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CMS RVU26D · Effective 2026-10-01

41009 in Salinas

Office / nonfacility

$476.24

Base rate per service

Facility setting

$280.74

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 41009: Intraoral deep pharyngeal space drainage

Reports surgical drainage through the mouth for a deep infection involving the retropharyngeal or parapharyngeal space.

This service drains a deep collection in the retropharyngeal or parapharyngeal space through an intraoral approach. It is typically performed by an oral and maxillofacial surgeon or another surgeon treating a deep head-and-neck infection, often in an operating-room setting. A common clinical context is spread of an odontogenic infection into a deep pharyngeal space; the documented space and surgical route distinguish this service from drainage of an oral vestibule or floor-of-mouth collection.

Report the code when the operative record supports drainage of the specified deep space by the intraoral route. Document the involved anatomy, approach, and findings. CMS classifies the service as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures receive the standard 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 41009

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.62 · 28%
  • Practice expense (office) RVU8.86 · 68%
  • Malpractice RVU0.48 · 4%

102

Medicare services in 2024 · #4865 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.

41009 compared with similar codes

Office rates for Salinas, from the same CMS release.

41005

Oral drainage

Mouth vestibule

$259.08

Use 41005 for an intraoral vestibular collection. This code is for drainage of a retropharyngeal or parapharyngeal space.

41006

Mouth lesion drainage

Floor of mouth, extraoral

$382.69

Use 41006 when the documented collection is in the floor of the mouth. This code identifies a deeper pharyngeal-space site.

41018

Abscess drainage

Parapharyngeal space, external approach

$599.11

Both concern deep pharyngeal-space drainage, but the approach differs: this code is intraoral, while 41018 is extraoral.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 41009 is $457.31—$18.93 lower than the $476.24 rate in Salinas. Both use the same code, release and participation basis.

41009 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $476.24

  2. Bakersfield

    $457.31

    $18.93 lower than Salinas

  3. Chico

    $455.90

    $20.34 lower than Salinas

  4. El Centro

    $455.98

    $20.26 lower than Salinas

  5. Fresno

    $455.90

    $20.34 lower than Salinas

  6. Hanford-Corcoran

    $455.90

    $20.34 lower than Salinas

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

    $486.60

    $10.36 higher than Salinas

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, 41009 ranges from $383.37 in Arkansas to $569.54 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 · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Merced

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Modesto

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Napa

    California · 41009

    Office

    $526.71

    Facility

    $304.40

    $50.47 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41009

    Office

    $484.08

    Facility

    $284.70

    $7.84 higher than Salinas for the office setting.

  • Redding

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Rest Of California

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41009

    Office

    $461.10

    Facility

    $276.24

    $15.14 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41009

    Office

    $478.03

    Facility

    $281.86

    $1.79 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41009

    Office

    $487.16

    Facility

    $285.43

    $10.92 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41009

    Office

    $557.02

    Facility

    $319.19

    $80.78 higher than Salinas for the office setting.

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

    California · 41009

    Office

    $556.48

    Facility

    $318.64

    $80.24 higher than Salinas for the office setting.

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

    California · 41009

    Office

    $569.54

    Facility

    $326.31

    $93.30 higher than Salinas for the office setting.

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

    California · 41009

    Office

    $567.31

    Facility

    $324.08

    $91.07 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41009

    Office

    $468.63

    Facility

    $276.51

    $7.61 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 41009

    Office

    $491.60

    Facility

    $286.66

    $15.36 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 41009

    Office

    $477.95

    Facility

    $281.27

    $1.71 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 41009

    Office

    $496.54

    Facility

    $289.40

    $20.30 higher than Salinas for the office setting.

  • Stockton

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Vallejo

    California · 41009

    Office

    $525.93

    Facility

    $303.61

    $49.69 higher than Salinas for the office setting.

  • Visalia

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Yuba City

    California · 41009

    Office

    $455.90

    Facility

    $271.03

    $20.34 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 41009

    Office

    $493.89

    Facility

    $295.19

    $17.65 higher than Salinas for the office setting.

