CPT 41806
Global 010 ActiveRemoval foreign body jawbone
CPT 41806 Billing & Documentation Guide
CPT code 41806 (Removal foreign body jawbone) is classified under Surgery (Digestive) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.72, a non-facility practice expense RVU of 9.64, and a malpractice RVU of 0.4, a total non-facility RVU of 12.76 and facility RVU of 7.86. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $440.18, though rates vary from $374.32 to $572.31 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 41806, 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 41806 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 41806 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 41806
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.72 | 2.72 |
| Practice Expense RVU | 9.64 | 4.74 |
| Malpractice RVU | 0.4 | 0.4 |
| Total RVU | 12.76 | 7.86 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 41806
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 | $482.35 | $288.69 | $452.45 - $572.31 | 29 |
| Florida | $439.92 | $275.71 | $418.75 - $459.82 | 3 |
| Georgia | $414.15 | $258.01 | $393.99 - $434.31 | 2 |
| Illinois | $427.82 | $269.68 | $405.7 - $445.84 | 4 |
| Michigan | $412 | $258.32 | $399.91 - $424.09 | 2 |
| North Carolina | $399.8 | $247.1 | $399.8 - $399.8 | 1 |
| New York | $472.53 | $289.95 | $406.13 - $504.31 | 5 |
| Ohio | $398.29 | $248.86 | $398.29 - $398.29 | 1 |
| Pennsylvania | $421.34 | $261.03 | $399.06 - $443.61 | 2 |
| Texas | $420.76 | $259.63 | $396.27 - $443.53 | 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 41806
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 41806 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 41806
What does CPT code 41806 mean? +
CPT code 41806 represents: Removal foreign body jawbone. It's in the Surgery (Digestive) category with a global period of 010.
What is the Medicare reimbursement for CPT 41806? +
The 2026 Medicare national average non-facility payment for CPT 41806 is $440.18. Rates range from $374.32 to $572.31 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 41806? +
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 41806? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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