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CPT code 41110: Tongue lesion excision, without closure2026 Medicare rate & RVUs in Queens, NY

Removal of a discrete tongue lesion without closure, reported when the surgeon excises the lesion rather than taking a diagnostic sample.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Queens, NY, Medicare pays $263.90 for 41110 in the office and $136.38 when it’s performed in a hospital or facility.

$263.90Office (non-facility)
$136.38Hospital or facility
+16.4%vs the national office rate ($226.79)

Check a contract rate as a % of Medicare · 41110 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 41110 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 41110 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 41110 covers

An otolaryngologist, oral and maxillofacial surgeon, or other qualified surgeon removes a discrete lesion from the tongue and leaves the resulting defect unclosed. The service may be performed in an office or facility; the excised tissue can be sent for pathologic examination. This code distinguishes removal without closure from tongue excisions that include closure and from procedures that remove only a diagnostic sample.

Choose the code based on the documented procedure, including the tongue site and whether the defect was closed. The operative note should identify the lesion’s location, describe its removal, and state that no closure was performed. This minor procedure has 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. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Queens, NY compares for 41110

Across 109 of 109 payment localities, the office rate for 41110 runs from $199.56 in Arkansas to $303.82 in San Benito County, CA. Queens, NY pays $263.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

41110 in Queens, NY vs other payment areas
  1. Queens, NY · this page$263.90
  2. Manhattan, NY · New York$261.53−$2.37
  3. NYC suburbs and Long Island, NY · New York$268.00+$4.10
  4. Poughkeepsie and northern NYC suburbs, NY · New York$246.61−$17.29
  5. Rest of New York · New York$216.26−$47.64
  6. Los Angeles, CA · California$257.45−$6.45
  7. Washington, DC area · District of Columbia$260.41−$3.49

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

Every other payment area

41110 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$244.45$132.14
Chicago, ILIllinois$237.08$128.65
AlaskaAlaska$260.01$145.12
AlabamaAlabama$202.62$108.22
ArkansasArkansas$199.56$106.89
ArizonaArizona$220.54$116.00
Bakersfield, CACalifornia$241.24$123.00
Chico, CACalifornia$240.63$122.38

41110 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.

$199.56

$272.23

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

View every state and territory as a table
41110 office rate range by state
State / territoryOffice rate rangeLocalities
AK$260.011
AL$202.621
AR$199.561
AZ$220.541
CA$240.63–$303.8229
CO$236.681
CT$242.291
DC$260.411
DE$224.311
FL$222.88–$244.453
GA$209.89–$231.062
GU$246.991
HI$246.991
IA$208.201
ID$209.571
IL$216.04–$237.134
IN$210.851
KS$207.091
KY$207.441
LA$207.06–$217.772
MA$235.14–$260.892
MD$228.75–$260.413
ME$210.62–$222.682
MI$212.99–$225.692
MN$226.761
MO$203.29–$218.693
MS$201.471
MT$226.781
NC$212.941
ND$222.631
NE$209.421
NH$232.841
NJ$245.05–$257.512
NM$214.171
NV$225.791
NY$216.26–$268.005
OH$212.141
OK$207.141
OR$224.03–$244.572
PA$212.55–$235.992
PR$228.551
RI$232.581
SC$212.901
SD$222.131
TN$208.161
TX$211.08–$235.908
UT$215.941
VA$221.86–$260.412
VI$228.551
VT$221.641
WA$234.73–$266.412
WI$214.841
WV$207.681
WY$224.971

See 41110 in every payment locality

How the 41110 rate is calculated

Each of 41110’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 · 41110

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.52

1.52 RVUs× 1.000 GPCI

Practice expense5.06

5.06 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

6.7900

Conversion factor

$33.4009

Medicare rate

$226.79

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,899

Code
41110
Physician work
1.52
Practice expense
5.06
Malpractice
0.21

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 41110 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.52× 1.0641.6173
Practice expense5.06× 1.1825.9809
Malpractice0.21× 1.4420.3028
Total RVUs7.9010
Conversion factor× 33.4009

Office rate, Queens, NY$263.90

Office: (1.52 × 1.064 + 5.06 × 1.182 + 0.21 × 1.442) × $33.4009 = $263.90

Facility: (1.52 × 1.064 + 1.83 × 1.182 + 0.21 × 1.442) × $33.4009 = $136.38

Open 41110 in the RVU calculator

Payment rules and modifiers for 41110

41110 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41110

Tongue lesion excision, without closure

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 · 41110

Tongue lesion excision, without closure

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

41110 without 51 · national office

$226.79

Tongue lesion excision, without closure

41110-51 · Second procedure: 50%

$113.40

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 41110

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

Codes related to 41110
CodeHow it relatesOffice range, Queens, NY
Used instead
41100Tongue biopsy, anterior two-thirdsTongue tissue sampling for diagnosis rather than removal of the lesion.$218.48
41105Tongue biopsy, posterior one-thirdTongue biopsy for diagnostic sampling rather than lesion excision.$219.95
Same family
41112Tongue excision, anterior two-thirds, with closureTongue lesion excision sibling that includes closure for the specified site.$397.09
41113Tongue lesion excision, complicated closureTongue lesion excision sibling with closure for a different tongue site.$426.15
41114Tongue excision, extensive excision with closureAnother tongue lesion excision sibling; distinguish by its site and closure criteria.No office rate

How 41110 has changed in Queens, NY

41110 · Office / nonfacility

$263.90

Effective 2026-10-01

The base rate is $5.41 higher than on 2025-10-01, moving from $258.49 to $263.90 (2.1%).

