No office rate
Both describe secondary cross-lip flap reconstruction. 40761 applies when the service includes cleft nasal repair; 40720 is for the corresponding lip repair without nasal repair.
On this page
CMS RVU26D · Effective 2026-10-01
40761 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$960.60
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.
Plastic surgery
About 40761: Secondary cleft lip and nasal repair with cross-lip flap
Reports secondary cleft lip and nasal reconstruction using tissue transferred from the opposite lip, including closure of the flap donor site.
This operation rebuilds a previously repaired cleft lip and associated nasal deformity using a cross-lip flap: tissue from one lip is transferred to restore deficient tissue in the other. The surgeon also closes the flap donor site as part of the service. Plastic surgeons and cleft-craniofacial surgeons typically perform this reconstruction in an operating room when a prior repair leaves a lip or nasal defect that calls for flap tissue rather than direct reclosure.
Select the code when the documented secondary repair uses a cross-lip flap for cleft lip/nasal reconstruction; a routine primary repair or secondary repair by direct recreation and closure is a different service. The operative report should identify the defect, flap design and transfer, repaired lip/nasal structures, and donor-site closure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant-at-surgery service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 40761
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.44 · 54%
- Practice expense (office) RVU10.51 · 36%
- Malpractice RVU2.87 · 10%
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.
40761 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
Use 40702 for secondary cleft lip repair by recreating and closing the defect. Use 40761 when reconstruction uses a cross-lip flap and includes nasal repair.
No office rate
40700 is a primary unilateral cleft lip repair. 40761 is secondary reconstruction using a cross-lip flap, with nasal repair included.
The same code, a different location
How does Redding compare?
40761 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Merced
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Modesto
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Napa
California · 40761
Office
Unavailable
Facility
$1059.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 40761
Office
Unavailable
Facility
$1004.80
No comparable office rate is available.
Rest Of California
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 40761
Office
Unavailable
Facility
$991.51
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 40761
Office
Unavailable
Facility
$993.92
No comparable office rate is available.
Salinas
California · 40761
Office
Unavailable
Facility
$989.94
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 40761
Office
Unavailable
Facility
$1002.99
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 40761
Office
Unavailable
Facility
$1103.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 40761
Office
Unavailable
Facility
$1100.41
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 40761
Office
Unavailable
Facility
$1130.02
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 40761
Office
Unavailable
Facility
$1116.70
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 40761
Office
Unavailable
Facility
$975.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 40761
Office
Unavailable
Facility
$1004.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 40761
Office
Unavailable
Facility
$990.85
No comparable office rate is available.
Santa Rosa-Petaluma
California · 40761
Office
Unavailable
Facility
$1013.64
No comparable office rate is available.
Stockton
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Vallejo
California · 40761
Office
Unavailable
Facility
$1054.87
No comparable office rate is available.
Visalia
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Yuba City
California · 40761
Office
Unavailable
Facility
$960.60
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 40761
Office
Unavailable
Facility
$1063.78
No comparable office rate is available.
Miami
Florida · 40761
Office
Unavailable
Facility
$1123.58
No comparable office rate is available.
Chicago
Illinois · 40761
Office
Unavailable
Facility
$1092.12
No comparable office rate is available.
Manhattan
New York · 40761
Office
Unavailable
Facility
$1108.66
No comparable office rate is available.
Alaska*
Alaska · 40761
Office
Unavailable
Facility
$1200.25
No comparable office rate is available.
Alabama
Alabama · 40761
Office
Unavailable
Facility
$877.13
No comparable office rate is available.
Arkansas
Arkansas · 40761
Office
Unavailable
Facility
$866.62
No comparable office rate is available.
Arizona
Arizona · 40761
Office
Unavailable
Facility
$937.93
No comparable office rate is available.
Colorado
Colorado · 40761
Office
Unavailable
Facility
$970.28
No comparable office rate is available.
Connecticut
Connecticut · 40761
Office
Unavailable
Facility
$1020.09
No comparable office rate is available.
Delaware
Delaware · 40761
Office
Unavailable
Facility
$951.30
No comparable office rate is available.
Fort Lauderdale
Florida · 40761
Office
Unavailable
Facility
$1044.63
No comparable office rate is available.
Rest Of Florida
Florida · 40761
Office
Unavailable
Facility
$995.39
No comparable office rate is available.
Atlanta
Georgia · 40761
Office
Unavailable
Facility
$989.05
No comparable office rate is available.
