CPT code 41100: Tongue biopsy, anterior two-thirds2026 Medicare rate & RVUs in Redding, CA

Reports tissue sampling from a lesion in the anterior two-thirds of the tongue for microscopic diagnosis, rather than complete lesion removal.

CMS RVU26DEffective Oct 1, 2026One payment locality6.6K Medicare services in 2024

In Redding, CA, Medicare pays $198.90 for 41100 in the office and $99.70 when it’s performed in a hospital or facility.

$198.90Office (non-facility)
$99.70Hospital or facility
+5.8%vs the national office rate ($188.05)

Check a contract rate as a % of Medicare · 41100 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 41100 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 41100 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 41100 covers

This service samples tissue from the front two-thirds of the tongue, from the tip through the body, for pathologic examination. An otolaryngologist, oral and maxillofacial surgeon, or other qualified clinician may perform it in an office or facility. Common reasons include evaluating a persistent tongue ulcer or a suspicious white or red mucosal patch. The biopsy obtains diagnostic tissue; it is not reported in place of an excision that removes the lesion.

Document the exact tongue site, the clinical concern, and the tissue obtained for examination. Choose the posterior-tongue biopsy code when the sampled site is in the back third, and use a floor-of-mouth code for tissue from that separate site. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Redding, CA compares for 41100

Across 109 of 109 payment localities, the office rate for 41100 runs from $165.85 in Arkansas to $250.11 in San Benito County, CA. Redding, CA pays $198.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

41100 in Redding, CA vs other payment areas
  1. Redding, CA · this page$198.90
  2. Bakersfield, CA · California$199.46+$0.56
  3. Chico, CA · California$198.90
  4. El Centro, CA · California$198.94+$0.04
  5. Fresno, CA · California$198.90
  6. Hanford, CA · California$198.90
  7. Los Angeles, CA · California$212.62+$13.72

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

41100 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$198.90$99.70
Merced, CACalifornia$198.90$99.70
Modesto, CACalifornia$198.90$99.70
Napa, CACalifornia$230.95$111.65
Oxnard, CACalifornia$211.63$104.64
Rest of CaliforniaCalifornia$198.90$99.70
Riverside, CACalifornia$200.96$101.76
Sacramento, CACalifornia$208.87$103.60

41100 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$165.85

$224.51

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
41100 office rate range by state
State / territoryOffice rate rangeLocalities
AK$217.061
AL$168.341
AR$165.851
AZ$182.931
CA$198.90–$250.1129
CO$195.891
CT$200.741
DC$215.391
DE$186.011
FL$185.27–$203.313
GA$174.62–$191.632
GU$203.951
HI$203.951
IA$172.691
ID$173.851
IL$179.82–$197.274
IN$174.891
KS$171.881
KY$172.461
LA$172.19–$180.912
MA$194.68–$215.552
MD$189.61–$215.393
ME$174.80–$184.482
MI$177.07–$187.652
MN$187.511
MO$169.17–$181.553
MS$167.541
MT$188.031
NC$176.671
ND$184.281
NE$173.661
NH$192.811
NJ$202.98–$213.082
NM$178.071
NV$187.121
NY$179.38–$222.075
OH$176.301
OK$172.121
OR$185.62–$202.212
PA$176.58–$195.662
PR$189.441
RI$192.711
SC$176.791
SD$183.831
TN$172.771
TX$175.39–$195.288
UT$179.261
VA$183.88–$215.392
VI$189.441
VT$183.561
WA$194.32–$219.972
WI$177.961
WV$173.021
WY$186.401

See 41100 in every payment locality

How the 41100 rate is calculated

Each of 41100’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 41100

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.38

1.38 RVUs× 1.000 GPCI

Practice expense4.06

4.06 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

5.6300

Conversion factor

$33.4009

Medicare rate

$188.05

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,895

Code
41100
Physician work
1.38
Practice expense
4.06
Malpractice
0.19

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 41100 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work1.38× 1.0171.4035
Practice expense4.06× 1.0964.4498
Malpractice0.19× 0.5360.1018
Total RVUs5.9551
Conversion factor× 33.4009

Office rate, Redding, CA$198.90

Office: (1.38 × 1.017 + 4.06 × 1.096 + 0.19 × 0.536) × $33.4009 = $198.90

Facility: (1.38 × 1.017 + 1.35 × 1.096 + 0.19 × 0.536) × $33.4009 = $99.70

Open 41100 in the RVU calculator

Payment rules and modifiers for 41100

41100 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41100

Tongue biopsy, anterior two-thirds

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 41100

Tongue biopsy, anterior two-thirds

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41100 without 51 · national office

$188.05

Tongue biopsy, anterior two-thirds

41100-51 · Second procedure: 50%

$94.03

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 41100 has changed in Redding, CA

41100 · Office / nonfacility

$198.90

Effective 2026-10-01

The base rate is $8.00 higher than on 2025-10-01, moving from $190.90 to $198.90 (4.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $190.90changed to$198.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.42 changed to 1.38
    • Practice expense RVU 3.99 changed to 4.06
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $198.46changed to$190.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.04 changed to 3.99
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $195.22changed to$198.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $200.94changed to$195.22

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.05 changed to 4.04
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $202.55changed to$200.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.02 changed to 4.05
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $200.47changed to$202.55

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.93 changed to 4.02
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $187.54changed to$200.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.40 changed to 3.93
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $184.57changed to$187.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.31 changed to 3.40
    • Malpractice RVU 0.21 changed to 0.18
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $180.11changed to$184.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.20 changed to 3.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $181.47changed to$180.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.22 changed to 3.20
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$181.47

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$198.90$99.70RVU26D
2026-07-01$198.90$99.70RVU26C
2026-04-01$198.90$99.70RVU26B
2026-01-01$198.90$99.70RVU26A
2025-10-01$190.90$108.52RVU25D
2025-07-01$190.90$108.52RVU25C
2025-04-01$190.90$108.52RVU25B
2025-01-01$190.90$108.52RVU25A
2024-10-01$198.46$110.78RVU24D
2024-07-01$198.46$110.78RVU24C
2024-04-01$198.46$110.78RVU24B
2024-03-09$198.46$110.78RVU24AR
2024-01-01$195.22$108.97RVU24A
2023-10-01$200.94$111.73RVU23D
2023-07-01$200.94$111.73RVU23C
2023-04-01$200.94$111.73RVU23B
2023-01-01$200.94$111.73RVU23A
2022-10-01$202.55$111.89RVU22D
2022-07-01$202.55$111.89RVU22C
2022-04-01$202.55$111.89RVU22B
2022-01-01$202.55$111.89RVU22A
2021-10-01$200.47$111.66RVU21D
2021-07-01$200.47$111.66RVU21C
2021-04-01$200.47$111.66RVU21B
2021-01-01$200.47$111.66RVU21A
2020-10-01$187.54$111.08RVU20D
2020-07-01$187.54$111.08RVU20C
2020-04-01$187.54$111.08RVU20B
2020-01-01$187.54$111.08RVU20A
2019-10-01$184.57$112.19RVU19D
2019-07-01$184.57$112.19RVU19C
2019-04-01$184.57$112.19RVU19B
2019-01-01$184.57$112.19RVU19A
2018-10-01$180.11$112.84RVU18D
2018-07-01$180.11$112.84RVU18C
2018-04-01$180.11$112.84RVU18B
2018-01-01$180.11$112.84RVU18AR1
2017-10-01$181.47$114.87RVU17D
2017-07-01$181.47$114.87RVU17C
2017-04-01$181.47$114.87RVU17B
2017-01-01$181.47$114.87RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 41100 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

41100 billing questions

How does 41100 differ from 41105?

41100 is for sampling the anterior two-thirds of the tongue. Use 41105 when the biopsy site is in the posterior third.

Should 41100 be used when the entire lesion is removed?

No. This code describes diagnostic tissue sampling; select the applicable tongue-lesion excision code when the lesion is removed.

Can the pathology examination be billed separately?

The tissue examination is a separate laboratory service when performed and reported by the laboratory. The biopsy claim represents the clinician's sampling procedure.

Is modifier 50 appropriate for biopsies on both sides of the tongue?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the remaining procedures at 50%. Related postoperative visits are included for 10 days.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 41100PPRRVU2026_Oct_nonQPP.csv, line 4,895 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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