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

    $258.49changed to$263.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.56 changed to 1.52
    • Practice expense RVU 5.04 changed to 5.06
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $270.87changed to$258.49

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.15 changed to 5.04
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $266.45changed to$270.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $284.20changed to$266.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.18 changed to 5.15
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $294.78changed to$284.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.14 changed to 5.18
    • Malpractice RVU 0.21 changed to 0.22
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $293.79changed to$294.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.06 changed to 5.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $275.49changed to$293.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.52 changed to 5.06
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $267.88changed to$275.49

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.42 changed to 4.52
    • Malpractice RVU 0.23 changed to 0.21
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $261.97changed to$267.88

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.29 changed to 4.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $263.13changed to$261.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.33 changed to 4.29
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $265.61changed to$263.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.40 changed to 4.33
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $265.63changed to$265.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.36 changed to 4.40
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $264.31changed to$265.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $262.41changed to$264.31

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.42 changed to 4.36
    • Malpractice RVU 0.21 changed to 0.24
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $265.94changed to$262.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.88 changed to 4.42
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $265.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$263.90$136.38RVU26D
2026-07-01$263.90$136.38RVU26C
2026-04-01$263.90$136.38RVU26B
2026-01-01$263.90$136.38RVU26A
2025-10-01$258.49$146.78RVU25D
2025-07-01$258.49$146.78RVU25C
2025-04-01$258.49$146.78RVU25B
2025-01-01$258.49$146.78RVU25A
2024-10-01$270.87$151.53RVU24D
2024-07-01$270.87$151.53RVU24C
2024-04-01$270.87$151.53RVU24B
2024-03-09$270.87$151.53RVU24AR
2024-01-01$266.45$149.06RVU24A
2023-10-01$284.20$158.94RVU23D
2023-07-01$284.20$158.94RVU23C
2023-04-01$284.20$158.94RVU23B
2023-01-01$284.20$158.94RVU23A
2022-10-01$294.78$164.31RVU22D
2022-07-01$294.78$164.31RVU22C
2022-04-01$294.78$164.31RVU22B
2022-01-01$294.78$164.31RVU22A
2021-10-01$293.79$163.96RVU21D
2021-07-01$293.79$163.96RVU21C
2021-04-01$293.79$163.96RVU21B
2021-01-01$293.79$163.96RVU21A
2020-10-01$275.49$163.33RVU20D
2020-07-01$275.49$163.33RVU20C
2020-04-01$275.49$163.33RVU20B
2020-01-01$275.49$163.33RVU20A
2019-10-01$267.88$162.35RVU19D
2019-07-01$267.88$162.35RVU19C
2019-04-01$267.88$162.35RVU19B
2019-01-01$267.88$162.35RVU19A
2018-10-01$261.97$162.61RVU18D
2018-07-01$261.97$162.61RVU18C
2018-04-01$261.97$162.61RVU18B
2018-01-01$261.97$162.61RVU18AR1
2017-10-01$263.13$164.08RVU17D
2017-07-01$263.13$164.08RVU17C
2017-04-01$263.13$164.08RVU17B
2017-01-01$263.13$164.08RVU17A
2016-10-01$265.61$165.58RVU16D
2016-07-01$265.61$165.58RVU16C
2016-04-01$265.61$165.58RVU16B
2016-01-01$265.61$165.58RVU16A
2015-10-01$265.63$166.53RVU15D
2015-07-01$265.63$166.53RVU15C
2015-04-01$264.31$165.71RVU15B
2015-01-01$264.31$165.71RVU15A
2014-10-01$262.41$162.07RVU14D
2014-07-01$262.41$162.07RVU14C
2014-04-01$262.41$162.07RVU14B
2014-01-01$262.41$162.07RVU14A
2013-10-01$265.94$160.63RVU13D
2013-07-01$265.94$160.63RVU13C
2013-04-01$265.94$160.63RVU13B
2013-01-01$265.94$160.63RVU13AR

Price 41110 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

41110 billing questions

When should 41110 be reported instead of a tongue biopsy code?

Report 41110 when the surgeon removes the lesion rather than taking a sample for diagnosis. A biopsy code describes sampling tissue, not excision of the lesion.

How does 41110 differ from the tongue excision codes that include closure?

41110 is for excision without closure. Select a closure-inclusive sibling when the operative report documents closure and the applicable site criteria are met.

Can modifier 50 be used for lesions on both sides of the tongue?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Are related postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

What documentation supports reporting 41110?

Document the tongue lesion’s location, its excision, and that the defect was left without closure. The record should distinguish removal from diagnostic sampling.

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 41110PPRRVU2026_Oct_nonQPP.csv, line 4,899 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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