Rest Of Georgia
Georgia · 40761
Office
Unavailable
Facility
$943.11
No comparable office rate is available.
Hawaii, Guam
Hawaii · 40761
Office
Unavailable
Facility
$970.35
No comparable office rate is available.
Iowa
Iowa · 40761
Office
Unavailable
Facility
$874.97
No comparable office rate is available.
Idaho
Idaho · 40761
Office
Unavailable
Facility
$884.01
No comparable office rate is available.
East St. Louis
Illinois · 40761
Office
Unavailable
Facility
$1031.73
No comparable office rate is available.
Rest Of Illinois
Illinois · 40761
Office
Unavailable
Facility
$986.04
No comparable office rate is available.
Suburban Chicago
Illinois · 40761
Office
Unavailable
Facility
$1049.71
No comparable office rate is available.
Indiana
Indiana · 40761
Office
Unavailable
Facility
$887.72
No comparable office rate is available.
Kansas
Kansas · 40761
Office
Unavailable
Facility
$881.37
No comparable office rate is available.
Kentucky
Kentucky · 40761
Office
Unavailable
Facility
$915.50
No comparable office rate is available.
New Orleans
Louisiana · 40761
Office
Unavailable
Facility
$954.94
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 40761
Office
Unavailable
Facility
$918.22
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 40761
Office
Unavailable
Facility
$1041.32
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 40761
Office
Unavailable
Facility
$970.01
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 40761
Office
Unavailable
Facility
$1019.21
No comparable office rate is available.
Rest Of Maryland
Maryland · 40761
Office
Unavailable
Facility
$964.12
No comparable office rate is available.
Rest Of Maine
Maine · 40761
Office
Unavailable
Facility
$898.30
No comparable office rate is available.
Southern Maine
Maine · 40761
Office
Unavailable
Facility
$924.08
No comparable office rate is available.
Detroit
Michigan · 40761
Office
Unavailable
Facility
$1016.09
No comparable office rate is available.
Rest Of Michigan
Michigan · 40761
Office
Unavailable
Facility
$944.44
No comparable office rate is available.
Minnesota
Minnesota · 40761
Office
Unavailable
Facility
$905.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 40761
Office
Unavailable
Facility
$939.00
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 40761
Office
Unavailable
Facility
$945.96
No comparable office rate is available.
Rest Of Missouri
Missouri · 40761
Office
Unavailable
Facility
$911.68
No comparable office rate is available.
Mississippi
Mississippi · 40761
Office
Unavailable
Facility
$888.80
No comparable office rate is available.
Montana**
Montana · 40761
Office
Unavailable
Facility
$962.42
No comparable office rate is available.
North Carolina
North Carolina · 40761
Office
Unavailable
Facility
$904.49
No comparable office rate is available.
North Dakota**
North Dakota · 40761
Office
Unavailable
Facility
$905.67
No comparable office rate is available.
Nebraska
Nebraska · 40761
Office
Unavailable
Facility
$875.96
No comparable office rate is available.
New Hampshire
New Hampshire · 40761
Office
Unavailable
Facility
$965.02
No comparable office rate is available.
Northern Nj
New Jersey · 40761
Office
Unavailable
Facility
$1057.79
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 40761
Office
Unavailable
Facility
$1024.84
No comparable office rate is available.
New Mexico
New Mexico · 40761
Office
Unavailable
Facility
$952.75
No comparable office rate is available.
Nevada**
Nevada · 40761
Office
Unavailable
Facility
$946.96
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 40761
Office
Unavailable
Facility
$1144.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 40761
Office
Unavailable
Facility
$1039.30
No comparable office rate is available.
Queens
New York · 40761
Office
Unavailable
Facility
$1101.88
No comparable office rate is available.
Rest Of New York
New York · 40761
Office
Unavailable
Facility
$916.59
No comparable office rate is available.
Ohio
Ohio · 40761
Office
Unavailable
Facility
$932.84
No comparable office rate is available.
Oklahoma
Oklahoma · 40761
Office
Unavailable
Facility
$903.68
No comparable office rate is available.
Portland
Oregon · 40761
Office
Unavailable
Facility
$985.29
No comparable office rate is available.
Rest Of Oregon
Oregon · 40761
Office
Unavailable
Facility
$932.74
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 40761
Office
Unavailable
Facility
$1004.79
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 40761
Office
Unavailable
Facility
$928.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 40761
Office
Unavailable
Facility
$965.04
No comparable office rate is available.
