CPT code 41112: Tongue excision, anterior two-thirds, with closure2026 Medicare rate & RVUs

Medicare pays $342.36 for 41112 nationally in the office and $225.79 in a hospital or facility. Local office rates run $302.72–$451.58.

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

What 41112 covers

41112 reports surgical removal of a lesion from the anterior two-thirds of the tongue when the wound is closed. The surgeon removes the target tissue rather than taking a limited sample solely for diagnosis; the specimen is typically submitted for histopathologic examination. Otolaryngologists, oral and maxillofacial surgeons, and head-and-neck surgeons may perform this procedure in an office operating room, ambulatory surgery center, or hospital operating room, depending on the lesion and patient needs.

Choose this code when the operative report supports excision in the specified tongue region with closure. Document the lesion location, tissue removed, closure, and operative findings; use a biopsy code when the service is diagnostic sampling rather than excision. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Medicare does not pay an assistant at surgery; 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 41112 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

41112 rates by state

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

How the 41112 rate is calculated

Each of 41112’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.

Payment rules and modifiers for 41112

41112 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

41112 compared with similar codes

How to choose

41110Tongue lesion excisionWithout closure

Use 41110 when a tongue lesion is excised without closure. 41112 includes closure and is specific to the anterior two-thirds.

41113Tongue lesion excisionComplicated closure

41113 is for a lesion in the posterior one-third of the tongue with closure; 41112 is for the anterior two-thirds.

41114Tongue excisionExtensive excision with closure

Choose 41114 for extensive lesion excision requiring flap reconstruction, rather than the more limited excision represented by 41112.

41100Tongue biopsyAnterior two-thirds

41100 represents tongue biopsy for diagnostic sampling. Use 41112 when the surgeon excises the lesion and closes the wound.

Codes related to 41112

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

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

Open CMS sourceHow we calculate rates