{"procedure":{"code_type":"CPT","code":"40818","lay_name":"Removal of mouth lining tissue to use as a graft","blurb":"Harvesting a piece of the tissue lining the inside of the lip or cheek so it can be used as a graft elsewhere.","slug":"cpt-40818-removal-of-mouth-lining-tissue-to-use-as-a-graft","description":"PR Excise Oral Mucosa for Graft","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"172","label":"Skin graft","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:50:31.523775Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":276,"n_usable":257,"n_not_usable":1,"n_labelled":12,"n_no_cash":6,"n_estimated":0,"n_states":40,"cash_p10":277.5,"cash_p20":431.2,"cash_p25":480.0,"cash_p50":735.8,"cash_p75":1170.0,"cash_p80":1638.0,"cash_p90":3786.0,"cash_mean_trimmed":763.91,"gross_p50":1132.0,"cash_to_gross_p50":0.6,"medicare_rate":551.01,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.3354,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":2240.0,"p50":2240.0,"p80":2240.0},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":684.84,"p50":904.8,"p80":904.8},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":269.5,"p50":397.95,"p80":828.0},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":480.0,"p50":480.0,"p80":741.6},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":563.67,"p50":3786.0,"p80":5419.0},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":602.63,"p50":602.63,"p80":913.5},{"state":"OH","n":11,"p20":505.0,"p50":735.8,"p80":1149.0},{"state":"OK","n":13,"p20":431.2,"p50":431.2,"p80":1038.26},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":19,"p20":70.19,"p50":415.28,"p80":860.93},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":22,"p20":788.48,"p50":788.48,"p80":1013.11},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":230,"p20":431.2,"p50":735.8,"p80":2240.0},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":17,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":30,"p20":334.89,"p50":630.41,"p80":919.8},{"key":"government","n":39,"p20":480.0,"p50":683.1,"p80":3335.42},{"key":"nonprofit","n":187,"p20":431.2,"p50":741.6,"p80":2240.0}],"affiliation":[{"key":"affiliated","n":209,"p20":431.2,"p50":735.8,"p80":2240.0},{"key":"independent","n":48,"p20":413.89,"p50":661.83,"p80":1078.65}]},"histogram":[{"lo":182.49,"hi":262.19,"n":6},{"lo":262.19,"hi":376.69,"n":20},{"lo":376.69,"hi":541.21,"n":36},{"lo":541.21,"hi":777.57,"n":68},{"lo":777.57,"hi":1117.16,"n":49},{"lo":1117.16,"hi":1605.06,"n":16},{"lo":1605.06,"hi":2306.04,"n":23},{"lo":2306.04,"hi":3313.16,"n":2},{"lo":3313.16,"hi":4760.11,"n":5},{"lo":4760.11,"hi":6839.0,"n":10}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:21.175320Z","n_priced_setters":3956,"n_filed":172,"n_usable":162,"n_not_usable":0,"n_labelled":5,"n_no_cash":5,"n_estimated":0,"n_states":32,"cash_p10":269.5,"cash_p20":393.6,"cash_p25":431.2,"cash_p50":726.0,"cash_p75":960.0,"cash_p80":1204.0,"cash_p90":2240.0,"cash_mean_trimmed":713.93,"gross_p50":1131.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"CA","n":21,"p20":2240.0,"p50":2240.0,"p80":2240.0},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":688.8,"p50":904.8,"p80":904.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":10,"p20":269.5,"p50":460.6,"p80":688.8},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":7,"p20":null,"p50":null,"p80":null},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":431.2,"p50":431.2,"p80":431.2},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":70.19,"p50":89.58,"p80":860.93},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":788.48,"p50":788.48,"p80":858.04},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":140,"p20":343.49,"p50":756.0,"p80":1204.0},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":17,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":18,"p20":null,"p50":null,"p80":null},{"key":"government","n":15,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":128,"p20":393.6,"p50":765.0,"p80":1423.0}],"affiliation":[{"key":"affiliated","n":134,"p20":393.6,"p50":788.48,"p80":1423.0},{"key":"independent","n":28,"p20":343.49,"p50":567.0,"p80":828.0}]},"histogram":[{"lo":111.49,"hi":150.5,"n":1},{"lo":150.5,"hi":203.16,"n":3},{"lo":203.16,"hi":274.25,"n":9},{"lo":274.25,"hi":370.2,"n":11},{"lo":370.2,"hi":499.74,"n":24},{"lo":499.74,"hi":674.6,"n":17},{"lo":674.6,"hi":910.64,"n":44},{"lo":910.64,"hi":1229.27,"n":13},{"lo":1229.27,"hi":1659.38,"n":8},{"lo":1659.38,"hi":2240.0,"n":22}],"previous":null}},"related":[{"code_type":"CPT","code":"15271","lay_name":"Skin substitute graft, trunk/arm/leg, first 25 sq cm","slug":"cpt-15271-skin-substitute-graft-trunk-arm-leg-first-25-sq-cm"},{"code_type":"CPT","code":"15275","lay_name":"Skin substitute graft, face/hands/feet, first 25 sq cm","slug":"cpt-15275-skin-substitute-graft-face-hands-feet-first-25-sq-cm"},{"code_type":"CPT","code":"15272","lay_name":"Skin substitute graft, trunk/arm/leg, extra 25 sq cm","slug":"cpt-15272-skin-substitute-graft-trunk-arm-leg-extra-25-sq-cm"},{"code_type":"CPT","code":"15276","lay_name":"Skin substitute graft, face/hands/feet, extra 25 sq cm","slug":"cpt-15276-skin-substitute-graft-face-hands-feet-extra-25-sq-cm"},{"code_type":"CPT","code":"15273","lay_name":"Skin substitute graft, trunk/arm/leg, first 100 sq cm","slug":"cpt-15273-skin-substitute-graft-trunk-arm-leg-first-100-sq-cm"},{"code_type":"CPT","code":"15274","lay_name":"Skin substitute graft, trunk/arm/leg, extra 100 sq cm","slug":"cpt-15274-skin-substitute-graft-trunk-arm-leg-extra-100-sq-cm"},{"code_type":"CPT","code":"14040","lay_name":"Skin flap repair on neck, hands or face, up to 10 sq cm","slug":"cpt-14040-skin-flap-repair-on-neck-hands-or-face-up-to-10-sq-cm"},{"code_type":"CPT","code":"15004","lay_name":"Wound bed prep for graft, face or hands, first 100 sq cm","slug":"cpt-15004-wound-bed-prep-for-graft-face-or-hands-first-100-sq-cm"},{"code_type":"CPT","code":"15002","lay_name":"Wound bed preparation on trunk, arm or leg, first area","slug":"cpt-15002-wound-bed-preparation-on-trunk-arm-or-leg-first-area"},{"code_type":"CPT","code":"15277","lay_name":"Skin substitute graft, face/hands/feet, first 100 sq cm","slug":"cpt-15277-skin-substitute-graft-face-hands-feet-first-100-sq-cm"},{"code_type":"CPT","code":"14060","lay_name":"Skin flap repair on nose, ear or lip, up to 10 sq cm","slug":"cpt-14060-skin-flap-repair-on-nose-ear-or-lip-up-to-10-sq-cm"},{"code_type":"CPT","code":"15278","lay_name":"Skin substitute graft, face/hands/feet, extra 100 sq cm","slug":"cpt-15278-skin-substitute-graft-face-hands-feet-extra-100-sq-cm"}]}