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CPT code 41110: Tongue lesion excision, without closure2026 Medicare rate & RVUs in Rhode Island

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 Rhode Island, Medicare pays $232.58 for 41110 in the office and $121.13 when it’s performed in a hospital or facility.

$232.58Office (non-facility)
$121.13Hospital or facility
+2.6%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 Rhode Island
  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 Rhode Island 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. Rhode Island pays $232.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

41110 in Rhode Island vs other payment areas
  1. Rhode Island · this page$232.58
  2. Los Angeles, CA · California$257.45+$24.87
  3. Washington, DC area · District of Columbia$260.41+$27.83
  4. Miami, FL · Florida$244.45+$11.87
  5. Chicago, IL · Illinois$237.08+$4.50
  6. Manhattan, NY · New York$261.53+$28.95
  7. Alaska · Alaska$260.01+$27.43

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

Every other payment area

41110 in every other Medicare payment locality
Payment localityOfficeFacility
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
El Centro, CACalifornia$240.66$122.42
Fresno, CACalifornia$240.63$122.38
Hanford, 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 Rhode Island 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

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 41110 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work1.52× 1.0191.5489
Practice expense5.06× 1.0335.2270
Malpractice0.21× 0.8920.1873
Total RVUs6.9632
Conversion factor× 33.4009

Office rate, Rhode Island$232.58

Office: (1.52 × 1.019 + 5.06 × 1.033 + 0.21 × 0.892) × $33.4009 = $232.58

Facility: (1.52 × 1.019 + 1.83 × 1.033 + 0.21 × 0.892) × $33.4009 = $121.13

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, Rhode Island
Used instead
41100Tongue biopsy, anterior two-thirdsTongue tissue sampling for diagnosis rather than removal of the lesion.$192.71
41105Tongue biopsy, posterior one-thirdTongue biopsy for diagnostic sampling rather than lesion excision.$194.02
Same family
41112Tongue excision, anterior two-thirds, with closureTongue lesion excision sibling that includes closure for the specified site.$350.58
41113Tongue lesion excision, complicated closureTongue lesion excision sibling with closure for a different tongue site.$376.70
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 Rhode Island

41110 · Office / nonfacility

$232.58

Effective 2026-10-01

The base rate is $5.71 higher than on 2025-10-01, moving from $226.87 to $232.58 (2.5%).

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

    $226.87changed to$232.58

    • 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 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $237.56changed to$226.87

    • 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

    $233.68changed to$237.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $244.16changed to$233.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.18 changed to 5.15
    • Work GPCI 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849

  5. January 1, 2023

    RVU23A

    $248.66changed to$244.16

    • 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 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $247.80changed to$248.66

    • 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

    $236.27changed to$247.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.52 changed to 5.06
    • Work GPCI 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $233.28changed to$236.27

    • 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 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $228.11changed to$233.28

    • 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

    $228.12changed to$228.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.33 changed to 4.29
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $229.22changed to$228.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.40 changed to 4.33
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $228.81changed to$229.22

    • 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

    $227.67changed to$228.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $231.05changed to$227.67

    • 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 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$231.05

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$232.58$121.13RVU26D
2026-07-01$232.58$121.13RVU26C
2026-04-01$232.58$121.13RVU26B
2026-01-01$232.58$121.13RVU26A
2025-10-01$226.87$129.75RVU25D
2025-07-01$226.87$129.75RVU25C
2025-04-01$226.87$129.75RVU25B
2025-01-01$226.87$129.75RVU25A
2024-10-01$237.56$133.80RVU24D
2024-07-01$237.56$133.80RVU24C
2024-04-01$237.56$133.80RVU24B
2024-03-09$237.56$133.80RVU24AR
2024-01-01$233.68$131.62RVU24A
2023-10-01$244.16$136.26RVU23D
2023-07-01$244.16$136.26RVU23C
2023-04-01$244.16$136.26RVU23B
2023-01-01$244.16$136.26RVU23A
2022-10-01$248.66$137.32RVU22D
2022-07-01$248.66$137.32RVU22C
2022-04-01$248.66$137.32RVU22B
2022-01-01$248.66$137.32RVU22A
2021-10-01$247.80$137.00RVU21D
2021-07-01$247.80$137.00RVU21C
2021-04-01$247.80$137.00RVU21B
2021-01-01$247.80$137.00RVU21A
2020-10-01$236.27$139.36RVU20D
2020-07-01$236.27$139.36RVU20C
2020-04-01$236.27$139.36RVU20B
2020-01-01$236.27$139.36RVU20A
2019-10-01$233.28$140.94RVU19D
2019-07-01$233.28$140.94RVU19C
2019-04-01$233.28$140.94RVU19B
2019-01-01$233.28$140.94RVU19A
2018-10-01$228.11$141.17RVU18D
2018-07-01$228.11$141.17RVU18C
2018-04-01$228.11$141.17RVU18B
2018-01-01$228.11$141.17RVU18AR1
2017-10-01$228.12$141.28RVU17D
2017-07-01$228.12$141.28RVU17C
2017-04-01$228.12$141.28RVU17B
2017-01-01$228.12$141.28RVU17A
2016-10-01$229.22$141.38RVU16D
2016-07-01$229.22$141.38RVU16C
2016-04-01$229.22$141.38RVU16B
2016-01-01$229.22$141.38RVU16A
2015-10-01$228.81$141.78RVU15D
2015-07-01$228.81$141.78RVU15C
2015-04-01$227.67$141.08RVU15B
2015-01-01$227.67$141.08RVU15A
2014-10-01$231.05$142.78RVU14D
2014-07-01$231.05$142.78RVU14C
2014-04-01$231.05$142.78RVU14B
2014-01-01$231.05$142.78RVU14A
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 41110 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

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 Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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