  • Miami

    Florida · 41009

    Office

    $469.52

    Facility

    $293.93

    $6.72 lower than Salinas for the office setting.

  • Chicago

    Illinois · 41009

    Office

    $455.96

    Facility

    $286.45

    $20.28 lower than Salinas for the office setting.

  • Manhattan

    New York · 41009

    Office

    $497.95

    Facility

    $301.95

    $21.71 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 41009

    Office

    $505.37

    Facility

    $325.73

    $29.13 higher than Salinas for the office setting.

  • Alabama

    Alabama · 41009

    Office

    $388.93

    Facility

    $241.34

    $87.31 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 41009

    Office

    $383.37

    Facility

    $238.48

    $92.87 lower than Salinas for the office setting.

  • Arizona

    Arizona · 41009

    Office

    $421.39

    Facility

    $257.95

    $54.85 lower than Salinas for the office setting.

  • Colorado

    Colorado · 41009

    Office

    $449.76

    Facility

    $270.29

    $26.48 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 41009

    Office

    $461.45

    Facility

    $279.78

    $14.79 lower than Salinas for the office setting.

  • Delaware

    Delaware · 41009

    Office

    $428.31

    Facility

    $261.66

    $47.93 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 41009

    Office

    $449.68

    Facility

    $278.81

    $26.56 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 41009

    Office

    $427.92

    Facility

    $266.67

    $48.32 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 41009

    Office

    $441.20

    Facility

    $269.82

    $35.04 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 41009

    Office

    $403.99

    Facility

    $253.54

    $72.25 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 41009

    Office

    $466.67

    Facility

    $274.89

    $9.57 lower than Salinas for the office setting.

  • Iowa

    Iowa · 41009

    Office

    $398.05

    Facility

    $243.72

    $78.19 lower than Salinas for the office setting.

  • Idaho

    Idaho · 41009

    Office

    $400.75

    Facility

    $245.57

    $75.49 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 41009

    Office

    $425.46

    Facility

    $270.28

    $50.78 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 41009

    Office

    $416.16

    Facility

    $262.16

    $60.08 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 41009

    Office

    $454.09

    Facility

    $280.86

    $22.15 lower than Salinas for the office setting.

  • Indiana

    Indiana · 41009

    Office

    $403.03

    Facility

    $246.67

    $73.21 lower than Salinas for the office setting.

  • Kansas

    Kansas · 41009

    Office

    $396.51

    Facility

    $244.03

    $79.73 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 41009

    Office

    $398.66

    Facility

    $248.71

    $77.58 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 41009

    Office

    $417.60

    Facility

    $258.87

    $58.64 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 41009

    Office

    $398.17

    Facility

    $248.89

    $78.07 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 41009

    Office

    $493.48

    Facility

    $292.08

    $17.24 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41009

    Office

    $447.24

    Facility

    $269.63

    $29.00 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41009

    Office

    $460.21

    Facility

    $279.23

    $16.03 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 41009

    Office

    $436.32

    Facility

    $265.62

    $39.92 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 41009

    Office

    $403.14

    Facility

    $247.96

    $73.10 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 41009

    Office

    $424.30

    Facility

    $257.14

    $51.94 lower than Salinas for the office setting.

  • Detroit

    Michigan · 41009

    Office

    $433.52

    Facility

    $270.75

    $42.72 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 41009

    Office

    $409.20

    Facility

    $255.20

    $67.04 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 41009

    Office

    $430.17

    Facility

    $256.60

    $46.07 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 41009

    Office

    $414.46

    Facility

    $256.07

    $61.78 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 41009

    Office

    $418.70

    Facility

    $258.12

    $57.54 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 41009

    Office

    $391.62

    Facility

    $246.22

    $84.62 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 41009

    Office

    $387.56

    Facility

    $242.33

    $88.68 lower than Salinas for the office setting.

