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CMS RVU26D · Effective 2026-10-01

41016 in Vallejo

Office / nonfacility

$586.54

Base rate per service

Facility setting

$377.88

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 41016: Intraoral submandibular space abscess drainage

Reports operative intraoral drainage of an abscess involving the sublingual, submandibular, or submental space.

Code 41016 describes surgical drainage reached through the mouth for an infection in the sublingual, submandibular, or submental space. Oral and maxillofacial surgeons and otolaryngologists commonly perform it in an operating room when a deep infection requires operative access, rather than drainage of a superficial oral lesion. The documented approach must be intraoral and the involved space must support selection of this code.

Record the affected space, incision route, findings, and drainage performed. The 90-day global period includes the preoperative visit on the day before surgery and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this anatomy. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 41016

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 RVU4.09 · 28%
  • Practice expense (office) RVU9.83 · 68%
  • Malpractice RVU0.56 · 4%

157

Medicare services in 2024 · #4530 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.

41016 compared with similar codes

Office rates for Vallejo, from the same CMS release.

41017

Lesion drainage

Floor of mouth, intraoral

$580.67

Both address the sublingual, submandibular, or submental spaces; choose 41016 for access through the mouth and 41017 for external access.

41015

Mouth lesion drainage

Extraoral floor-of-mouth approach

$494.23

41015 is for external drainage of the masticator space. Code 41016 concerns the sublingual, submandibular, or submental spaces and uses an intraoral route.

41005

Oral drainage

Mouth vestibule

$289.14

41005 concerns drainage involving the tongue or floor of the mouth. Use 41016 when the documented infection is in the sublingual, submandibular, or submental space.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 41016 is $510.45—$76.09 lower than the $586.54 rate in Vallejo. Both use the same code, release and participation basis.

41016 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $586.54

  2. Bakersfield

    $510.45

    $76.09 lower than Vallejo

  3. Chico

    $508.81

    $77.73 lower than Vallejo

  4. El Centro

    $508.90

    $77.64 lower than Vallejo

  5. Fresno

    $508.81

    $77.73 lower than Vallejo

  6. Hanford-Corcoran

    $508.81

    $77.73 lower than Vallejo

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

    $543.05

    $43.49 lower than Vallejo

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, 41016 ranges from $428.28 in Arkansas to $635.12 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 · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Merced

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Modesto

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Napa

    California · 41016

    Office

    $587.46

    Facility

    $378.79

    $0.92 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41016

    Office

    $540.17

    Facility

    $353.04

    $46.37 lower than Vallejo for the office setting.

  • Redding

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Rest Of California

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41016

    Office

    $514.87

    Facility

    $341.36

    $71.67 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41016

    Office

    $533.40

    Facility

    $349.28

    $53.14 lower than Vallejo for the office setting.

  • Salinas

    California · 41016

    Office

    $531.41

    Facility

    $347.91

    $55.13 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41016

    Office

    $543.53

    Facility

    $354.18

    $43.01 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41016

    Office

    $621.12

    Facility

    $397.89

    $34.58 higher than Vallejo for the office setting.

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

    California · 41016

    Office

    $620.48

    Facility

    $397.25

    $33.94 higher than Vallejo for the office setting.

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

    California · 41016

    Office

    $635.12

    Facility

    $406.82

    $48.58 higher than Vallejo for the office setting.

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

    California · 41016

    Office

    $632.52

    Facility

    $404.22

    $45.98 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41016

    Office

    $522.93

    Facility

    $342.60

    $63.61 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 41016

    Office

    $548.43

    Facility

    $356.07

    $38.11 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 41016

    Office

    $533.29

    Facility

    $348.69

    $53.25 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 41016

    Office

    $553.92

    Facility

    $359.51

    $32.62 lower than Vallejo for the office setting.

  • Stockton

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Visalia

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Yuba City

    California · 41016

    Office

    $508.81

    Facility

    $335.29

    $77.73 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 41016

    Office

    $551.58

    Facility

    $365.08

    $34.96 lower than Vallejo for the office setting.

  • Miami

    Florida · 41016

    Office

    $525.71

    Facility

    $360.89

    $60.83 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 41016

    Office

    $510.47

    Facility

    $351.35

    $76.07 lower than Vallejo for the office setting.

  • Manhattan

    New York · 41016

    Office

    $556.54

    Facility

    $372.57

    $30.00 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 41016

    Office

    $564.89

    Facility

    $396.28

    $21.65 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 41016

    Office

    $434.49

    Facility

    $295.96

    $152.05 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 41016

    Office

    $428.28

    Facility

    $292.28

    $158.26 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 41016

    Office

    $470.77

    Facility

    $317.36

    $115.77 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 41016

    Office

    $502.20

    Facility

    $333.75

    $84.34 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 41016

    Office

    $515.59

    Facility

    $345.08

    $70.95 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 41016

    Office

    $478.50

    Facility

    $322.08

    $108.04 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 41016

    Office

    $503.03

    Facility

    $342.65

    $83.51 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 41016

    Office

    $478.61

    Facility

    $327.25

    $107.93 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 41016

    Office

    $493.07

    Facility

    $332.21

    $93.47 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 41016

    Office

    $451.78

    Facility

    $310.55

    $134.76 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 41016

    Office

    $520.75

    Facility

    $340.74

    $65.79 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 41016

    Office

    $444.46

    Facility

    $299.60

    $142.08 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 41016

    Office

    $447.52

    Facility

    $301.87

    $139.02 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 41016

    Office

    $476.34

    Facility

    $330.69

    $110.20 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 41016

    Office

    $465.61

    Facility

    $321.06

    $120.93 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 41016

    Office

    $507.91

    Facility

    $345.31

    $78.63 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 41016

    Office

    $450.06

    Facility

    $303.30

    $136.48 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 41016

    Office

    $442.85

    Facility

    $299.73

    $143.69 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 41016

    Office

    $445.61

    Facility

    $304.86

    $140.93 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 41016

    Office

    $466.82

    Facility

    $317.84

    $119.72 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 41016

    Office

    $445.10

    Facility

    $304.99

    $141.44 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 41016

    Office

    $550.88

    Facility

    $361.85

    $35.66 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41016

    Office

    $499.44

    Facility

    $332.72

    $87.10 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41016

    Office

    $514.23

    Facility

    $344.35

    $72.31 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 41016

    Office

    $487.42

    Facility

    $327.20

    $99.12 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 41016

    Office

    $450.31

    Facility

    $304.65

    $136.23 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 41016

    Office

    $473.79

    Facility

    $316.89

    $112.75 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 41016

    Office

    $484.98

    Facility

    $332.21

    $101.56 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 41016

    Office

    $457.49

    Facility

    $312.95

    $129.05 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 41016

    Office

    $480.00

    Facility

    $317.09

    $106.54 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 41016

    Office

    $463.19

    Facility

    $314.52

    $123.35 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 41016

    Office

    $467.92

    Facility

    $317.20

    $118.62 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 41016

    Office

    $437.85

    Facility

    $301.38

    $148.69 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 41016

    Office

    $433.13

    Facility

    $296.81

    $153.41 lower than Vallejo for the office setting.

  • Montana**

    Montana · 41016

    Office

    $483.61

    Facility

    $325.29

    $102.93 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 41016

    Office

    $454.89

    Facility

    $307.18

    $131.65 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 41016

    Office

    $472.53

    Facility

    $314.21

    $114.01 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 41016

    Office

    $446.73

    Facility

    $300.60

    $139.81 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 41016

    Office

    $494.77

    Facility

    $329.96

    $91.77 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 41016

    Office

    $546.06

    Facility

    $362.40

    $40.48 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 41016

    Office

    $521.13

    Facility

    $348.24

    $65.41 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 41016

    Office

    $460.15

    Facility

    $314.97

    $126.39 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 41016

    Office

    $480.85

    Facility

    $322.37

    $105.69 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41016

    Office

    $570.47

    Facility

    $382.23

    $16.07 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41016

    Office

    $524.91

    Facility

    $351.55

    $61.63 lower than Vallejo for the office setting.

  • Queens

    New York · 41016

    Office

    $560.41

    Facility

    $373.28

    $26.13 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 41016

    Office

    $461.67

    Facility

    $311.27

    $124.87 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 41016

    Office

    $455.23

    Facility

    $310.68

    $131.31 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 41016

    Office

    $444.34

    Facility

    $302.96

    $142.20 lower than Vallejo for the office setting.

  • Portland

    Oregon · 41016

    Office

    $517.49

    Facility

    $341.59

    $69.05 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 41016

    Office

    $476.78

    Facility

    $319.09

    $109.76 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41016

    Office

    $503.18

    Facility

    $338.36

    $83.36 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41016

    Office

    $455.69

    Facility

    $310.36

    $130.85 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 41016

    Office

    $486.98

    Facility

    $326.91

    $99.56 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 41016

    Office

    $495.06

    Facility

    $331.51

    $91.48 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 41016

    Office

    $455.89

    Facility

    $309.60

    $130.65 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 41016

    Office

    $471.23

    Facility

    $312.90

    $115.31 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 41016

    Office

    $445.11

    Facility

    $301.19

    $141.43 lower than Vallejo for the office setting.

  • Austin

    Texas · 41016

    Office

    $500.83

    Facility

    $333.33

    $85.71 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 41016

    Office

    $452.77

    Facility

    $308.70

    $133.77 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 41016

    Office

    $477.67

    Facility

    $320.77

    $108.87 lower than Vallejo for the office setting.

  • Dallas

    Texas · 41016

    Office

    $480.91

    Facility

    $323.22

    $105.63 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 41016

    Office

    $477.87

    Facility

    $321.76

    $108.67 lower than Vallejo for the office setting.

  • Galveston

    Texas · 41016

    Office

    $479.22

    Facility

    $322.01

    $107.32 lower than Vallejo for the office setting.

  • Houston

    Texas · 41016

    Office

    $489.47

    Facility

    $332.26

    $97.07 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 41016

    Office

    $465.09

    Facility

    $314.84

    $121.45 lower than Vallejo for the office setting.

  • Utah

    Utah · 41016

    Office

    $462.04

    Facility

    $313.22

    $124.50 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 41016

    Office

    $472.56

    Facility

    $316.94

    $113.98 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41016

    Office

    $486.98

    Facility

    $326.91

    $99.56 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 41016

    Office

    $471.12

    Facility

    $314.38

    $115.42 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 41016

    Office

    $498.35

    Facility

    $331.64

    $88.19 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 41016

    Office

    $561.58

    Facility

    $367.32

    $24.96 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 41016

    Office

    $456.91

    Facility

    $305.24

    $129.63 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 41016

    Office

    $448.70

    Facility

    $311.12

    $137.84 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 41016

    Office

    $478.78

    Facility

    $320.46

    $107.76 lower than Vallejo for the office setting.

See how rates vary across the country

41016 · 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.

$428.28

$571.97

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$564.891
AL$434.491
AR$428.281
AZ$470.771
CA$508.81–$635.1229
CO$502.201
CT$515.591
DC$551.581
DE$478.501
FL$478.61–$525.713
GA$451.78–$493.072
GU$520.751
HI$520.751
IA$444.461
ID$447.521
IL$465.61–$510.474
IN$450.061
KS$442.851
KY$445.611
LA$445.10–$466.822
MA$499.44–$550.882
MD$487.42–$551.583
ME$450.31–$473.792
MI$457.49–$484.982
MN$480.001
MO$437.85–$467.923
MS$433.131
MT$483.611
NC$454.891
ND$472.531
NE$446.731
NH$494.771
NJ$521.13–$546.062
NM$460.151
NV$480.851
NY$461.67–$570.475
OH$455.231
OK$444.341
OR$476.78–$517.492
PA$455.69–$503.182
PR$486.981
RI$495.061
SC$455.891
SD$471.231
TN$445.111
TX$452.77–$500.838
UT$462.041
VA$472.56–$551.582
VI$486.981
VT$471.121
WA$498.35–$561.582
WI$456.911
WV$448.701
WY$478.781

Explore 41016 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 41016 in Vallejo, the physician’s office rate is $586.54 and the facility-setting rate is $377.88: a difference of $208.66.

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 41016 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$645.19

$586.54 × 110% = $645.19

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 41016 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

4,891

Code
41016
Physician work
4.09
Practice expense
9.83
Malpractice
0.56

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 41016 in Vallejo
ComponentRVULocality factorAdjusted
Physician work4.09× 1.0634.3477
Practice expense9.83× 1.31812.9559
Malpractice0.56× 0.4590.2570
Total RVUs17.5606
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$586.54

Open 41016 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.091.063
Practice expense9.831.318
Malpractice0.560.459

(4.09 × 1.063 + 9.83 × 1.318 + 0.56 × 0.459) × $33.4009 = $586.54

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.091.063
Practice expense5.091.318
Malpractice0.560.459

(4.09 × 1.063 + 5.09 × 1.318 + 0.56 × 0.459) × $33.4009 = $377.88

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

41016 · Office / nonfacility

$586.54

Effective 2026-10-01

The base rate is $41.62 higher than on 2025-10-01, moving from $544.92 to $586.54 (7.6%).

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

    $544.92changed to$586.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.19 changed to 4.09
    • Practice expense RVU 9.30 changed to 9.83
    • Malpractice RVU 0.49 changed to 0.56
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $544.92

    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$586.54$377.88RVU26D
2026-07-01$586.54$377.88RVU26C
2026-04-01$586.54$377.88RVU26B
2026-01-01$586.54$377.88RVU26A
2025-10-01$544.92$396.19RVU25D
2025-07-01$544.92$396.19RVU25C
2025-04-01$544.92$396.19RVU25B
2025-01-01$544.92$396.19RVU25A

41016 billing questions

How is 41016 distinguished from 41017?

41016 is for drainage through an intraoral approach. Use 41017 when the surgeon reaches the sublingual, submandibular, or submental space externally.

Does the note need to identify the space and approach?

Yes. Document the involved anatomic space and that drainage was performed through an intraoral incision.

Can modifier 50 be reported?

No. The anatomy is represented by a single procedure code, not a bilateral modifier 50 claim.

How does the 90-day global period affect follow-up billing?

The day-before preoperative visit and related postoperative care for 90 days are included in the global period.

Can an assistant surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures 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 41016PPRRVU2026_Oct_nonQPP.csv, line 4,891 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet