CPT code 41110: Tongue lesion excision, without closure2026 Medicare rate & RVUs in Texas
Removal of a discrete tongue lesion without closure, reported when the surgeon excises the lesion rather than taking a diagnostic sample.
Medicare pays $211.08–$235.90 for 41110 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 41110 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$211.08 to $235.90
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $235.90 | $121.75 |
| Beaumont, TX | $211.08 | $112.91 |
| Brazoria, TX | $224.13 | $117.22 |
| Dallas, TX | $225.58 | $118.12 |
| Fort Worth, TX | $223.98 | $117.60 |
| Galveston, TX | $224.81 | $117.68 |
| Houston, TX | $228.65 | $121.52 |
| Rest of Texas | $217.49 | $115.11 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
41110 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 41100Tongue biopsyAnterior two-thirds
- 41100 is for a diagnostic tongue biopsy. Use 41110 when the lesion itself is excised and the defect is left unclosed.
- 41105Tongue biopsyPosterior one-third
- 41105 describes tongue biopsy sampling. It is not the lesion-removal code when the surgeon excises the lesion.
- 41112Tongue excisionAnterior two-thirds, with closure
- 41112 is a closure-inclusive tongue lesion excision for its specified site. 41110 is for excision without closure.
- 41113Tongue lesion excisionComplicated closure
- 41113 is a closure-inclusive excision for a different tongue site. Apply the code matching the documented site and whether closure was performed.
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
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