$228.61
Choose 41005 when the drained collection is in the tongue; choose 41000 for a collection in the floor of the mouth.
On this page
CMS RVU26D · Effective 2026-10-01
41000 Oral abscess drainage Medicare reimbursement rates in Delaware
Reports intraoral drainage of an abscess, cyst, or hematoma in the floor of the mouth, rather than a collection at another oral site. Compare 41000 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 41000 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$157.62
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$101.85
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Oral surgery
About 41000: Intraoral floor-of-mouth abscess drainage
Reports intraoral drainage of an abscess, cyst, or hematoma in the floor of the mouth, rather than a collection at another oral site.
This procedure drains a localized collection in the floor of the mouth through an intraoral approach. The collection may be an abscess, cyst, or hematoma. Oral and maxillofacial surgeons, dentists, and other qualified physicians may perform it in an office, outpatient department, or operating room, depending on the patient’s condition and the extent of the infection or collection. The documented site and route distinguish this service from drainage involving the tongue, vestibule, or extraoral neck spaces.
Report the service when the clinician actually drains a collection at the floor of the mouth; documentation should identify the site, the nature of the collection when known, and the intraoral approach. Related postoperative visits during the 10-day global period are included. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 41000
- 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 RVU1.32 · 28%
- Practice expense (office) RVU3.27 · 69%
- Malpractice RVU0.18 · 4%
70
Medicare services in 2024 · #5145 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.
41000 compared with similar codes
Office rates for Delaware, from the same CMS release.
$345.57
41006 identifies drainage in the vestibule of the mouth. The floor of the mouth is the site for 41000.
$333.34
41007 is for a collection in the submandibular space approached externally; 41000 is for intraoral drainage from the floor of the mouth.
Compare 41000 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
$157.62
Facility
$101.85
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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 41000 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,882
- Code
- 41000
- Physician work
- 1.32
- Practice expense
- 3.27
- Malpractice
- 0.18
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.32 | × 1.005 | 1.3266 |
| Practice expense | 3.27 | × 0.988 | 3.2308 |
| Malpractice | 0.18 | × 0.899 | 0.1618 |
| Total RVUs | 4.7192 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$157.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1.005 |
| Practice expense | 3.27 | 0.988 |
| Malpractice | 0.18 | 0.899 |
(1.32 × 1.005 + 3.27 × 0.988 + 0.18 × 0.899) × $33.4009 = $157.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1.005 |
| Practice expense | 1.58 | 0.988 |
| Malpractice | 0.18 | 0.899 |
(1.32 × 1.005 + 1.58 × 0.988 + 0.18 × 0.899) × $33.4009 = $101.85
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.
41000 billing questions
How is this distinguished from drainage of a tongue abscess?
Use 41000 for a collection in the floor of the mouth. A collection centered in the tongue is reported with 41005.
Does the intraoral approach matter?
Yes. This code describes drainage from the floor of the mouth through an intraoral approach; document both the site and route.
Can modifier 50 be used for collections on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing are not permitted.
What happens if other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the 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.
4,87940899,,Unlisted px vestibule mouth,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8804090F,,Pt rcvng epo thxpy,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
4,8814095F,,Pt not rcvng epo thxpy,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
4,88241000,,Drainage of mouth lesion,A,,1.32,3.27,,1.58,,0.18,4.77,3.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,88341005,,Drainage of mouth lesion,A,,1.28,5.48,,1.91,,0.16,6.92,3.35,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,88441006,,Drainage of mouth lesion,A,,3.26,6.81,,2.81,,0.38,10.45,6.45,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,88541007,,Drainage of mouth lesion,A,,3.12,6.60,,2.70,,0.36,10.08,6.18,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503