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CMS RVU26D · Effective 2026-10-01

40808 in Wyoming**

Office / nonfacility

$166.79

Base rate per service

Facility setting

$81.28

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 40808: Oral vestibule lesion biopsy

Reports tissue sampling of a lesion in the oral vestibule, the space between the lips or cheeks and the teeth and gums, for diagnosis.

This service samples a lesion in the oral vestibule—the lining inside the lips or cheeks, between them and the teeth and gums. A dentist, oral surgeon, or otolaryngologist may perform it in an office or outpatient setting when a persistent ulcer, abnormal patch, or other lesion needs tissue diagnosis. The specimen is sent for pathologic examination; the code represents the biopsy procedure, not the laboratory’s tissue analysis.

Report 40808 when tissue is sampled from the vestibule rather than when the lesion is removed by excision or lies at a different oral site. Document the lesion’s location and appearance, the tissue obtained, and the procedure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for it, and co-surgeons and team surgery are not permitted.

CMS billing rules for 40808

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
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 RVU1.02 · 20%
  • Practice expense (office) RVU3.87 · 77%
  • Malpractice RVU0.14 · 3%

8.5K

Medicare services in 2024 · #1563 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.

40808 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

40810

Mouth lesion excision

Without repair

$214.54

Use 40808 when tissue is sampled from a vestibular lesion. Use 40810 when the clinician excises the lesion rather than taking a biopsy.

40490

Lip biopsy

Lip tissue

$119.20

Both describe oral-site biopsies, but 40490 is for a lesion of the lip; 40808 is for the oral vestibule.

41100

Tongue biopsy

Anterior two-thirds

$186.40

41100 is for a tongue biopsy. Choose 40808 when the sampled lesion is in the vestibule between the lips or cheeks and the teeth and gums.

The same code, a different location

How does Wyoming** compare?

40808 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $166.79

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

    $191.49

    $24.70 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $193.38

    $26.59 higher than Wyoming**

  4. Miami

    $180.46

    $13.67 higher than Wyoming**

  5. Chicago

    $174.95

    $8.16 higher than Wyoming**

  6. Manhattan

    $193.87

    $27.08 higher than Wyoming**

  7. Alaska*

    $191.34

    $24.55 higher than Wyoming**

Other payment areas listed in Wyoming 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, 40808 ranges from $147.51 in Arkansas to $226.72 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

  • Alabama

    Alabama · 40808

    Office

    $149.82

    Facility

    $75.00

    $16.97 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 40808

    Office

    $147.51

    Facility

    $74.06

    $19.28 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 40808

    Office

    $163.33

    Facility

    $80.47

    $3.46 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 40808

    Office

    $179.23

    Facility

    $85.52

    $12.44 higher than Wyoming** for the office setting.

  • Chico

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • El Centro

    California · 40808

    Office

    $178.85

    Facility

    $85.13

    $12.06 higher than Wyoming** for the office setting.

  • Fresno

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Madera

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Merced

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Modesto

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Napa

    California · 40808

    Office

    $208.96

    Facility

    $96.26

    $42.17 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 40808

    Office

    $190.72

    Facility

    $89.65

    $23.93 higher than Wyoming** for the office setting.

  • Redding

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 40808

    Office

    $180.34

    Facility

    $86.63

    $13.55 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 40808

    Office

    $188.13

    Facility

    $88.69

    $21.34 higher than Wyoming** for the office setting.

  • Salinas

    California · 40808

    Office

    $187.45

    Facility

    $88.34

    $20.66 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 40808

    Office

    $192.22

    Facility

    $89.96

    $25.43 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 40808

    Office

    $221.71

    Facility

    $101.15

    $54.92 higher than Wyoming** for the office setting.

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

    California · 40808

    Office

    $221.55

    Facility

    $100.99

    $54.76 higher than Wyoming** for the office setting.

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

    California · 40808

    Office

    $226.72

    Facility

    $103.42

    $59.93 higher than Wyoming** for the office setting.

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

    California · 40808

    Office

    $226.07

    Facility

    $102.77

    $59.28 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 40808

    Office

    $184.38

    Facility

    $86.99

    $17.59 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 40808

    Office

    $194.34

    Facility

    $90.45

    $27.55 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 40808

    Office

    $188.25

    Facility

    $88.55

    $21.46 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 40808

    Office

    $196.33

    Facility

    $91.33

    $29.54 higher than Wyoming** for the office setting.

  • Stockton

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Vallejo

    California · 40808

    Office

    $208.73

    Facility

    $96.03

    $41.94 higher than Wyoming** for the office setting.

  • Visalia

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Yuba City

    California · 40808

    Office

    $178.83

    Facility

    $85.11

    $12.04 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 40808

    Office

    $175.66

    Facility

    $84.69

    $8.87 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 40808

    Office

    $179.62

    Facility

    $87.53

    $12.83 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 40808

    Office

    $166.15

    Facility

    $81.67

    $0.64 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 40808

    Office

    $173.47

    Facility

    $86.85

    $6.68 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 40808

    Office

    $164.67

    Facility

    $82.93

    $2.12 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 40808

    Office

    $171.12

    Facility

    $84.24

    $4.33 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 40808

    Office

    $154.94

    Facility

    $78.67

    $11.85 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 40808

    Office

    $183.75

    Facility

    $86.53

    $16.96 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 40808

    Office

    $154.20

    Facility

    $75.96

    $12.59 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 40808

    Office

    $155.20

    Facility

    $76.54

    $11.59 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 40808

    Office

    $162.41

    Facility

    $83.74

    $4.38 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 40808

    Office

    $159.39

    Facility

    $81.33

    $7.40 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 40808

    Office

    $175.35

    Facility

    $87.53

    $8.56 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 40808

    Office

    $156.17

    Facility

    $76.90

    $10.62 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 40808

    Office

    $153.28

    Facility

    $75.98

    $13.51 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 40808

    Office

    $153.26

    Facility

    $77.25

    $13.53 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 40808

    Office

    $161.02

    Facility

    $80.55

    $5.77 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 40808

    Office

    $152.95

    Facility

    $77.27

    $13.84 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 40808

    Office

    $193.97

    Facility

    $91.87

    $27.18 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 40808

    Office

    $174.45

    Facility

    $84.42

    $7.66 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 40808

    Office

    $179.10

    Facility

    $87.35

    $12.31 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 40808

    Office

    $169.51

    Facility

    $82.98

    $2.72 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 40808

    Office

    $155.90

    Facility

    $77.23

    $10.89 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 40808

    Office

    $165.12

    Facility

    $80.38

    $1.67 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 40808

    Office

    $166.69

    Facility

    $84.18

    $0.10 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 40808

    Office

    $157.36

    Facility

    $79.30

    $9.43 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 40808

    Office

    $168.46

    Facility

    $80.48

    $1.67 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 40808

    Office

    $160.01

    Facility

    $79.72

    $6.78 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 40808

    Office

    $161.81

    Facility

    $80.41

    $4.98 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 40808

    Office

    $150.05

    Facility

    $76.34

    $16.74 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 40808

    Office

    $148.82

    Facility

    $75.20

    $17.97 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 40808

    Office

    $168.00

    Facility

    $82.49

    $1.21 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 40808

    Office

    $157.66

    Facility

    $77.88

    $9.13 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 40808

    Office

    $165.23

    Facility

    $79.72

    $1.56 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 40808

    Office

    $155.14

    Facility

    $76.22

    $11.65 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 40808

    Office

    $172.72

    Facility

    $83.71

    $5.93 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 40808

    Office

    $191.15

    Facility

    $91.97

    $24.36 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 40808

    Office

    $181.71

    Facility

    $88.34

    $14.92 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 40808

    Office

    $158.22

    Facility

    $79.81

    $8.57 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 40808

    Office

    $167.35

    Facility

    $81.76

    $0.56 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 40808

    Office

    $198.62

    Facility

    $96.96

    $31.83 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 40808

    Office

    $182.80

    Facility

    $89.17

    $16.01 higher than Wyoming** for the office setting.

  • Queens

    New York · 40808

    Office

    $195.78

    Facility

    $94.71

    $28.99 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 40808

    Office

    $160.15

    Facility

    $78.92

    $6.64 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 40808

    Office

    $156.80

    Facility

    $78.73

    $9.99 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 40808

    Office

    $153.13

    Facility

    $76.78

    $13.66 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 40808

    Office

    $181.70

    Facility

    $86.71

    $14.91 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 40808

    Office

    $166.10

    Facility

    $80.94

    $0.69 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 40808

    Office

    $174.82

    Facility

    $85.81

    $8.03 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 40808

    Office

    $157.15

    Facility

    $78.66

    $9.64 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 40808

    Office

    $169.36

    Facility

    $82.91

    $2.57 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 40808

    Office

    $172.41

    Facility

    $84.09

    $5.62 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 40808

    Office

    $157.48

    Facility

    $78.47

    $9.31 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 40808

    Office

    $164.90

    Facility

    $79.40

    $1.89 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 40808

    Office

    $154.08

    Facility

    $76.35

    $12.71 lower than Wyoming** for the office setting.

  • Austin

    Texas · 40808

    Office

    $175.04

    Facility

    $84.57

    $8.25 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 40808

    Office

    $156.04

    Facility

    $78.23

    $10.75 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 40808

    Office

    $166.09

    Facility

    $81.35

    $0.70 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 40808

    Office

    $167.13

    Facility

    $81.97

    $0.34 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 40808

    Office

    $165.90

    Facility

    $81.59

    $0.89 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 40808

    Office

    $166.57

    Facility

    $81.66

    $0.22 lower than Wyoming** for the office setting.

  • Houston

    Texas · 40808

    Office

    $169.13

    Facility

    $84.22

    $2.34 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 40808

    Office

    $160.96

    Facility

    $79.82

    $5.83 lower than Wyoming** for the office setting.

  • Utah

    Utah · 40808

    Office

    $159.77

    Facility

    $79.40

    $7.02 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 40808

    Office

    $164.43

    Facility

    $80.38

    $2.36 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 40808

    Office

    $169.36

    Facility

    $82.91

    $2.57 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 40808

    Office

    $164.40

    Facility

    $79.75

    $2.39 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 40808

    Office

    $174.18

    Facility

    $84.14

    $7.39 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 40808

    Office

    $198.20

    Facility

    $93.28

    $31.41 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 40808

    Office

    $159.34

    Facility

    $77.43

    $7.45 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 40808

    Office

    $153.09

    Facility

    $78.78

    $13.70 lower than Wyoming** for the office setting.

See how rates vary across the country

40808 · 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.

$147.51

$202.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$191.341
AL$149.821
AR$147.511
AZ$163.331
CA$178.83–$226.7229
CO$175.661
CT$179.621
DC$193.381
DE$166.151
FL$164.67–$180.463
GA$154.94–$171.122
GU$183.751
HI$183.751
IA$154.201
ID$155.201
IL$159.39–$175.354
IN$156.171
KS$153.281
KY$153.261
LA$152.95–$161.022
MA$174.45–$193.972
MD$169.51–$193.383
ME$155.90–$165.122
MI$157.36–$166.692
MN$168.461
MO$150.05–$161.813
MS$148.821
MT$168.001
NC$157.661
ND$165.231
NE$155.141
NH$172.721
NJ$181.71–$191.152
NM$158.221
NV$167.351
NY$160.15–$198.625
OH$156.801
OK$153.131
OR$166.10–$181.702
PA$157.15–$174.822
PR$169.361
RI$172.411
SC$157.481
SD$164.901
TN$154.081
TX$156.04–$175.048
UT$159.771
VA$164.43–$193.382
VI$169.361
VT$164.401
WA$174.18–$198.202
WI$159.341
WV$153.091
WY$166.791

Explore 40808 on the national rate map →

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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 40808 in Wyoming**, the physician’s office rate is $166.79 and the facility-setting rate is $81.28: a difference of $85.51.

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 40808 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$183.47

$166.79 × 110% = $183.47

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 40808 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

4,862

Code
40808
Physician work
1.02
Practice expense
3.87
Malpractice
0.14

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 40808 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0001.0200
Practice expense3.87× 1.0003.8700
Malpractice0.14× 0.7400.1036
Total RVUs4.9936
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$166.79

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 40808 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.021
Practice expense3.871
Malpractice0.140.74

(1.02 × 1 + 3.87 × 1 + 0.14 × 0.74) × $33.4009 = $166.79

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.021
Practice expense1.311
Malpractice0.140.74

(1.02 × 1 + 1.31 × 1 + 0.14 × 0.74) × $33.4009 = $81.28

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

40808 · Office / nonfacility

$166.79

Effective 2026-10-01

The base rate is $4.54 higher than on 2025-10-01, moving from $162.25 to $166.79 (2.8%).

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

    $162.25changed to$166.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.05 changed to 1.02
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $162.25

    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$166.79$81.28RVU26D
2026-07-01$166.79$81.28RVU26C
2026-04-01$166.79$81.28RVU26B
2026-01-01$166.79$81.28RVU26A
2025-10-01$162.25$87.21RVU25D
2025-07-01$162.25$87.21RVU25C
2025-04-01$162.25$87.21RVU25B
2025-01-01$162.25$87.21RVU25A

40808 billing questions

How is 40808 different from 40810?

40808 is for tissue sampling of a vestibular lesion. Choose an excision code such as 40810 when the service removes the lesion rather than taking a biopsy sample.

Can the pathology examination be billed separately?

The biopsy code represents the clinician’s tissue-sampling procedure. The laboratory or pathologist may separately report the appropriate examination of the submitted specimen.

Should modifier 50 be appended for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for 40808; modifier 50 should not be used for this service.

Are related follow-up visits included?

Yes. The code has a 10-day global period, which includes related postoperative visits during that period.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 40808. Co-surgeons and team surgery are not permitted for this code.

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 40808PPRRVU2026_Oct_nonQPP.csv, line 4,862 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet