$425.45
41827 describes excision of a gum lesion. Use 41800 when the service is drainage rather than excision.
On this page
CMS RVU26D · Effective 2026-10-01
41827 Gum excision Medicare reimbursement rates in Hawaii
Reports surgical removal of a lesion of the gum when excision, rather than drainage or foreign-body removal, is performed. Compare 41827 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 41827 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
$466.73
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$274.57
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 41827: Excision of gum lesion
Reports surgical removal of a lesion of the gum when excision, rather than drainage or foreign-body removal, is performed.
This code describes surgical excision of a lesion involving the gum. It may be performed by an oral and maxillofacial surgeon, dentist, or another qualified clinician in an office or facility setting. The operative report should identify the gingival site, describe the lesion and the excision performed, and distinguish removal of the lesion from drainage or removal of a foreign material.
Choose this code based on the documented procedure and the applicable descriptor, not simply the lesion diagnosis. For nearby gum-lesion excision codes, confirm the specific descriptor before selecting a sibling code. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 41827
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 RVU3.73 · 29%
- Practice expense (office) RVU8.77 · 68%
- Malpractice RVU0.47 · 4%
337
Medicare services in 2024 · #3897 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.
41827 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$353.14
41827 is for excising a lesion; 41805 describes removal of a foreign body from gum tissue.
41820
No office rateExcision gum each quadrant
41820 describes gingival excision by quadrant. Use 41827 for the documented gum-lesion excision service rather than a quadrant-based gingivectomy.
41822
No office rateExcision of gum lesion
Both are gum-lesion excision entries. Compare the exact procedure and descriptor to choose between them; do not treat the codes as interchangeable.
Compare 41827 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
$466.73
Facility
$274.57
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 41827 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,969
- Code
- 41827
- Physician work
- 3.73
- Practice expense
- 8.77
- Malpractice
- 0.47
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.73 | × 1.000 | 3.7300 |
| Practice expense | 8.77 | × 1.137 | 9.9715 |
| Malpractice | 0.47 | × 0.579 | 0.2721 |
| Total RVUs | 13.9736 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$466.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.73 | 1 |
| Practice expense | 8.77 | 1.137 |
| Malpractice | 0.47 | 0.579 |
(3.73 × 1 + 8.77 × 1.137 + 0.47 × 0.579) × $33.4009 = $466.73
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.73 | 1 |
| Practice expense | 3.71 | 1.137 |
| Malpractice | 0.47 | 0.579 |
(3.73 × 1 + 3.71 × 1.137 + 0.47 × 0.579) × $33.4009 = $274.57
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.
41827 billing questions
When should this be reported instead of 41800?
Report 41827 when the gum lesion is surgically excised. Code 41800 describes drainage, rather than excision.
How does this differ from 41805?
41827 is for excision of a gum lesion; 41805 is for removal of a foreign body from gum tissue.
Can modifier 50 be appended for lesions on both sides?
No. Modifier 50 is inappropriate for this code under the CMS bilateral adjustment rule.
Are related postoperative visits separately included?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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.
4,96641823,,Excision of gum lesion,R,,3.68,12.84,,6.32,,0.68,17.20,10.68,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,96741825,,Excision of gum lesion,A,,1.37,4.90,,1.77,,0.18,6.45,3.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,96841826,,Excision of gum lesion,A,,2.35,6.35,,2.72,,0.29,8.99,5.36,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,96941827,,Excision of gum lesion,A,,3.73,8.77,,3.71,,0.47,12.97,7.91,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,97041828,,Excision of gum lesion,R,,3.06,7.74,,2.38,,0.56,11.36,6.00,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,9714182F,,No conformal radn 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
4,97241830,,Removal of gum tissue,R,,3.36,11.12,,4.85,,0.62,15.10,8.83,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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