# CPT 40490: Biopsy of lip

Medicare CPT 40490 pays $120.24 in a non-facility setting and $56.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.51 in Arkansas to $143.29 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/40490-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $120.24 |
| National facility | $56.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $143.29 | $74.99 |
| District of Columbia | $136.46 | $60.91 |
| California | $133.85 | $57.97 |
| New York | $132.41 | $60.87 |
| New Jersey | $132.26 | $60.05 |
| Washington | $131.36 | $58.25 |
| Massachusetts | $130.20 | $58.15 |
| Hawaii | $129.03 | $56.12 |
| Connecticut | $127.77 | $58.70 |
| Colorado | $124.74 | $56.50 |
| Maryland | $124.32 | $57.47 |
| Florida | $124.29 | $59.95 |
| Oregon | $123.55 | $55.99 |
| Rhode Island | $123.09 | $56.84 |
| New Hampshire | $122.88 | $56.12 |
| Illinois | $121.45 | $59.48 |
| Puerto Rico | $121.02 | $56.19 |
| Virgin Islands | $121.02 | $56.19 |
| Montana | $120.24 | $56.11 |
| Nevada | $119.65 | $55.46 |
| Minnesota | $119.64 | $53.65 |
| Pennsylvania | $119.31 | $56.50 |
| Wyoming | $119.20 | $55.07 |
| Delaware | $119.12 | $55.76 |
| Texas | $118.99 | $55.85 |
| North Dakota | $117.86 | $53.73 |
| Virginia | $117.76 | $54.73 |
| South Dakota | $117.58 | $53.45 |
| Georgia | $117.57 | $56.40 |
| Vermont | $117.50 | $54.01 |
| Arizona | $117.29 | $55.15 |
| Michigan | $117.22 | $57.00 |
| Maine | $115.35 | $54.07 |
| Utah | $115.25 | $54.96 |
| New Mexico | $114.70 | $55.89 |
| Wisconsin | $114.26 | $52.82 |
| Missouri | $113.88 | $55.03 |
| South Carolina | $113.83 | $54.57 |
| Louisiana | $113.78 | $55.23 |
| North Carolina | $113.67 | $53.84 |
| Ohio | $113.62 | $55.07 |
| Indiana | $112.60 | $53.15 |
| Idaho | $112.01 | $53.01 |
| West Virginia | $111.95 | $56.22 |
| Nebraska | $111.86 | $52.67 |
| Tennessee | $111.43 | $53.13 |
| Kentucky | $111.41 | $54.40 |
| Iowa | $111.32 | $52.65 |
| Oklahoma | $111.17 | $53.90 |
| Kansas | $110.91 | $52.94 |
| Alabama | $108.94 | $52.83 |
| Mississippi | $108.57 | $53.35 |
| Arkansas | $107.51 | $52.43 |

## Related codes

- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule
- 42825: Tonsillectomy alone, under age 12 — https://www.med-reveal.com/rates/42825-cpt-fee-schedule

Commercial negotiated rates for 40490 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules