Billing code 41806: Jaw foreign-body removalMedicare rate & RVUs in Ohio

Removal of a retained object embedded in maxillary or mandibular bone, reported when treatment targets the jawbone rather than adjacent gum tissue.

CMS RVU26DEffective Oct 1, 20261 payment locality46 Medicare services in 2024

Medicare pays $398.29 for 41806 in the office in Ohio (Ohio). Which amount applies depends on the service address.

$398.29Office (non-facility)
$248.86Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 41806 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 41806 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 41806 covers

This service removes a retained object embedded in the upper or lower jawbone. An oral and maxillofacial surgeon or another qualified clinician may perform it in an office or facility setting, depending on the object’s location and the access required. The defining feature is that the object is in bone, not merely in the gum or another soft-tissue area of the mouth.

Report the code when the operative record supports removal from jawbone. Document the object, its precise location, the procedure performed, and findings that establish the bony site. Related postoperative visits during the 10-day global period are included. If multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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.

41806 in Ohio

41806 office and facility rates by payment locality
Payment localityOfficeFacility
Ohio$398.29$248.86

How the 41806 rate is calculated

Each of 41806’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 41806

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.72Practice expense 9.64Malpractice 0.40

12.7600 adjusted RVUs×$33.4009 conversion factor=$426.20

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 41806

41806 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41806

Jaw foreign-body removal

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 41806

Jaw foreign-body removal

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41806 without 51 · national office

$426.20

Jaw foreign-body removal

41806-51 · Second procedure: 50%

$213.10

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

41806 compared with similar codes

Compare codes

41806 vs 41805 vs 40804 vs 41899: national Medicare rates

Swap in your local Medicare rate.

  • 41806
    Jaw foreign-body removal · 2.72 wRVU
    $426.20
  • 41805
    Foreign body removal · 1.31 wRVU
    $318.98−$107.22
  • 40804
    Foreign body removal · 1.27 wRVU
    $209.09−$217.11
  • 41899
    · 0 wRVU
    —

How to choose

41805Foreign body removal
The key distinction is the site: 41806 is for an object embedded in jawbone, while 41805 is for one in gum tissue.
40804Foreign body removal
Code 40804 concerns a foreign body in the mouth’s vestibule. Choose 41806 when the object is embedded in the maxilla or mandible.
41899Unlisted px dentalvlr strux
Use 41806 when it specifically describes removal from jawbone. Consider 41899 only when the dentoalveolar service lacks a specific code.

41806 billing questions

How is this distinguished from 41805?

Use 41806 when the object is embedded in jawbone. Code 41805 applies when the object is in gum tissue.

What documentation supports reporting this code?

Document the object and its specific location in the maxilla or mandible, along with the removal performed and findings supporting the bony site.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure.

Should modifier 50 be used for objects on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 41806PPRRVU2026_Oct_nonQPP.csv, line 4,960 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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