$389.32
The deciding factor is the foreign body’s location: 41805 is for gingival tissue, while 41806 is for jawbone.
On this page
CMS RVU26D · Effective 2026-10-01
41805 Foreign body removal Medicare reimbursement rates in Kentucky
Removal of a retained object from gingival tissue, reported when the object is in the gum rather than the jawbone or a gum lesion. Compare 41805 office and facility rates across CMS payment localities in Kentucky.
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 41805 in Kentucky?
Kentucky 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
$288.59
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$175.46
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 41805: Removal of foreign body from gum
Removal of a retained object from gingival tissue, reported when the object is in the gum rather than the jawbone or a gum lesion.
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.
CMS billing rules for 41805
- 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 RVU1.31 · 14%
- Practice expense (office) RVU8.05 · 84%
- Malpractice RVU0.19 · 2%
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 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$345.70
41800 describes drainage of a gum lesion. Choose 41805 when the service removes a foreign object from the gum.
41822
No office rateExcision of gum lesion
41822 is for excision of a gum lesion, not removal of a retained foreign object from gingival tissue.
Compare 41805 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
Kentucky →
Office / nonfacility
$288.59
Facility
$175.46
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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 41805 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,959
- Code
- 41805
- Physician work
- 1.31
- Practice expense
- 8.05
- Malpractice
- 0.19
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.000 | 1.3100 |
| Practice expense | 8.05 | × 0.889 | 7.1565 |
| Malpractice | 0.19 | × 0.915 | 0.1739 |
| Total RVUs | 8.6403 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$288.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 8.05 | 0.889 |
| Malpractice | 0.19 | 0.915 |
(1.31 × 1 + 8.05 × 0.889 + 0.19 × 0.915) × $33.4009 = $288.59
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 4.24 | 0.889 |
| Malpractice | 0.19 | 0.915 |
(1.31 × 1 + 4.24 × 0.889 + 0.19 × 0.915) × $33.4009 = $175.46
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.
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 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.
4,9564178F,,Antid glbln rcvd w/in 26wks,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
4,9574179F,,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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631