Billing code 41005: Oral drainageMedicare rate & RVUs in Oklahoma
Reports intraoral incision and drainage of a collection in the mouth vestibule, the space between the cheeks or lips and the gums.
Medicare pays $210.36 for 41005 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 41005 covers
This service opens and drains a localized collection in the oral vestibule through an incision made inside the mouth. The vestibule is the space between the inner cheek or lip and the gum. A typical situation is an infection that has spread into this soft-tissue space; the target is the vestibular collection, rather than drainage confined to the tooth-bearing alveolar structures. Oral and maxillofacial surgeons, dentists, and other physicians who treat oral infections may perform it in an office, clinic, or facility setting.
Select the code based on the collection’s documented location and the intraoral approach. The record should identify the vestibular site, the incision and drainage performed, and relevant findings such as the collection’s contents. Related postoperative visits are included in the 10-day global period. 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 not appropriate for this descriptor and anatomy. 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.
41005 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $210.36 | $103.88 |
How the 41005 rate is calculated
Each of 41005’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 · 41005
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.28Practice expense 5.48Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 41005
41005 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41005
Oral drainage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41005
Oral drainage
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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41005 without 51 · national office
$231.13
Oral drainage
41005-51 · Second procedure: 50%
$115.57
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%).
41005 compared with similar codes
Compare codes
41005 vs 41000 vs 41006 vs 41015: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 41000Oral abscess drainage
- Use 41005 for an intraoral vestibular collection. Use 41000 when the drainage site is the dentoalveolar structures.
- 41006Mouth lesion drainage
- Use 41006 for a collection in the floor of the mouth or the specified associated spaces; 41005 is for the mouth vestibule.
- 41015Mouth lesion drainage
- 41015 describes drainage of specified sublingual, submental, or submandibular spaces by an extraoral approach, not intraoral vestibular drainage.
41005 billing questions
How is this different from 41000?
41005 is for a collection in the mouth vestibule, between the cheek or lip and the gum. 41000 is used for drainage involving dentoalveolar structures.
Does the incision have to be made inside the mouth?
Yes. This code describes drainage of a vestibular collection by an intraoral approach.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 be used for drainage on both sides?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
When can an assistant-at-surgery be paid?
Assistant-at-surgery payment is allowed only when the documentation supports medical necessity. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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
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