# CPT 40812: Excision of lesion of mouth with repair

Medicare CPT 40812 pays $281.24 in a non-facility setting and $168.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $249.13 in Arkansas to $328.10 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/40812-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $281.24 |
| National facility | $168.34 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $328.10 | $207.87 |
| District of Columbia | $321.10 | $188.11 |
| California | $315.19 | $181.61 |
| New York | $310.85 | $184.90 |
| New Jersey | $310.51 | $183.38 |
| Washington | $308.84 | $180.14 |
| Massachusetts | $305.93 | $179.09 |
| Hawaii | $303.79 | $175.43 |
| Connecticut | $299.78 | $178.19 |
| Colorado | $292.48 | $172.36 |
| Maryland | $291.26 | $173.56 |
| Florida | $291.05 | $177.78 |
| Oregon | $289.58 | $170.64 |
| Rhode Island | $288.07 | $171.45 |
| New Hampshire | $287.99 | $170.47 |
| Illinois | $283.77 | $174.68 |
| Puerto Rico | $283.23 | $169.09 |
| Virgin Islands | $283.23 | $169.09 |
| Montana | $281.22 | $168.32 |
| Minnesota | $280.05 | $163.88 |
| Nevada | $279.81 | $166.80 |
| Wyoming | $278.72 | $165.82 |
| Pennsylvania | $278.61 | $168.03 |
| Delaware | $278.31 | $166.77 |
| Texas | $277.96 | $166.81 |
| North Dakota | $275.48 | $162.59 |
| Virginia | $275.08 | $164.11 |
| South Dakota | $274.80 | $161.91 |
| Vermont | $274.51 | $162.74 |
| Georgia | $274.31 | $166.61 |
| Arizona | $273.81 | $164.42 |
| Michigan | $273.33 | $167.32 |
| Maine | $268.97 | $161.10 |
| Utah | $268.58 | $162.46 |
| New Mexico | $267.05 | $163.52 |
| Wisconsin | $266.37 | $158.21 |
| Missouri | $265.08 | $161.48 |
| South Carolina | $265.01 | $160.69 |
| Louisiana | $264.77 | $161.70 |
| North Carolina | $264.71 | $159.38 |
| Ohio | $264.40 | $161.33 |
| Indiana | $262.07 | $157.41 |
| Idaho | $260.58 | $156.72 |
| Nebraska | $260.24 | $156.04 |
| West Virginia | $259.94 | $161.84 |
| Tennessee | $259.06 | $156.44 |
| Iowa | $258.87 | $155.57 |
| Kentucky | $258.83 | $158.47 |
| Oklahoma | $258.28 | $157.46 |
| Kansas | $257.77 | $155.71 |
| Alabama | $252.73 | $153.95 |
| Mississippi | $251.69 | $154.48 |
| Arkansas | $249.13 | $152.15 |

## 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 40812 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