$250.20–$263.48
41005 is for drainage through a lingual approach to a tongue or floor-of-mouth collection. Choose 41015 when the documented route is external.
On this page
CMS RVU26D · Effective 2026-10-01
41015 Mouth lesion drainage Medicare reimbursement rates in New Jersey
Reports surgical drainage of an abscess, cyst, or hematoma in the floor of the mouth when the surgeon reaches the collection through an external incision. Compare 41015 office and facility rates across CMS payment localities in New Jersey.
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 41015 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$441.43–$461.90
2 of 2 localities have a supported rate.
Facility setting
$298.81–$310.41
2 of 2 localities have a supported rate.
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 41015: Extraoral drainage of floor-of-mouth collection
Reports surgical drainage of an abscess, cyst, or hematoma in the floor of the mouth when the surgeon reaches the collection through an external incision.
This service drains a collection in the floor of the mouth through an incision made outside the mouth. Oral and maxillofacial surgeons and other surgeons treating deep oral infections may perform it, commonly in a facility when the collection requires external access. The operative report should identify the floor-of-mouth site and document the external approach and drainage performed; the code is distinguished from procedures that reach a collection through the oral cavity or target another space.
Report the service for the documented site and approach, not simply because a patient has an oral abscess. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 41015
- 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 RVU3.98 · 32%
- Practice expense (office) RVU7.86 · 64%
- Malpractice RVU0.45 · 4%
87
Medicare services in 2024 · #4983 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.
41015 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$375.55–$393.16
41006 describes a sublingual approach to a tongue or floor-of-mouth collection; 41015 describes external access.
$362.30–$379.34
41007 targets a submandibular-space collection. Use 41015 for a floor-of-mouth collection drained through an external incision.
$516.02–$540.66
41017 is for extraoral drainage of a masticator-space collection. The documented collection site, rather than the external route alone, separates it from 41015.
Compare 41015 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
$461.90
Facility
$310.41
Rest Of New Jersey →
Office / nonfacility
$441.43
Facility
$298.81
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41015 billing questions
When is this code chosen over an intraoral drainage code?
Use it when the operative documentation identifies a floor-of-mouth collection and the surgeon drains it through an external incision. Drainage reached through the mouth is coded to the applicable intraoral service.
How is this distinguished from 41007?
The distinction is the documented target and approach: 41015 describes external access to a floor-of-mouth collection, while 41007 is for drainage of a submandibular-space collection.
What should the operative report document?
Document the collection's anatomic site, the external route of access, and the drainage performed. A general diagnosis of mouth abscess without the site and approach is not enough to establish this specific service.
Can modifier 50 be used for bilateral drainage?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor and anatomy.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires medical-necessity documentation.
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.
4,88741009,,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
4,89041015,,Drainage of mouth lesion,A,,3.98,7.86,,3.95,,0.45,12.29,8.38,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89141016,,Drainage of mouth lesion,A,,4.09,9.83,,5.09,,0.56,14.48,9.74,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89241017,,Drainage of mouth lesion,A,,4.09,9.70,,4.98,,0.55,14.34,9.62,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89341018,,Drainage of mouth lesion,A,,5.09,10.62,,5.42,,0.71,16.42,11.22,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00