

    Facility

    $94.81

    $33.70 lower than Madera for the office setting.

  • Portland

    Oregon · 41010

    Office

    $228.77

    Facility

    $108.53

    $3.62 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 41010

    Office

    $208.50

    Facility

    $100.71

    $16.65 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41010

    Office

    $219.38

    Facility

    $106.73

    $5.77 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41010

    Office

    $196.58

    Facility

    $97.23

    $28.57 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 41010

    Office

    $212.54

    Facility

    $103.13

    $12.61 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 41010

    Office

    $216.46

    Facility

    $104.67

    $8.69 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 41010

    Office

    $197.09

    Facility

    $97.09

    $28.06 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 41010

    Office

    $207.21

    Facility

    $98.99

    $17.94 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 41010

    Office

    $192.88

    Facility

    $94.50

    $32.27 lower than Madera for the office setting.

  • Austin

    Texas · 41010

    Office

    $220.04

    Facility

    $105.55

    $5.11 lower than Madera for the office setting.

  • Beaumont

    Texas · 41010

    Office

    $195.14

    Facility

    $96.66

    $30.01 lower than Madera for the office setting.

  • Brazoria

    Texas · 41010

    Office

    $208.35

    Facility

    $101.10

    $16.80 lower than Madera for the office setting.

  • Dallas

    Texas · 41010

    Office

    $209.65

    Facility

    $101.86

    $15.50 lower than Madera for the office setting.

  • Fort Worth

    Texas · 41010

    Office

    $208.02

    Facility

    $101.32

    $17.13 lower than Madera for the office setting.

  • Galveston

    Texas · 41010

    Office

    $208.94

    Facility

    $101.48

    $16.21 lower than Madera for the office setting.

  • Houston

    Texas · 41010

    Office

    $211.87

    Facility

    $104.41

    $13.28 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 41010

    Office

    $201.60

    Facility

    $98.91

    $23.55 lower than Madera for the office setting.

  • Utah

    Utah · 41010

    Office

    $200.05

    Facility

    $98.33

    $25.10 lower than Madera for the office setting.

  • Virginia

    Virginia · 41010

    Office

    $206.31

    Facility

    $99.93

    $18.84 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41010

    Office

    $212.54

    Facility

    $103.13

    $12.61 lower than Madera for the office setting.

  • Vermont

    Vermont · 41010

    Office

    $206.43

    Facility

    $99.29

    $18.72 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 41010

    Office

    $218.93

    Facility

    $104.97

    $6.22 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 41010

    Office

    $250.03

    Facility

    $117.24

    $24.88 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 41010

    Office

    $199.95

    Facility

    $96.28

    $25.20 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 41010

    Office

    $190.88

    Facility

    $96.84

    $34.27 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 41010

    Office

    $209.37

    Facility

    $101.15

    $15.78 lower than Madera for the office setting.

See how rates vary across the country

41010 · 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.

$184.29

$256.13

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$237.401
AL$187.271
AR$184.291
AZ$204.741
CA$225.15–$287.1029
CO$220.861
CT$225.641
DC$243.451
DE$208.371
FL$206.00–$225.873
GA$193.50–$214.652
GU$231.711
HI$231.711
IA$193.141
ID$194.401
IL$199.04–$219.714
IN$195.651
KS$191.851
KY$191.511
LA$191.06–$201.502
MA$219.23–$244.502
MD$212.71–$243.453
ME$195.19–$207.262
MI$196.72–$208.502
MN$211.911
MO$187.25–$202.643
MS$185.831
MT$210.751
NC$197.481
ND$207.591
NE$194.401
NH$217.031
NJ$228.30–$240.492
NM$197.781
NV$210.041
NY$200.71–$249.655
OH$196.071
OK$191.451
OR$208.50–$228.772
PA$196.58–$219.382
PR$212.541
RI$216.461
SC$197.091
SD$207.211
TN$192.881
TX$195.14–$220.048
UT$200.051
VA$206.31–$243.452
VI$212.541
VT$206.431
WA$218.93–$250.032
WI$199.951
WV$190.881
WY$209.371

Explore 41010 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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 41010 in Madera, the physician’s office rate is $225.15 and the facility-setting rate is $106.54: a difference of $118.61.

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 41010 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$247.67

$225.15 × 110% = $247.67

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.

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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 41010 in Madera.

PPRRVU2026_Oct_nonQPP.csv

4,889

Code
41010
Physician work
1.08
Practice expense
5.07
Malpractice
0.16

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 41010 in Madera
ComponentRVULocality factorAdjusted
Physician work1.08× 1.0171.0984
Practice expense5.07× 1.0965.5567
Malpractice0.16× 0.5360.0858
Total RVUs6.7408
Conversion factor× 33.4009

Office / nonfacility rate, Madera$225.15

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

Open 41010 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.081.017
Practice expense5.071.096
Malpractice0.160.536

(1.08 × 1.017 + 5.07 × 1.096 + 0.16 × 0.536) × $33.4009 = $225.15

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.081.017
Practice expense1.831.096
Malpractice0.160.536

(1.08 × 1.017 + 1.83 × 1.096 + 0.16 × 0.536) × $33.4009 = $106.54

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

41010 · Office / nonfacility

$225.15

Effective 2026-10-01

The base rate is $5.89 higher than on 2025-10-01, moving from $219.26 to $225.15 (2.7%).

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

    $219.26changed to$225.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.11 changed to 1.08
    • Practice expense RVU 5.09 changed to 5.07
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $219.26

    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$225.15$106.54RVU26D
2026-07-01$225.15$106.54RVU26C
2026-04-01$225.15$106.54RVU26B
2026-01-01$225.15$106.54RVU26A
2025-10-01$219.26$111.78RVU25D
2025-07-01$219.26$111.78RVU25C
2025-04-01$219.26$111.78RVU25B
2025-01-01$219.26$111.78RVU25A

41010 billing questions

How does this differ from excision of the lingual frenulum?

This code describes an incision-based release. Use the excision code when the frenulum is surgically removed rather than simply divided.

When is a frenoplasty code a better fit?

A frenoplasty describes a surgical revision of the frenum, such as a more involved reshaping. This code is for incision-based release of the lingual frenulum.

Are related postoperative visits separately reported?

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

Can modifier 50 be used for release on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

When can an assistant-at-surgery service be paid?

CMS allows assistant-at-surgery payment only when the record documents medical necessity.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.

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 41010PPRRVU2026_Oct_nonQPP.csv, line 4,889 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet