# CPT 40800: Drainage of abscess, intraoral, simple

Medicare CPT 40800 pays $209.76 in a non-facility setting and $115.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $183.99 in Arkansas to $241.78 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/40800-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $209.76 |
| National facility | $115.90 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $241.78 | $131.21 |
| California | $238.87 | $127.81 |
| Alaska | $238.08 | $138.12 |
| New Jersey | $232.97 | $127.29 |
| Washington | $232.90 | $125.91 |
| New York | $232.58 | $127.87 |
| Massachusetts | $230.36 | $124.91 |
| Hawaii | $230.02 | $123.31 |
| Connecticut | $224.34 | $123.25 |
| Colorado | $219.59 | $119.72 |
| Maryland | $217.68 | $119.83 |
| Oregon | $217.39 | $118.52 |
| New Hampshire | $215.83 | $118.12 |
| Florida | $215.37 | $121.20 |
| Rhode Island | $215.36 | $118.41 |
| Puerto Rico | $211.49 | $116.60 |
| Virgin Islands | $211.49 | $116.60 |
| Minnesota | $210.76 | $114.18 |
| Montana | $209.75 | $115.89 |
| Illinois | $209.22 | $118.53 |
| Nevada | $209.03 | $115.08 |
| Wyoming | $208.37 | $114.51 |
| Delaware | $207.45 | $114.72 |
| Pennsylvania | $207.12 | $115.19 |
| Texas | $207.05 | $114.65 |
| North Dakota | $206.58 | $112.73 |
| South Dakota | $206.21 | $112.35 |
| Vermont | $205.47 | $112.56 |
| Virginia | $205.39 | $113.13 |
| Arizona | $203.89 | $112.95 |
| Georgia | $203.31 | $113.77 |
| Michigan | $201.91 | $113.78 |
| Maine | $200.45 | $110.77 |
| Utah | $199.35 | $111.13 |
| Wisconsin | $199.16 | $109.24 |
| New Mexico | $197.19 | $111.13 |
| North Carolina | $196.82 | $109.25 |
| South Carolina | $196.47 | $109.74 |
| Missouri | $196.14 | $110.02 |
| Louisiana | $195.71 | $110.02 |
| Ohio | $195.50 | $109.81 |
| Indiana | $195.01 | $108.01 |
| Idaho | $193.79 | $107.45 |
| Nebraska | $193.78 | $107.15 |
| Iowa | $192.57 | $106.69 |
| Tennessee | $192.33 | $107.01 |
| Kansas | $191.33 | $106.48 |
| Kentucky | $191.06 | $107.62 |
| Oklahoma | $190.98 | $107.17 |
| West Virginia | $190.53 | $108.97 |
| Alabama | $186.90 | $104.77 |
| Mississippi | $185.52 | $104.71 |
| Arkansas | $183.99 | $103.37 |

## Related codes

- 21010: Arthrotomy, temporomandibular joint — https://www.med-reveal.com/rates/21010-cpt-fee-schedule
- 21031: Excision of torus mandibularis — https://www.med-reveal.com/rates/21031-cpt-fee-schedule
- 21032: Excision of maxillary torus palatinus — https://www.med-reveal.com/rates/21032-cpt-fee-schedule
- 21060: Meniscectomy, partial or complete, temporomandibular joint — https://www.med-reveal.com/rates/21060-cpt-fee-schedule
- 21085: Impression and custom preparation, oral surgical splint — https://www.med-reveal.com/rates/21085-cpt-fee-schedule
- 21421: Closed treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21421-cpt-fee-schedule
- 21422: Open treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21422-cpt-fee-schedule
- 21432: Percutaneous treatment of craniofacial separation — https://www.med-reveal.com/rates/21432-cpt-fee-schedule

Commercial negotiated rates for 40800 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