FeeBase
Log inGet started
Menu

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

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 Miami, FL, Medicare pays $203.31 for 41100 in the office and $109.08 when it’s performed in a hospital or facility.

$203.31Office (non-facility)
$109.08Hospital or facility
+8.1%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 Miami, FL
  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 Miami, FL 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. Miami, FL pays $203.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

41100 in Miami, FL vs other payment areas
  1. Miami, FL · this page$203.31
  2. Fort Lauderdale, FL · Florida$194.94−$8.37
  3. Rest of Florida · Florida$185.27−$18.04
  4. Los Angeles, CA · California$212.62+$9.31
  5. Washington, DC area · District of Columbia$215.39+$12.08
  6. Chicago, IL · Illinois$197.27−$6.04
  7. Manhattan, NY · New York$216.68+$13.37

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

Every other payment area

41100 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$217.06$120.66
AlabamaAlabama$168.34$89.14
ArkansasArkansas$165.85$88.09
ArizonaArizona$182.93$95.22
Bakersfield, CACalifornia$199.46$100.25
Chico, CACalifornia$198.90$99.70
El Centro, CACalifornia$198.94$99.73
Fresno, CACalifornia$198.90$99.70

41100 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Miami, FL 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

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 41100 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work1.38× 1.0001.3800
Practice expense4.06× 1.0414.2265
Malpractice0.19× 2.5290.4805
Total RVUs6.0870
Conversion factor× 33.4009

Office rate, Miami, FL$203.31

Office: (1.38 × 1 + 4.06 × 1.041 + 0.19 × 2.529) × $33.4009 = $203.31

Facility: (1.38 × 1 + 1.35 × 1.041 + 0.19 × 2.529) × $33.4009 = $109.08

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

Codes related to 41100

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 41100
CodeHow it relatesOffice range, Miami, FL
Same family
41105Tongue biopsy, posterior one-thirdBiopsy code for a site in the posterior third of the tongue.$205.13
Used instead
41108Oral biopsy, floor of mouthApplies when the sampled tissue is from the floor of the mouth, not the tongue.$182.97
41110Tongue lesion excision, without closureTongue-lesion excision code when tissue is removed rather than sampled for diagnosis.$244.45
41112Tongue excision, anterior two-thirds, with closureTongue-lesion excision option; distinguish lesion removal from diagnostic biopsy.$371.50
Often billed with
88305Tissue pathology exam, level IV specimenMay be reported for the laboratory's histopathologic examination of the biopsy specimen.$73.01

How 41100 has changed in Miami, FL

41100 · Office / nonfacility

$203.31

Effective 2026-10-01

The base rate is $10.27 higher than on 2025-10-01, moving from $193.04 to $203.31 (5.3%).

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

    $193.04changed to$203.31

    • 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
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $201.19changed to$193.04

    • 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

    $197.91changed to$201.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $205.30changed to$197.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.05 changed to 4.04
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $208.74changed to$205.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.02 changed to 4.05
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $205.43changed to$208.74

    • 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

    $194.02changed to$205.43

    • 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
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $193.34changed to$194.02

    • 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
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $189.06changed to$193.34

    • 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

    $189.16changed to$189.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.22 changed to 3.20
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $191.03changed to$189.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.26 changed to 3.22
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $191.35changed to$191.03

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.25 changed to 3.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $190.40changed to$191.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $190.85changed to$190.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.26 changed to 3.25
    • Malpractice RVU 0.19 changed to 0.22
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $196.56changed to$190.85

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.60 changed to 3.26
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $196.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$203.31$109.08RVU26D
2026-07-01$203.31$109.08RVU26C
2026-04-01$203.31$109.08RVU26B
2026-01-01$203.31$109.08RVU26A
2025-10-01$193.04$115.63RVU25D
2025-07-01$193.04$115.63RVU25C
2025-04-01$193.04$115.63RVU25B
2025-01-01$193.04$115.63RVU25A
2024-10-01$201.19$118.80RVU24D
2024-07-01$201.19$118.80RVU24C
2024-04-01$201.19$118.80RVU24B
2024-03-09$201.19$118.80RVU24AR
2024-01-01$197.91$116.86RVU24A
2023-10-01$205.30$120.55RVU23D
2023-07-01$205.30$120.55RVU23C
2023-04-01$205.30$120.55RVU23B
2023-01-01$205.30$120.55RVU23A
2022-10-01$208.74$121.65RVU22D
2022-07-01$208.74$121.65RVU22C
2022-04-01$208.74$121.65RVU22B
2022-01-01$208.74$121.65RVU22A
2021-10-01$205.43$120.11RVU21D
2021-07-01$205.43$120.11RVU21C
2021-04-01$205.43$120.11RVU21B
2021-01-01$205.43$120.11RVU21A
2020-10-01$194.02$120.70RVU20D
2020-07-01$194.02$120.70RVU20C
2020-04-01$194.02$120.70RVU20B
2020-01-01$194.02$120.70RVU20A
2019-10-01$193.34$124.00RVU19D
2019-07-01$193.34$124.00RVU19C
2019-04-01$193.34$124.00RVU19B
2019-01-01$193.34$124.00RVU19A
2018-10-01$189.06$124.60RVU18D
2018-07-01$189.06$124.60RVU18C
2018-04-01$189.06$124.60RVU18B
2018-01-01$189.06$124.60RVU18AR1
2017-10-01$189.16$125.52RVU17D
2017-07-01$189.16$125.52RVU17C
2017-04-01$189.16$125.52RVU17B
2017-01-01$189.16$125.52RVU17A
2016-10-01$191.03$126.67RVU16D
2016-07-01$191.03$126.67RVU16C
2016-04-01$191.03$126.67RVU16B
2016-01-01$191.03$126.67RVU16A
2015-10-01$191.35$127.13RVU15D
2015-07-01$191.35$127.13RVU15C
2015-04-01$190.40$126.50RVU15B
2015-01-01$190.40$126.50RVU15A
2014-10-01$190.85$126.52RVU14D
2014-07-01$190.85$126.52RVU14C
2014-04-01$190.85$126.52RVU14B
2014-01-01$190.85$126.52RVU14A
2013-10-01$196.56$127.35RVU13D
2013-07-01$196.56$127.35RVU13C
2013-04-01$196.56$127.35RVU13B
2013-01-01$196.56$127.35RVU13AR

Price 41100 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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 Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 41100 pays in Miami, FL?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 41100 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist