$353.14
The key distinction is the site: 41806 is for an object embedded in jawbone, while 41805 is for one in gum tissue.
On this page
CMS RVU26D · Effective 2026-10-01
41806 Jaw foreign-body removal Medicare reimbursement rates in Hawaii
Removal of a retained object embedded in maxillary or mandibular bone, reported when treatment targets the jawbone rather than adjacent gum tissue. Compare 41806 office and facility rates across CMS payment localities in Hawaii.
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 41806 in Hawaii?
Hawaii 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
$464.68
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$278.60
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 41806: Foreign-body removal from jawbone
Removal of a retained object embedded in maxillary or mandibular bone, reported when treatment targets the jawbone rather than adjacent gum tissue.
This service removes a retained object embedded in the upper or lower jawbone. An oral and maxillofacial surgeon or another qualified clinician may perform it in an office or facility setting, depending on the object’s location and the access required. The defining feature is that the object is in bone, not merely in the gum or another soft-tissue area of the mouth.
Report the code when the operative record supports removal from jawbone. Document the object, its precise location, the procedure performed, and findings that establish the bony site. Related postoperative visits during the 10-day global period are included. If multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 41806
- 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 RVU2.72 · 21%
- Practice expense (office) RVU9.64 · 76%
- Malpractice RVU0.40 · 3%
46
Medicare services in 2024 · #5404 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.
41806 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$228.38
Code 40804 concerns a foreign body in the mouth’s vestibule. Choose 41806 when the object is embedded in the maxilla or mandible.
41899
No office rateUnlisted px dentalvlr strux
Use 41806 when it specifically describes removal from jawbone. Consider 41899 only when the dentoalveolar service lacks a specific code.
Compare 41806 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
Hawaii, Guam →
Office / nonfacility
$464.68
Facility
$278.60
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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 41806 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,960
- Code
- 41806
- Physician work
- 2.72
- Practice expense
- 9.64
- Malpractice
- 0.40
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.72 | × 1.000 | 2.7200 |
| Practice expense | 9.64 | × 1.137 | 10.9607 |
| Malpractice | 0.40 | × 0.579 | 0.2316 |
| Total RVUs | 13.9123 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$464.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.72 | 1 |
| Practice expense | 9.64 | 1.137 |
| Malpractice | 0.4 | 0.579 |
(2.72 × 1 + 9.64 × 1.137 + 0.4 × 0.579) × $33.4009 = $464.68
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.72 | 1 |
| Practice expense | 4.74 | 1.137 |
| Malpractice | 0.4 | 0.579 |
(2.72 × 1 + 4.74 × 1.137 + 0.4 × 0.579) × $33.4009 = $278.60
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.
41806 billing questions
How is this distinguished from 41805?
Use 41806 when the object is embedded in jawbone. Code 41805 applies when the object is in gum tissue.
What documentation supports reporting this code?
Document the object and its specific location in the maxilla or mandible, along with the removal performed and findings supporting the bony site.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be used for objects on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. 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 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.
4,9574179F,,Tamoxifen/ai prescribed,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
4,95841800,,Drainage of gum lesion,A,,1.24,9.98,,4.16,,0.26,11.48,5.66,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,95941805,,Removal foreign body gum,A,,1.31,8.05,,4.24,,0.19,9.55,5.74,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,96041806,,Removal foreign body jawbone,A,,2.72,9.64,,4.74,,0.40,12.76,7.86,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,9614180F,,Adjv thxpyrxd/rcvd colon ca,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
4,9624181F,,Conformal radn thxpy rcvd,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
4,96341820,,Excision gum each quadrant,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014