$352.37
Use 41800 when the service is drainage of a gum lesion. Use 41826 when the clinician surgically excises the lesion.
On this page
CMS RVU26D · Effective 2026-10-01
41826 Gum lesion excision Medicare reimbursement rates in Nebraska
Reports surgical removal of a lesion arising in the gum, with documentation identifying the site and excision performed rather than drainage or foreign-body removal. Compare 41826 office and facility rates across CMS payment localities in Nebraska.
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 41826 in Nebraska?
Nebraska 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
$277.92
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$166.01
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 41826: Gum lesion excision
Reports surgical removal of a lesion arising in the gum, with documentation identifying the site and excision performed rather than drainage or foreign-body removal.
A dentist, oral surgeon, or other qualified clinician uses this service to surgically remove a lesion arising in gingival tissue. It may be performed in an office or facility when a localized gum growth or abnormal area is excised. The operative record should identify the gum site, describe the lesion and the tissue removal, and note specimen handling when tissue is submitted for examination.
Select 41826 for the documented gum-lesion excision, not for draining a gum lesion or removing a foreign body. Record the operative details that establish the service performed; do not rely on the diagnosis alone to distinguish excision from another procedure. Medicare assigns a 10-day global period, so related postoperative visits during that 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 41826
- 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
- 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 RVU2.35 · 26%
- Practice expense (office) RVU6.35 · 71%
- Malpractice RVU0.29 · 3%
548
Medicare services in 2024 · #3472 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.
41826 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$294.33
Use 41805 for removal of a foreign body from gingiva; 41826 describes excision of a gum lesion.
41820
No office rateExcision gum each quadrant
41820 describes gum excision by quadrant. 41826 is reported for the documented gum-lesion excision, not simply because tissue removal occurred.
Compare 41826 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
Nebraska →
Office / nonfacility
$277.92
Facility
$166.01
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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 41826 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,968
- Code
- 41826
- Physician work
- 2.35
- Practice expense
- 6.35
- Malpractice
- 0.29
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.35 | × 1.000 | 2.3500 |
| Practice expense | 6.35 | × 0.923 | 5.8610 |
| Malpractice | 0.29 | × 0.378 | 0.1096 |
| Total RVUs | 8.3207 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$277.92
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.35 | 1 |
| Practice expense | 6.35 | 0.923 |
| Malpractice | 0.29 | 0.378 |
(2.35 × 1 + 6.35 × 0.923 + 0.29 × 0.378) × $33.4009 = $277.92
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.35 | 1 |
| Practice expense | 2.72 | 0.923 |
| Malpractice | 0.29 | 0.378 |
(2.35 × 1 + 2.72 × 0.923 + 0.29 × 0.378) × $33.4009 = $166.01
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.
41826 billing questions
How is 41826 different from drainage of a gum lesion?
41826 describes excision of gum tissue containing a lesion. Report 41800 when the service is drainage rather than surgical excision.
Can 41826 be reported for removing a foreign body from the gum?
No. Code 41805 describes removal of a foreign body from the gingiva; 41826 is for excising a gum lesion.
How does 41826 differ from 41820?
41826 is for a gum lesion excision. Code 41820 describes gum excision by quadrant, so select according to the documented procedure rather than treating the codes as interchangeable.
Are related postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in 41826’s minor-procedure global period.
Can modifier 50 be used when lesions are removed from both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Document the actual sites and services performed.
What documentation supports reporting 41826?
The operative note should identify the gum site, describe the lesion and excision, and record specimen handling when tissue is submitted.
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.
4,96541822,,Excision of gum lesion,R,,2.35,8.66,,2.86,,0.43,11.44,5.64,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,96641823,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068