Billing code 41828Medicare rate & RVUs in Utah

Compare 41828 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20261 payment locality20 Medicare services in 2024

Medicare pays $362.01 for 41828 in the office in Utah (Utah). Which amount applies depends on the service address.

$362.01Office (non-facility)
$193.73Hospital 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 41828 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Utah
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

41828 in Utah

41828 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$362.01$193.73

How the 41828 rate is calculated

Each of 41828’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 · 41828

RVUs × geographic indexes × conversion factor

Work3.06

3.06 RVUs× 1.000 GPCI

Practice expense7.74

7.74 RVUs× 1.000 GPCI

Malpractice0.56

0.56 RVUs× 1.000 GPCI

Adjusted RVUs

11.3600

Conversion factor

$33.4009

Medicare rate

$379.43

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 41828

41828 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41828

Code 41828

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 · 41828

Code 41828

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

41828 without 51 · national office

$379.43

41828-51 · Second procedure: 50%

$189.72

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

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 41828PPRRVU2026_Oct_nonQPP.csv, line 4,970 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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