Rhode Island
Rhode Island · 40761
Office
Unavailable
Facility
$973.64
No comparable office rate is available.
South Carolina
South Carolina · 40761
Office
Unavailable
Facility
$921.56
No comparable office rate is available.
South Dakota**
South Dakota · 40761
Office
Unavailable
Facility
$898.96
No comparable office rate is available.
Tennessee
Tennessee · 40761
Office
Unavailable
Facility
$886.29
No comparable office rate is available.
Austin
Texas · 40761
Office
Unavailable
Facility
$973.08
No comparable office rate is available.
Beaumont
Texas · 40761
Office
Unavailable
Facility
$924.21
No comparable office rate is available.
Brazoria
Texas · 40761
Office
Unavailable
Facility
$942.49
No comparable office rate is available.
Dallas
Texas · 40761
Office
Unavailable
Facility
$952.24
No comparable office rate is available.
Fort Worth
Texas · 40761
Office
Unavailable
Facility
$949.97
No comparable office rate is available.
Galveston
Texas · 40761
Office
Unavailable
Facility
$947.79
No comparable office rate is available.
Houston
Texas · 40761
Office
Unavailable
Facility
$1000.33
No comparable office rate is available.
Rest Of Texas
Texas · 40761
Office
Unavailable
Facility
$935.41
No comparable office rate is available.
Utah
Utah · 40761
Office
Unavailable
Facility
$931.77
No comparable office rate is available.
Virginia
Virginia · 40761
Office
Unavailable
Facility
$928.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 40761
Office
Unavailable
Facility
$965.04
No comparable office rate is available.
Vermont
Vermont · 40761
Office
Unavailable
Facility
$911.75
No comparable office rate is available.
Rest Of Washington
Washington · 40761
Office
Unavailable
Facility
$965.01
No comparable office rate is available.
Seattle (King Cnty)
Washington · 40761
Office
Unavailable
Facility
$1050.54
No comparable office rate is available.
Wisconsin
Wisconsin · 40761
Office
Unavailable
Facility
$881.53
No comparable office rate is available.
West Virginia
West Virginia · 40761
Office
Unavailable
Facility
$957.94
No comparable office rate is available.
Wyoming**
Wyoming · 40761
Office
Unavailable
Facility
$937.69
No comparable office rate is available.
See how rates vary across the country
40761 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 40761 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1056.66
$960.60 × 110% = $1056.66
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 40761 in Redding.
PPRRVU2026_Oct_nonQPP.csv
4,853
- Code
- 40761
- Physician work
- 15.44
- Practice expense
- 10.51
- Malpractice
- 2.87
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.44 | × 1.017 | 15.7025 |
| Practice expense | 10.51 | × 1.096 | 11.5190 |
| Malpractice | 2.87 | × 0.536 | 1.5383 |
| Total RVUs | 28.7598 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$960.60
Open 40761 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.44 | 1.017 |
| Practice expense | 10.51 | 1.096 |
| Malpractice | 2.87 | 0.536 |
(15.44 × 1.017 + 10.51 × 1.096 + 2.87 × 0.536) × $33.4009 = $960.60
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
40761 · 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 | $960.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $960.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $960.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $960.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $1064.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $1064.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $1064.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $1064.21 | RVU25A |
40761 billing questions
How is this different from 40720?
40761 is for secondary cleft lip/nasal repair with a cross-lip flap. Use 40720 for the corresponding secondary cross-lip repair when nasal repair is not part of the service.
Can this be reported for a direct revision without a flap?
No. This code describes reconstruction using a cross-lip flap; secondary repair by recreating the defect and closing it is represented by a different code.
Is the flap donor-site closure separately reported?
No. Closure of the donor site is included in this service.
Should modifier 50 be used for bilateral anatomy?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What global 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 billed?
Medicare does not pay an assistant-at-surgery service for this code. Co-surgeons and team surgery are not permitted.
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.
4,85040720,,Repair cleft lip/nasal,A,,14.35,10.60,NA,10.60,,2.67,27.62,27.62,0,090,0.09,0.81,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8514073F,,Oral antiplat thx rx dischrg,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
4,8524075F,,Anticoag thx rx at dischrg,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
4,85340761,,Repair cleft lip/nasal,A,,15.44,10.51,NA,10.51,,2.87,28.82,28.82,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8544077F,,Doc t-pa admin considered,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
4,85540799,,Unlisted procedure lips,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8564079F,,Doc rehab svcs considered,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
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536