  • Montana**

    Montana · 41009

    Office

    $432.84

    Facility

    $264.17

    $43.40 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 41009

    Office

    $407.26

    Facility

    $249.89

    $68.98 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 41009

    Office

    $423.35

    Facility

    $254.68

    $52.89 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 41009

    Office

    $400.12

    Facility

    $244.43

    $76.12 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 41009

    Office

    $443.00

    Facility

    $267.41

    $33.24 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 41009

    Office

    $488.93

    Facility

    $293.27

    $12.69 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 41009

    Office

    $466.49

    Facility

    $282.30

    $9.75 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 41009

    Office

    $411.54

    Facility

    $256.86

    $64.70 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 41009

    Office

    $430.49

    Facility

    $261.65

    $45.75 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41009

    Office

    $510.28

    Facility

    $309.73

    $34.04 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41009

    Office

    $469.80

    Facility

    $285.10

    $6.44 lower than Salinas for the office setting.

  • Queens

    New York · 41009

    Office

    $501.56

    Facility

    $302.19

    $25.32 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 41009

    Office

    $413.32

    Facility

    $253.08

    $62.92 lower than Salinas for the office setting.

  • Ohio

    Ohio · 41009

    Office

    $407.26

    Facility

    $253.26

    $68.98 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 41009

    Office

    $397.64

    Facility

    $247.01

    $78.60 lower than Salinas for the office setting.

  • Portland

    Oregon · 41009

    Office

    $463.55

    Facility

    $276.16

    $12.69 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 41009

    Office

    $426.93

    Facility

    $258.93

    $49.31 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41009

    Office

    $450.28

    Facility

    $274.69

    $25.96 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41009

    Office

    $407.73

    Facility

    $252.88

    $68.51 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 41009

    Office

    $435.89

    Facility

    $265.36

    $40.35 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 41009

    Office

    $443.21

    Facility

    $268.97

    $33.03 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 41009

    Office

    $407.98

    Facility

    $252.12

    $68.26 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 41009

    Office

    $422.23

    Facility

    $253.56

    $54.01 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 41009

    Office

    $398.52

    Facility

    $245.20

    $77.72 lower than Salinas for the office setting.

  • Austin

    Texas · 41009

    Office

    $448.45

    Facility

    $270.00

    $27.79 lower than Salinas for the office setting.

  • Beaumont

    Texas · 41009

    Office

    $405.10

    Facility

    $251.61

    $71.14 lower than Salinas for the office setting.

  • Brazoria

    Texas · 41009

    Office

    $427.65

    Facility

    $260.50

    $48.59 lower than Salinas for the office setting.

  • Dallas

    Texas · 41009

    Office

    $430.50

    Facility

    $262.50

    $45.74 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 41009

    Office

    $427.75

    Facility

    $261.44

    $48.49 lower than Salinas for the office setting.

  • Galveston

    Texas · 41009

    Office

    $429.01

    Facility

    $261.52

    $47.23 lower than Salinas for the office setting.

  • Houston

    Texas · 41009

    Office

    $437.80

    Facility

    $270.31

    $38.44 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 41009

    Office

    $416.23

    Facility

    $256.16

    $60.01 lower than Salinas for the office setting.

  • Utah

    Utah · 41009

    Office

    $413.48

    Facility

    $254.93

    $62.76 lower than Salinas for the office setting.

  • Virginia

    Virginia · 41009

    Office

    $423.13

    Facility

    $257.32

    $53.11 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41009

    Office

    $435.89

    Facility

    $265.36

    $40.35 lower than Salinas for the office setting.

  • Vermont

    Vermont · 41009

    Office

    $422.00

    Facility

    $255.01

    $54.24 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 41009

    Office

    $446.30

    Facility

    $268.69

    $29.94 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 41009

    Office

    $503.16

    Facility

    $296.20

    $26.92 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 41009

    Office

    $409.35

    Facility

    $247.76

    $66.89 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 41009

    Office

    $401.02

    Facility

    $254.44

    $75.22 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 41009

    Office

    $428.71

    Facility

    $260.03

    $47.53 lower than Salinas for the office setting.

See how rates vary across the country

41009 · 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.

$383.37

$512.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$505.371
AL$388.931
AR$383.371
AZ$421.391
CA$455.90–$569.5429
CO$449.761
CT$461.451
DC$493.891
DE$428.311
FL$427.92–$469.523
GA$403.99–$441.202
GU$466.671
HI$466.671
IA$398.051
ID$400.751
IL$416.16–$455.964
IN$403.031
KS$396.511
KY$398.661
LA$398.17–$417.602
MA$447.24–$493.482
MD$436.32–$493.893
ME$403.14–$424.302
MI$409.20–$433.522
MN$430.171
MO$391.62–$418.703
MS$387.561
MT$432.841
NC$407.261
ND$423.351
NE$400.121
NH$443.001
NJ$466.49–$488.932
NM$411.541
NV$430.491
NY$413.32–$510.285
OH$407.261
OK$397.641
OR$426.93–$463.552
PA$407.73–$450.282
PR$435.891
RI$443.211
SC$407.981
SD$422.231
TN$398.521
TX$405.10–$448.458
UT$413.481
VA$423.13–$493.892
VI$435.891
VT$422.001
WA$446.30–$503.162
WI$409.351
WV$401.021
WY$428.711

Explore 41009 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 41009 in Salinas, the physician’s office rate is $476.24 and the facility-setting rate is $280.74: a difference of $195.50.

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 41009 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$523.86

$476.24 × 110% = $523.86

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 41009 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

4,887

Code
41009
Physician work
3.62
Practice expense
8.86
Malpractice
0.48

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 41009 in Salinas
ComponentRVULocality factorAdjusted
Physician work3.62× 1.0313.7322
Practice expense8.86× 1.15910.2687
Malpractice0.48× 0.5360.2573
Total RVUs14.2582
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$476.24

Open 41009 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.621.031
Practice expense8.861.159
Malpractice0.480.536

(3.62 × 1.031 + 8.86 × 1.159 + 0.48 × 0.536) × $33.4009 = $476.24

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.621.031
Practice expense3.811.159
Malpractice0.480.536

(3.62 × 1.031 + 3.81 × 1.159 + 0.48 × 0.536) × $33.4009 = $280.74

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

41009 · Office / nonfacility

$476.24

Effective 2026-10-01

The base rate is $19.23 higher than on 2025-10-01, moving from $457.01 to $476.24 (4.2%).

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

    $457.01changed to$476.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.71 changed to 3.62
    • Practice expense RVU 8.62 changed to 8.86
    • Malpractice RVU 0.44 changed to 0.48
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $457.01

    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$476.24$280.74RVU26D
2026-07-01$476.24$280.74RVU26C
2026-04-01$476.24$280.74RVU26B
2026-01-01$476.24$280.74RVU26A
2025-10-01$457.01$304.77RVU25D
2025-07-01$457.01$304.77RVU25C
2025-04-01$457.01$304.77RVU25B
2025-01-01$457.01$304.77RVU25A

41009 billing questions

How does this differ from code 41018?

The key distinction is the surgical route: this code describes intraoral access to a retropharyngeal or parapharyngeal space. Code 41018 is for drainage of a deep pharyngeal space by an extraoral approach.

When would 41005 or 41006 be more appropriate?

Choose based on the collection's documented location. Those codes describe drainage in the oral vestibule or floor of the mouth, rather than a retropharyngeal or parapharyngeal space.

What documentation supports reporting this code?

The operative note should identify the retropharyngeal or parapharyngeal space involved and state that drainage was performed through an intraoral approach.

Does the 90-day global period include related postoperative care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this major-surgery global period.

Can modifier 50 be reported for bilateral drainage?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment requires documented medical necessity.

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 41009PPRRVU2026_Oct_nonQPP.csv, line 4,887 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet