$387.56
Both concern drainage of a tongue collection, but 41008 is for access through the mouth and 41009 for an external approach.
On this page
CMS RVU26D · Effective 2026-10-01
41008 Tongue drainage Medicare reimbursement rates in Mississippi
Reports incision and drainage of a collection involving the tongue when the surgeon reaches the site through the mouth. Compare 41008 office and facility rates across CMS payment localities in Mississippi.
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 41008 in Mississippi?
Mississippi 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
$370.54
1 of 1 localities have a supported rate.
Payment area: Mississippi
One mapped payment locality.
Facility setting
$224.45
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 41008: Intraoral tongue collection drainage
Reports incision and drainage of a collection involving the tongue when the surgeon reaches the site through the mouth.
This procedure drains a localized collection, such as an abscess, cyst, or hematoma, involving the tongue through an incision made from inside the mouth. Oral and maxillofacial surgeons and other qualified surgeons may perform it in an operating room or another setting equipped for the procedure. The operative note should identify the tongue as the treated site and describe the intraoral route and drainage performed.
Choose this code when the collection is in the tongue and is accessed intraorally; a different site or an external approach points to a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. 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 41008
- 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
- 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 RVU3.37 · 27%
- Practice expense (office) RVU8.55 · 69%
- Malpractice RVU0.49 · 4%
220
Medicare services in 2024 · #4237 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.
41008 compared with similar codes
Office rates for Mississippi, from the same CMS release.
$142.57
41008 identifies a tongue collection. Use 41000 when the collection involves dentoalveolar structures instead.
$204.30
41005 concerns drainage at the floor of the mouth through a sublingual approach; 41008 concerns a tongue collection reached intraorally.
Compare 41008 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
Mississippi →
Office / nonfacility
$370.54
Facility
$224.45
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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 41008 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
4,886
- Code
- 41008
- Physician work
- 3.37
- Practice expense
- 8.55
- Malpractice
- 0.49
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.37 | × 1.000 | 3.3700 |
| Practice expense | 8.55 | × 0.861 | 7.3616 |
| Malpractice | 0.49 | × 0.739 | 0.3621 |
| Total RVUs | 11.0937 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Mississippi$370.54
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.37 | 1 |
| Practice expense | 8.55 | 0.861 |
| Malpractice | 0.49 | 0.739 |
(3.37 × 1 + 8.55 × 0.861 + 0.49 × 0.739) × $33.4009 = $370.54
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.37 | 1 |
| Practice expense | 3.47 | 0.861 |
| Malpractice | 0.49 | 0.739 |
(3.37 × 1 + 3.47 × 0.861 + 0.49 × 0.739) × $33.4009 = $224.45
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.
41008 billing questions
When should this code be chosen over 41009?
Use 41008 for drainage of a tongue collection reached through the mouth. Code 41009 is the related alternative for an external approach.
Does this code cover drainage of a tooth-related abscess?
No. When the treated collection is in dentoalveolar structures rather than the tongue, consider 41000.
What should the operative note identify?
Document the tongue as the site, the intraoral route, and the incision and drainage performed. This supports distinguishing the service from drainage at another oral site or by an external approach.
Can modifier 50 be used?
No. The code's descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
When is assistant-at-surgery payment allowed?
Payment for an assistant at surgery requires documentation of 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.
4,88341005,,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
4,88741009,,Drainage of mouth lesion,A,,3.62,8.86,,3.81,,0.48,12.96,7.91,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8884100F,,Biphos thxpy vein ord/recvd,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
4,88941010,,Incision of tongue fold,A,,1.08,5.07,,1.83,,0.16,6.31,3.07,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974