Billing code 41805: Foreign body removalMedicare rate & RVUs in Guam
Removal of a retained object from gingival tissue, reported when the object is in the gum rather than the jawbone or a gum lesion.
Medicare pays $353.14 for 41805 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
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 9 sections
What 41805 covers
This service covers removal of a retained foreign object located in gingival tissue. It is typically performed by an oral and maxillofacial surgeon or another clinician qualified to treat the gum, in an office or facility setting. The operative target is the object in the gum; an object located in jawbone is coded separately. The record should establish the object’s gingival location and describe the removal performed.
Report the code for the gum foreign-body removal, not for drainage of a gum lesion or excision of gum tissue when those are the actual services. 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 service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
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.
41805 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $353.14 | $208.45 |
How the 41805 rate is calculated
Each of 41805’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 · 41805
RVUs × geographic indexes × conversion factor
Work1.31
1.31 RVUs× 1.000 GPCI
Practice expense8.05
8.05 RVUs× 1.000 GPCI
Malpractice0.19
0.19 RVUs× 1.000 GPCI
Adjusted RVUs
9.5500
Conversion factor
$33.4009
Medicare rate
$318.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 41805
41805 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41805
Foreign body removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0 | Not paid without supporting documentation. |
| 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41805
Foreign body removal
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41805 without 51 · national office
$318.98
Foreign body removal
41805-51 · Second procedure: 50%
$159.49
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%).
41805 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 41806Jaw foreign-body removal
- The deciding factor is the foreign body’s location: 41805 is for gingival tissue, while 41806 is for jawbone.
- 41800Gum drainage
- 41800 describes drainage of a gum lesion. Choose 41805 when the service removes a foreign object from the gum.
- 41822Excision of gum lesion
- 41822 is for excision of a gum lesion, not removal of a retained foreign object from gingival tissue.
41805 billing questions
How do I distinguish this from removal of a foreign body from jawbone?
Use 41805 when the retained object is in gingival tissue. Use 41806 when the object is located in jawbone.
Is drainage of a gum lesion included?
This code represents removal of a foreign object, not drainage of a gum lesion. Code 41800 describes drainage when that is the service performed.
What documentation supports reporting this code?
Document the foreign object, its location in gingival tissue, and the removal performed. Make the location clear enough to distinguish gum from jawbone.
Are postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the procedure’s global period.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply because modifier 50 is inappropriate for this descriptor and anatomy.
When may an assistant-at-surgery be paid?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
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
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