Billing code 40840Medicare rate & RVUs in Florida

Compare 40840 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20263 payment localities165 Medicare services in 2024

Medicare pays $882.54–$975.05 for 40840 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$882.54–$975.05Office (non-facility)

$576.32–$641.61Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 5 sections

Rate in Florida
By payment locality
How it’s calculated
Payment rules
Sources

Where 40840 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

3 payment localities

$882.54 to $975.05

One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

40840 office and facility rates by payment locality
Payment locality	Office	Facility
Fort Lauderdale	$927.18	$602.70
Miami	$975.05	$641.61
Rest Of Florida	$882.54	$576.32

How the 40840 rate is calculated

Each of 40840’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 40840

RVUs × geographic indexes × conversion factor

Your ZIP

Work8.92

8.92 RVUs× 1.000 GPCI

Practice expense16.17

16.17 RVUs× 1.000 GPCI

Malpractice1.36

1.36 RVUs× 1.000 GPCI

Adjusted RVUs

26.4500

Conversion factor

$33.4009

Medicare rate

$883.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 40840

40840 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 40840

Code 40840

Rule	CMS value	What it means
Global period	090	Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures	2	Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)	0	The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)	2	Paid.
Co-surgeons (62)	0	Not permitted.
Team surgery (66)	0	Not permitted.
Professional/technical	0	Physician service: no professional/technical split.
Split (54/55/56)	0.09/0.81/0.10	Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 40840

Code 40840

Date of surgery

Date of a later visit

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

24Unrelated E/M visit by the same physician
79Unrelated procedure (starts its own global period)
58Staged, more extensive, or therapy procedure that was planned
78Unplanned return to the operating room for a related complication

SurgeryVisit

Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

40840 without 51 · national office

$883.45

40840-51 · Second procedure: 50%

$441.73

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate

RVUs for 40840PPRRVU2026_Oct_nonQPP.csv, line 4,872 (RVU26D)

4,86940820,,Treatment of mouth lesion,A,,1.31,6.09,,3.13,,0.15,7.55,4.59,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87040830,,Repair mouth laceration,A,,1.77,4.94,,2.15,,0.23,6.94,4.15,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87140831,,Repair mouth laceration,A,,2.51,6.51,,2.94,,0.34,9.36,5.79,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87240840,,Reconstruction of mouth,R,,8.92,16.17,,6.58,,1.36,26.45,16.86,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87340842,,Reconstruction of mouth,R,,8.92,14.84,,6.05,,1.33,25.09,16.30,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87440843,,Reconstruction of mouth,R,,12.47,23.96,,8.52,,2.32,38.75,23.31,0,090,0.09,0.81,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,87540844,,Reconstruction of mouth,R,,16.38,29.14,,12.31,,3.04,48.56,31.73,0,090,0.09,0.81,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Open CMS source How we calculate rates

Fee sheets

Put 40840 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheet Or price your code list free →

Where 40840 pays more and less in Florida

How the 40840 rate is calculated

Payment rules and modifiers for 40840

What modifiers do to the payment

Where these rates come from

Did this answer your question about what 40840 pays in Florida?

Put 40840 and the rest of your codes on one sheet