$148.68–$162.41
Use 41005 for an intraoral vestibular collection. Use 41000 when the drainage site is the dentoalveolar structures.
On this page
CMS RVU26D · Effective 2026-10-01
41005 Oral drainage Medicare reimbursement rates in Georgia
Reports intraoral incision and drainage of a collection in the mouth vestibule, the space between the cheeks or lips and the gums. Compare 41005 office and facility rates across CMS payment localities in Georgia.
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 41005 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$212.39–$235.27
2 of 2 localities have a supported rate.
Facility setting
$106.03–$114.12
2 of 2 localities have a supported rate.
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 41005: Intraoral vestibular abscess drainage
Reports intraoral incision and drainage of a collection in the mouth vestibule, the space between the cheeks or lips and the gums.
This service opens and drains a localized collection in the oral vestibule through an incision made inside the mouth. The vestibule is the space between the inner cheek or lip and the gum. A typical situation is an infection that has spread into this soft-tissue space; the target is the vestibular collection, rather than drainage confined to the tooth-bearing alveolar structures. Oral and maxillofacial surgeons, dentists, and other physicians who treat oral infections may perform it in an office, clinic, or facility setting.
Select the code based on the collection’s documented location and the intraoral approach. The record should identify the vestibular site, the incision and drainage performed, and relevant findings such as the collection’s contents. Related postoperative visits are included in the 10-day global period. 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 not appropriate for this descriptor and anatomy. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 41005
- 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
- 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 RVU1.28 · 18%
- Practice expense (office) RVU5.48 · 79%
- Malpractice RVU0.16 · 2%
145
Medicare services in 2024 · #4586 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.
41005 compared with similar codes
Office rates for Georgia, from the same CMS release.
$326.91–$355.56
Use 41006 for a collection in the floor of the mouth or the specified associated spaces; 41005 is for the mouth vestibule.
$385.03–$418.12
41015 describes drainage of specified sublingual, submental, or submandibular spaces by an extraoral approach, not intraoral vestibular drainage.
Compare 41005 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$235.27
Facility
$114.12
Rest Of Georgia →
Office / nonfacility
$212.39
Facility
$106.03
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41005 billing questions
How is this different from 41000?
41005 is for a collection in the mouth vestibule, between the cheek or lip and the gum. 41000 is used for drainage involving dentoalveolar structures.
Does the incision have to be made inside the mouth?
Yes. This code describes drainage of a vestibular collection by an intraoral approach.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 be used for drainage on both sides?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
When can an assistant-at-surgery be paid?
Assistant-at-surgery payment is allowed only when the documentation supports medical necessity. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session 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.
4,8804090F,,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
4,88641008,,Drainage of mouth lesion,A,,3.37,8.55,,3.47,,0.49,12.41,7.33,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00