No office rate
40701 is for primary bilateral repair. This code is for secondary repair in infancy after an earlier cleft repair.
On this page
CMS RVU26D · Effective 2026-10-01
40702 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$877.08
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 40702: Secondary bilateral cleft lip repair in infancy
Reports secondary surgical repair of a bilateral cleft lip and associated nasal deformity in an infant, rather than primary repair or later revision.
This code describes secondary repair of a bilateral cleft lip and associated nasal deformity in infancy, before age four. A plastic, craniofacial, or other appropriately trained surgeon typically performs the reconstruction in an operating room, often at a children’s hospital. The service addresses residual deformity after an earlier repair; it is distinct from the initial repair of the cleft.
Select the code based on the secondary nature of the operation, the patient’s age, and bilateral involvement. The operative report should establish the prior repair and describe the lip and nasal deformities treated. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The code is priced bilaterally, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 40702
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.91 · 52%
- Practice expense (office) RVU10.44 · 39%
- Malpractice RVU2.58 · 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.
40702 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
40700 describes primary unilateral repair; this code describes secondary bilateral repair in infancy.
No office rate
Both describe secondary repair, but 40720 is for an older child or adult; this code is for infancy.
The same code, a different location
How does Wyoming** compare?
40702 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 40702
Office
Unavailable
Facility
$818.50
No comparable office rate is available.
Arkansas
Arkansas · 40702
Office
Unavailable
Facility
$808.52
No comparable office rate is available.
Arizona
Arizona · 40702
Office
Unavailable
Facility
$876.27
No comparable office rate is available.
Bakersfield
California · 40702
Office
Unavailable
Facility
$908.10
No comparable office rate is available.
Chico
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
El Centro
California · 40702
Office
Unavailable
Facility
$901.31
No comparable office rate is available.
Fresno
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Hanford-Corcoran
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Madera
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Merced
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Modesto
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Napa
California · 40702
Office
Unavailable
Facility
$997.25
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 40702
Office
Unavailable
Facility
$943.47
No comparable office rate is available.
Redding
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Rest Of California
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 40702
Office
Unavailable
Facility
$928.66
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 40702
Office
Unavailable
Facility
$933.07
No comparable office rate is available.
Salinas
California · 40702
Office
Unavailable
Facility
$929.35
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 40702
Office
Unavailable
Facility
$942.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 40702
Office
Unavailable
Facility
$1039.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 40702
Office
Unavailable
Facility
$1037.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 40702
Office
Unavailable
Facility
$1064.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 40702
Office
Unavailable
Facility
$1052.76
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 40702
Office
Unavailable
Facility
$915.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 40702
Office
Unavailable
Facility
$944.23
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 40702
Office
Unavailable
Facility
$930.40
No comparable office rate is available.
Santa Rosa-Petaluma
California · 40702
Office
Unavailable
Facility
$952.94
No comparable office rate is available.
Stockton
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Vallejo
California · 40702
Office
Unavailable
Facility
$993.02
No comparable office rate is available.
Visalia
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Yuba City
California · 40702
Office
Unavailable
Facility
$900.88
No comparable office rate is available.
Colorado
Colorado · 40702
Office
Unavailable
Facility
$908.51
No comparable office rate is available.
Connecticut
Connecticut · 40702
Office
Unavailable
Facility
$953.73
No comparable office rate is available.
Delaware
Delaware · 40702
Office
Unavailable
Facility
$888.92
No comparable office rate is available.
Fort Lauderdale
Florida · 40702
Office
Unavailable
Facility
$973.65
No comparable office rate is available.
Rest Of Florida
Florida · 40702
Office
Unavailable
Facility
$927.49
No comparable office rate is available.
Atlanta
Georgia · 40702
Office
Unavailable
Facility
$923.78
No comparable office rate is available.
Rest Of Georgia
Georgia · 40702
Office
Unavailable
Facility
$878.37
No comparable office rate is available.
Hawaii, Guam
Hawaii · 40702
Office
Unavailable
Facility
$910.98
No comparable office rate is available.
Iowa
Iowa · 40702
Office
Unavailable
Facility
$817.88
No comparable office rate is available.
Idaho
Idaho · 40702
Office
Unavailable
Facility
$826.18
No comparable office rate is available.
East St. Louis
Illinois · 40702
Office
Unavailable
Facility
$958.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 40702
Office
Unavailable
Facility
$917.67
No comparable office rate is available.
Suburban Chicago
Illinois · 40702
Office
Unavailable
Facility
$978.68
No comparable office rate is available.
Indiana
Indiana · 40702
Office
Unavailable
Facility
$829.74
No comparable office rate is available.
Kansas
Kansas · 40702
Office
Unavailable
Facility
$823.27
No comparable office rate is available.
Kentucky
Kentucky · 40702
Office
Unavailable
Facility
$853.46
No comparable office rate is available.
New Orleans
Louisiana · 40702
Office
Unavailable
Facility
$890.63
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 40702
Office
Unavailable
Facility
$855.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 40702
Office
Unavailable
Facility
$976.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 40702
Office
Unavailable
Facility
$907.91
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 40702
Office
Unavailable
Facility
$952.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 40702
Office
Unavailable
Facility
$901.25
No comparable office rate is available.
Rest Of Maine
Maine · 40702
Office
Unavailable
Facility
$839.02
No comparable office rate is available.
Southern Maine
Maine · 40702
Office
Unavailable
Facility
$864.55
No comparable office rate is available.
Detroit
Michigan · 40702
Office
Unavailable
Facility
$946.40
No comparable office rate is available.
Rest Of Michigan
Michigan · 40702
Office
Unavailable
Facility
$880.27
No comparable office rate is available.
Minnesota
Minnesota · 40702
Office
Unavailable
Facility
$848.93
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 40702
Office
Unavailable
Facility
$876.23
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 40702
Office
Unavailable
Facility
$882.92
No comparable office rate is available.
Rest Of Missouri
Missouri · 40702
Office
Unavailable
Facility
$849.12
No comparable office rate is available.
Mississippi
Mississippi · 40702
Office
Unavailable
Facility
$828.52
No comparable office rate is available.
Montana**
Montana · 40702
Office
Unavailable
Facility
$899.31
No comparable office rate is available.
North Carolina
North Carolina · 40702
Office
Unavailable
Facility
$845.01
No comparable office rate is available.
North Dakota**
North Dakota · 40702
Office
Unavailable
Facility
$848.30
No comparable office rate is available.
Nebraska
Nebraska · 40702
Office
Unavailable
Facility
$819.04
No comparable office rate is available.
New Hampshire
New Hampshire · 40702
Office
Unavailable
Facility
$903.01
No comparable office rate is available.
Northern Nj
New Jersey · 40702
Office
Unavailable
Facility
$990.41
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 40702
Office
Unavailable
Facility
$958.51
No comparable office rate is available.
New Mexico
New Mexico · 40702
Office
Unavailable
Facility
$887.86
No comparable office rate is available.
Nevada**
Nevada · 40702
Office
Unavailable
Facility
$885.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 40702
Office
Unavailable
Facility
$1068.98
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 40702
Office
Unavailable
Facility
$971.62
No comparable office rate is available.
Queens
New York · 40702
Office
Unavailable
Facility
$1030.77
No comparable office rate is available.
Rest Of New York
New York · 40702
Office
Unavailable
Facility
$856.46
No comparable office rate is available.
Ohio
Ohio · 40702
Office
Unavailable
Facility
$869.84
No comparable office rate is available.
Oklahoma
Oklahoma · 40702
Office
Unavailable
Facility
$842.96
No comparable office rate is available.
Portland
Oregon · 40702
Office
Unavailable
Facility
$923.57
No comparable office rate is available.
Rest Of Oregon
Oregon · 40702
Office
Unavailable
Facility
$872.50
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 40702
Office
Unavailable
Facility
$938.78
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 40702
Office
Unavailable
Facility
$866.15
No comparable office rate is available.
Puerto Rico
Puerto Rico · 40702
Office
Unavailable
Facility
$902.03
No comparable office rate is available.
Rhode Island
Rhode Island · 40702
Office
Unavailable
Facility
$910.51
No comparable office rate is available.
South Carolina
South Carolina · 40702
Office
Unavailable
Facility
$860.06
No comparable office rate is available.
South Dakota**
South Dakota · 40702
Office
Unavailable
Facility
$842.27
No comparable office rate is available.
Tennessee
Tennessee · 40702
Office
Unavailable
Facility
$827.86
No comparable office rate is available.
Austin
Texas · 40702
Office
Unavailable
Facility
$910.82
No comparable office rate is available.
Beaumont
Texas · 40702
Office
Unavailable
Facility
$861.98
No comparable office rate is available.
Brazoria
Texas · 40702
Office
Unavailable
Facility
$881.11
No comparable office rate is available.
Dallas
Texas · 40702
Office
Unavailable
Facility
$890.04
No comparable office rate is available.
Fort Worth
Texas · 40702
Office
Unavailable
Facility
$887.67
No comparable office rate is available.
Galveston
Texas · 40702
Office
Unavailable
Facility
$885.94
No comparable office rate is available.
Houston
Texas · 40702
Office
Unavailable
Facility
$933.16
No comparable office rate is available.
Rest Of Texas
Texas · 40702
Office
Unavailable
Facility
$873.34
No comparable office rate is available.
Utah
Utah · 40702
Office
Unavailable
Facility
$869.77
No comparable office rate is available.
Virginia
Virginia · 40702
Office
Unavailable
Facility
$868.22
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 40702
Office
Unavailable
Facility
$902.03
No comparable office rate is available.
Vermont
Vermont · 40702
Office
Unavailable
Facility
$853.43
No comparable office rate is available.
Rest Of Washington
Washington · 40702
Office
Unavailable
Facility
$903.41
No comparable office rate is available.
Seattle (King Cnty)
Washington · 40702
Office
Unavailable
Facility
$986.10
No comparable office rate is available.
Wisconsin
Wisconsin · 40702
Office
Unavailable
Facility
$825.21
No comparable office rate is available.
West Virginia
West Virginia · 40702
Office
Unavailable
Facility
$890.95
No comparable office rate is available.
See how rates vary across the country
40702 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 40702 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$964.79
$877.08 × 110% = $964.79
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 40702 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,848
- Code
- 40702
- Physician work
- 13.91
- Practice expense
- 10.44
- Malpractice
- 2.58
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.91 | × 1.000 | 13.9100 |
| Practice expense | 10.44 | × 1.000 | 10.4400 |
| Malpractice | 2.58 | × 0.740 | 1.9092 |
| Total RVUs | 26.2592 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$877.08
Open 40702 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.91 | 1 |
| Practice expense | 10.44 | 1 |
| Malpractice | 2.58 | 0.74 |
(13.91 × 1 + 10.44 × 1 + 2.58 × 0.74) × $33.4009 = $877.08
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
40702 · 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 | $877.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $877.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $877.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $877.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $958.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $958.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $958.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $958.63 | RVU25A |
40702 billing questions
When should this code be chosen instead of 40701?
Use this code for secondary repair in infancy. Code 40701 describes primary bilateral repair, not revision after an earlier repair.
Should modifier 50 be appended for bilateral repair?
The code is already priced as bilateral. Modifier 50 does not increase its payment.
Does the global period include related postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made. CMS does not permit co-surgeon or team-surgery payment for this code.
How are other procedures in the same session paid?
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.
4,8454069F,,Vte prophylaxis rcvd,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
4,84640700,,Repair cleft lip/nasal,A,,13.82,10.90,NA,10.90,,2.57,27.29,27.29,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,84740701,,Repair cleft lip/nasal,A,,16.80,11.98,NA,11.98,,3.11,31.89,31.89,0,090,0.09,0.81,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,84840702,,Repair cleft lip/nasal,A,,13.91,10.44,NA,10.44,,2.58,26.93,26.93,0,090,0.09,0.81,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8494070F,,Dvt prophylx recvd day 2,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
4,85040720,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,