FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

41252 in Modesto

Office / nonfacility

$360.31

Base rate per service

Facility setting

$197.04

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 41252: Complicated tongue laceration repair

Repair a complicated tongue laceration when the injury requires more involved closure than a straightforward repair, such as after significant oral trauma.

This service involves closing a complicated laceration of the tongue, often after trauma such as a fall, bite, or impact to the mouth. Emergency physicians, otolaryngologists, oral surgeons, and trauma surgeons may perform the repair in an emergency department or operating room. The injury may require more involved tissue approximation than a simple closure; the record should make the wound’s complexity and the work performed clear.

Select this code based on the complexity of the repair, not simply because the wound is on the tongue. Document the location and extent of the laceration, relevant tissue involvement, repair technique, and why the closure was complicated. This minor procedure has a 10-day global period, which includes related postoperative visits during that period. When other 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. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 41252

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 RVU2.94 · 29%
  • Practice expense (office) RVU6.87 · 67%
  • Malpractice RVU0.50 · 5%

148

Medicare services in 2024 · #4572 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.

41252 compared with similar codes

Office rates for Modesto, from the same CMS release.

41250

Tongue repair

Anterior tongue, tip not repaired

$356.11

41252 represents a complicated tongue repair. Use 41250 when the repair meets its simpler category rather than assuming every tongue laceration qualifies for 41252.

41251

Tongue repair

Complicated repair

$452.69

Both codes concern tongue laceration repair, but 41252 identifies a complicated repair. Use the applicable 41251 category when the repair does not meet the complicated criteria.

40831

Laceration repair

Complicated vestibular wound

$329.66

40831 concerns a complicated laceration in the vestibule of the mouth. 41252 is for a complicated laceration repair of the tongue.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 41252 is $361.73—$1.42 higher than the $360.31 rate in Modesto. Both use the same code, release and participation basis.

41252 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $360.31

  2. Bakersfield

    $361.73

    $1.42 higher than Modesto

  3. Chico

    $360.31

    The same base rate than Modesto

  4. El Centro

    $360.40

    $0.09 higher than Modesto

  5. Fresno

    $360.31

    The same base rate than Modesto

  6. Hanford-Corcoran

    $360.31

    The same base rate than Modesto

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

    $384.77

    $24.46 higher than Modesto

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, 41252 ranges from $303.91 in Arkansas to $448.84 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

  • Madera

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Merced

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Napa

    California · 41252

    Office

    $415.30

    Facility

    $218.96

    $54.99 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41252

    Office

    $382.58

    Facility

    $206.50

    $22.27 higher than Modesto for the office setting.

  • Redding

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41252

    Office

    $365.70

    Facility

    $202.44

    $5.39 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41252

    Office

    $377.55

    Facility

    $204.30

    $17.24 higher than Modesto for the office setting.

  • Salinas

    California · 41252

    Office

    $376.14

    Facility

    $203.49

    $15.83 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41252

    Office

    $384.64

    Facility

    $206.47

    $24.33 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41252

    Office

    $438.74

    Facility

    $228.69

    $78.43 higher than Modesto for the office setting.

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

    California · 41252

    Office

    $438.17

    Facility

    $228.12

    $77.86 higher than Modesto for the office setting.

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

    California · 41252

    Office

    $448.84

    Facility

    $234.03

    $88.53 higher than Modesto for the office setting.

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

    California · 41252

    Office

    $446.52

    Facility

    $231.71

    $86.21 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41252

    Office

    $370.18

    Facility

    $200.50

    $9.87 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 41252

    Office

    $388.01

    Facility

    $207.02

    $27.70 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 41252

    Office

    $377.45

    Facility

    $203.76

    $17.14 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 41252

    Office

    $391.88

    Facility

    $208.95

    $31.57 higher than Modesto for the office setting.

  • Stockton

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 41252

    Office

    $414.48

    Facility

    $218.14

    $54.17 higher than Modesto for the office setting.

  • Visalia

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 41252

    Office

    $360.31

    Facility

    $197.04

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 41252

    Office

    $392.40

    Facility

    $216.91

    $32.09 higher than Modesto for the office setting.

  • Miami

    Florida · 41252

    Office

    $379.31

    Facility

    $224.23

    $19.00 higher than Modesto for the office setting.

  • Chicago

    Illinois · 41252

    Office

    $367.83

    Facility

    $218.11

    $7.52 higher than Modesto for the office setting.

  • Manhattan

    New York · 41252

    Office

    $397.61

    Facility

    $224.51

    $37.30 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 41252

    Office

    $400.88

    Facility

    $242.23

    $40.57 higher than Modesto for the office setting.

  • Alabama

    Alabama · 41252

    Office

    $308.43

    Facility

    $178.09

    $51.88 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 41252

    Office

    $303.91

    Facility

    $175.95

    $56.40 lower than Modesto for the office setting.

  • Arizona

    Arizona · 41252

    Office

    $334.85

    Facility

    $190.50

    $25.46 lower than Modesto for the office setting.

  • Colorado

    Colorado · 41252

    Office

    $356.57

    Facility

    $198.07

    $3.74 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 41252

    Office

    $367.50

    Facility

    $207.06

    $7.19 higher than Modesto for the office setting.

  • Delaware

    Delaware · 41252

    Office

    $340.41

    Facility

    $193.23

    $19.90 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 41252

    Office

    $360.84

    Facility

    $209.94

    $0.53 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 41252

    Office

    $342.67

    Facility

    $200.25

    $17.64 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 41252

    Office

    $351.69

    Facility

    $200.33

    $8.62 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 41252

    Office

    $322.79

    Facility

    $189.91

    $37.52 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 41252

    Office

    $368.77

    Facility

    $199.39

    $8.46 higher than Modesto for the office setting.

  • Iowa

    Iowa · 41252

    Office

    $314.79

    Facility

    $178.48

    $45.52 lower than Modesto for the office setting.

  • Idaho

    Idaho · 41252

    Office

    $317.21

    Facility

    $180.15

    $43.10 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 41252

    Office

    $342.94

    Facility

    $205.89

    $17.37 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 41252

    Office

    $333.80

    Facility

    $197.79

    $26.51 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 41252

    Office

    $364.14

    Facility

    $211.15

    $3.83 higher than Modesto for the office setting.

  • Indiana

    Indiana · 41252

    Office

    $319.03

    Facility

    $180.94

    $41.28 lower than Modesto for the office setting.

  • Kansas

    Kansas · 41252

    Office

    $314.05

    Facility

    $179.38

    $46.26 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 41252

    Office

    $317.47

    Facility

    $185.04

    $42.84 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 41252

    Office

    $333.10

    Facility

    $192.92

    $27.21 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 41252

    Office

    $317.27

    Facility

    $185.44

    $43.04 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 41252

    Office

    $391.07

    Facility

    $213.20

    $30.76 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41252

    Office

    $354.71

    Facility

    $197.84

    $5.60 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41252

    Office

    $366.64

    Facility

    $206.80

    $6.33 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 41252

    Office

    $346.73

    Facility

    $195.97

    $13.58 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 41252

    Office

    $319.69

    Facility

    $182.64

    $40.62 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 41252

    Office

    $336.14

    Facility

    $188.51

    $24.17 lower than Modesto for the office setting.

  • Detroit

    Michigan · 41252

    Office

    $347.79

    Facility

    $204.03

    $12.52 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 41252

    Office

    $326.55

    Facility

    $190.55

    $33.76 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 41252

    Office

    $339.26

    Facility

    $185.97

    $21.05 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 41252

    Office

    $329.98

    Facility

    $190.10

    $30.33 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 41252

    Office

    $333.38

    Facility

    $191.56

    $26.93 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 41252

    Office

    $312.26

    Facility

    $183.85

    $48.05 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 41252

    Office

    $308.11

    Facility

    $179.85

    $52.20 lower than Modesto for the office setting.

  • Montana**

    Montana · 41252

    Office

    $344.33

    Facility

    $195.36

    $15.98 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 41252

    Office

    $322.96

    Facility

    $183.97

    $37.35 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 41252

    Office

    $334.44

    Facility

    $185.48

    $25.87 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 41252

    Office

    $316.31

    Facility

    $178.81

    $44.00 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 41252

    Office

    $351.68

    Facility

    $196.61

    $8.63 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 41252

    Office

    $388.40

    Facility

    $215.60

    $28.09 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 41252

    Office

    $371.02

    Facility

    $208.35

    $10.71 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 41252

    Office

    $328.67

    Facility

    $192.07

    $31.64 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 41252

    Office

    $341.80

    Facility

    $192.69

    $18.51 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41252

    Office

    $408.33

    Facility

    $231.21

    $48.02 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41252

    Office

    $374.09

    Facility

    $210.97

    $13.78 higher than Modesto for the office setting.

  • Queens

    New York · 41252

    Office

    $399.79

    Facility

    $223.71

    $39.48 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 41252

    Office

    $327.93

    Facility

    $186.41

    $32.38 lower than Modesto for the office setting.

  • Ohio

    Ohio · 41252

    Office

    $324.53

    Facility

    $188.53

    $35.78 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 41252

    Office

    $316.09

    Facility

    $183.06

    $44.22 lower than Modesto for the office setting.

  • Portland

    Oregon · 41252

    Office

    $367.13

    Facility

    $201.63

    $6.82 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 41252

    Office

    $338.49

    Facility

    $190.11

    $21.82 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41252

    Office

    $358.76

    Facility

    $203.69

    $1.55 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41252

    Office

    $324.63

    Facility

    $187.88

    $35.68 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 41252

    Office

    $346.64

    Facility

    $196.03

    $13.67 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 41252

    Office

    $352.00

    Facility

    $198.11

    $8.31 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 41252

    Office

    $324.42

    Facility

    $186.77

    $35.89 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 41252

    Office

    $333.27

    Facility

    $184.31

    $27.04 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 41252

    Office

    $315.75

    Facility

    $180.34

    $44.56 lower than Modesto for the office setting.

  • Austin

    Texas · 41252

    Office

    $355.96

    Facility

    $198.36

    $4.35 lower than Modesto for the office setting.

  • Beaumont

    Texas · 41252

    Office

    $322.53

    Facility

    $186.96

    $37.78 lower than Modesto for the office setting.

  • Brazoria

    Texas · 41252

    Office

    $339.41

    Facility

    $191.78

    $20.90 lower than Modesto for the office setting.

  • Dallas

    Texas · 41252

    Office

    $341.96

    Facility

    $193.59

    $18.35 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 41252

    Office

    $339.88

    Facility

    $193.00

    $20.43 lower than Modesto for the office setting.

  • Galveston

    Texas · 41252

    Office

    $340.67

    Facility

    $192.74

    $19.64 lower than Modesto for the office setting.

  • Houston

    Texas · 41252

    Office

    $349.82

    Facility

    $201.90

    $10.49 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 41252

    Office

    $331.04

    Facility

    $189.67

    $29.27 lower than Modesto for the office setting.

  • Utah

    Utah · 41252

    Office

    $328.89

    Facility

    $188.86

    $31.42 lower than Modesto for the office setting.

  • Virginia

    Virginia · 41252

    Office

    $335.55

    Facility

    $189.12

    $24.76 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41252

    Office

    $346.64

    Facility

    $196.03

    $13.67 lower than Modesto for the office setting.

  • Vermont

    Vermont · 41252

    Office

    $333.82

    Facility

    $186.34

    $26.49 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 41252

    Office

    $353.81

    Facility

    $196.95

    $6.50 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 41252

    Office

    $398.31

    Facility

    $215.52

    $38.00 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 41252

    Office

    $323.17

    Facility

    $180.46

    $37.14 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 41252

    Office

    $321.50

    Facility

    $192.05

    $38.81 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 41252

    Office

    $340.02

    Facility

    $191.05

    $20.29 lower than Modesto for the office setting.

See how rates vary across the country

41252 · 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.

$303.91

$404.58

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$400.881
AL$308.431
AR$303.911
AZ$334.851
CA$360.31–$448.8429
CO$356.571
CT$367.501
DC$392.401
DE$340.411
FL$342.67–$379.313
GA$322.79–$351.692
GU$368.771
HI$368.771
IA$314.791
ID$317.211
IL$333.80–$367.834
IN$319.031
KS$314.051
KY$317.471
LA$317.27–$333.102
MA$354.71–$391.072
MD$346.73–$392.403
ME$319.69–$336.142
MI$326.55–$347.792
MN$339.261
MO$312.26–$333.383
MS$308.111
MT$344.331
NC$322.961
ND$334.441
NE$316.311
NH$351.681
NJ$371.02–$388.402
NM$328.671
NV$341.801
NY$327.93–$408.335
OH$324.531
OK$316.091
OR$338.49–$367.132
PA$324.63–$358.762
PR$346.641
RI$352.001
SC$324.421
SD$333.271
TN$315.751
TX$322.53–$355.968
UT$328.891
VA$335.55–$392.402
VI$346.641
VT$333.821
WA$353.81–$398.312
WI$323.171
WV$321.501
WY$340.021

Explore 41252 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 41252 in Modesto, the physician’s office rate is $360.31 and the facility-setting rate is $197.04: a difference of $163.27.

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 41252 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$396.34

$360.31 × 110% = $396.34

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 41252 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

4,918

Code
41252
Physician work
2.94
Practice expense
6.87
Malpractice
0.50

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 41252 in Modesto
ComponentRVULocality factorAdjusted
Physician work2.94× 1.0172.9900
Practice expense6.87× 1.0967.5295
Malpractice0.50× 0.5360.2680
Total RVUs10.7875
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$360.31

Open 41252 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.941.017
Practice expense6.871.096
Malpractice0.50.536

(2.94 × 1.017 + 6.87 × 1.096 + 0.5 × 0.536) × $33.4009 = $360.31

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.941.017
Practice expense2.411.096
Malpractice0.50.536

(2.94 × 1.017 + 2.41 × 1.096 + 0.5 × 0.536) × $33.4009 = $197.04

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

41252 · Office / nonfacility

$360.31

Effective 2026-10-01

The base rate is $30.34 higher than on 2025-10-01, moving from $329.97 to $360.31 (9.2%).

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

    $329.97changed to$360.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.02 changed to 2.94
    • Practice expense RVU 6.27 changed to 6.87
    • Malpractice RVU 0.51 changed to 0.50
    • 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: $329.97

    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$360.31$197.04RVU26D
2026-07-01$360.31$197.04RVU26C
2026-04-01$360.31$197.04RVU26B
2026-01-01$360.31$197.04RVU26A
2025-10-01$329.97$207.29RVU25D
2025-07-01$329.97$207.29RVU25C
2025-04-01$329.97$207.29RVU25B
2025-01-01$329.97$207.29RVU25A

41252 billing questions

How does 41252 differ from 41250 or 41251?

41252 is for a complicated tongue laceration repair. Choose 41250 or 41251 when the repair fits the simpler category or the applicable wound-size distinction; document the basis for the selection.

What documentation supports a complicated repair?

Describe the laceration’s location and extent, the tissue involved, the closure technique, and the work that made the repair complicated. A diagnosis of tongue laceration alone does not establish complexity.

Are related postoperative visits separately billable?

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

Can 41252 be reported with another procedure performed in the same session?

It may be reported when a distinct additional procedure is performed and separately reportable. The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.

Can modifier 50 or an assistant-at-surgery modifier be used?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is available only when medical necessity is documented.

Can co-surgeons or a surgical team report this repair?

No. Co-surgeons and team surgery are not permitted for this service.

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 41252PPRRVU2026_Oct_nonQPP.csv, line 4,918 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet