CPT 41805
Global 010 ActiveRemoval foreign body gum
CPT 41805 Billing & Documentation Guide
CPT code 41805 (Removal foreign body gum) is classified under Surgery (Digestive) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.31, a non-facility practice expense RVU of 8.05, and a malpractice RVU of 0.19, a total non-facility RVU of 9.55 and facility RVU of 5.74. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $330.69, though rates vary from $277.99 to $439.69 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 41805, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 41805 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 41805 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 41805
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.31 | 1.31 |
| Practice Expense RVU | 8.05 | 4.24 |
| Malpractice RVU | 0.19 | 0.19 |
| Total RVU | 9.55 | 5.74 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 41805
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $366.92 | $216.34 | $342.59 - $439.69 | 29 |
| Florida | $325.88 | $198.2 | $310.34 - $339.71 | 3 |
| Georgia | $307.93 | $186.52 | $291.16 - $324.69 | 2 |
| Illinois | $315.84 | $192.88 | $299.16 - $331.44 | 4 |
| Michigan | $305.16 | $185.67 | $296.4 - $313.92 | 2 |
| North Carolina | $298.67 | $179.94 | $298.67 - $298.67 | 1 |
| New York | $354.42 | $212.45 | $303.65 - $378.04 | 5 |
| Ohio | $295.64 | $179.45 | $295.64 - $295.64 | 1 |
| Pennsylvania | $314.29 | $189.65 | $296.58 - $332.01 | 2 |
| Texas | $314.6 | $189.32 | $294.33 - $333.94 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 41805
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 41805 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00170 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 41805
What does CPT code 41805 mean? +
CPT code 41805 represents: Removal foreign body gum. It's in the Surgery (Digestive) category with a global period of 010.
What is the Medicare reimbursement for CPT 41805? +
The 2026 Medicare national average non-facility payment for CPT 41805 is $330.69. Rates range from $277.99 to $439.69 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 41805? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 41805? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team