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

Surgical excision of a lesion in the anterior two-thirds of the tongue with wound closure, reported when the surgeon removes tissue rather than taking a diagnostic sample.

CMS RVU26DEffective Oct 1, 2026One payment locality2.8K Medicare services in 2024

In Arkansas, Medicare pays $302.72 for 41112 in the office and $202.59 when it’s performed in a hospital or facility.

$302.72Office (non-facility)
$202.59Hospital or facility
−11.6%vs the national office rate ($342.36)

Check a contract rate as a % of Medicare · 41112 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 41112 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 41112 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 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.

How Arkansas compares for 41112

Across 109 of 109 payment localities, the office rate for 41112 runs from $302.72 in Arkansas to $451.58 in San Benito County, CA. Arkansas pays $302.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

41112 in Arkansas vs other payment areas
  1. Arkansas · this page$302.72
  2. Los Angeles, CA · California$385.33+$82.61
  3. Washington, DC area · District of Columbia$391.04+$88.32
  4. Miami, FL · Florida$371.50+$68.78
  5. Chicago, IL · Illinois$360.63+$57.91
  6. Manhattan, NY · New York$394.17+$91.45
  7. Alaska · Alaska$398.19+$95.47

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

Every other payment area

41112 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$307.17$205.17
ArizonaArizona$333.17$220.21
Bakersfield, CACalifornia$361.95$234.19
Chico, CACalifornia$360.84$233.08
El Centro, CACalifornia$360.90$233.14
Fresno, CACalifornia$360.84$233.08
Hanford, CACalifornia$360.84$233.08
Madera, CACalifornia$360.84$233.08

41112 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.

$302.72

$406.21

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

View every state and territory as a table
41112 office rate range by state
State / territoryOffice rate rangeLocalities
AK$398.191
AL$307.171
AR$302.721
AZ$333.171
CA$360.84–$451.5829
CO$355.881
CT$365.151
DC$391.041
DE$338.691
FL$338.29–$371.503
GA$319.15–$348.992
GU$369.551
HI$369.551
IA$314.521
ID$316.671
IL$328.84–$360.634
IN$318.501
KS$313.271
KY$314.921
LA$314.52–$330.072
MA$353.84–$390.812
MD$345.09–$391.043
ME$318.56–$335.542
MI$323.34–$342.752
MN$340.311
MO$309.26–$330.993
MS$306.041
MT$342.331
NC$321.871
ND$334.821
NE$316.181
NH$350.511
NJ$369.13–$387.032
NM$325.201
NV$340.481
NY$326.72–$404.025
OH$321.801
OK$314.121
OR$337.64–$366.952
PA$322.19–$356.202
PR$344.781
RI$350.581
SC$322.411
SD$333.931
TN$314.871
TX$320.08–$354.878
UT$326.821
VA$334.59–$391.042
VI$344.781
VT$333.711
WA$353.11–$398.552
WI$323.601
WV$316.721
WY$339.061

See 41112 in every payment locality

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.

How the rate is built · 41112

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.76

2.76 RVUs× 1.000 GPCI

Practice expense7.11

7.11 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

10.2500

Conversion factor

$33.4009

Medicare rate

$342.36

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,900

Code
41112
Physician work
2.76
Practice expense
7.11
Malpractice
0.38

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 41112 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.76× 1.0002.7600
Practice expense7.11× 0.8596.1075
Malpractice0.38× 0.5150.1957
Total RVUs9.0632
Conversion factor× 33.4009

Office rate, Arkansas$302.72

Office: (2.76 × 1 + 7.11 × 0.859 + 0.38 × 0.515) × $33.4009 = $302.72

Facility: (2.76 × 1 + 3.62 × 0.859 + 0.38 × 0.515) × $33.4009 = $202.59

Open 41112 in the RVU calculator

Payment rules and modifiers for 41112

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

CMS payment indicators · 41112

Tongue excision, anterior two-thirds, with closure

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 41112

Tongue excision, anterior two-thirds, with closure

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41112 without 51 · national office

$342.36

Tongue excision, anterior two-thirds, with closure

41112-51 · Second procedure: 50%

$171.18

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 41112

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

Codes related to 41112
CodeHow it relatesOffice range, Arkansas
Same family
41110Tongue lesion excision, without closureTongue lesion excision when the wound is left without closure.$199.56
41113Tongue lesion excision, complicated closureTongue lesion excision with closure for the posterior one-third.$326.36
41114Tongue excision, extensive excision with closureFor extensive tongue lesion excision requiring flap reconstruction.No office rate
Used instead
41100Tongue biopsy, anterior two-thirdsTongue biopsy for diagnostic sampling rather than lesion excision.$165.85

How 41112 has changed in Arkansas

41112 · Office / nonfacility

$302.72

Effective 2026-10-01

The base rate is $11.15 higher than on 2025-10-01, moving from $291.57 to $302.72 (3.8%).

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

    $291.57changed to$302.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.83 changed to 2.76
    • Practice expense RVU 6.98 changed to 7.11
    • Malpractice RVU 0.35 changed to 0.38
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $301.37changed to$291.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.02 changed to 6.98
    • Malpractice RVU 0.36 changed to 0.35

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $296.46changed to$301.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $305.52changed to$296.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.05 changed to 7.02
    • Malpractice RVU 0.35 changed to 0.36
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $307.71changed to$305.52

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.97 changed to 7.05
    • Malpractice RVU 0.34 changed to 0.35
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $308.16changed to$307.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.91 changed to 6.97
    • Malpractice RVU 0.32 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $307.18changed to$308.16

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.42 changed to 6.91
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $311.62changed to$307.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.38 changed to 6.42
    • Malpractice RVU 0.44 changed to 0.32
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $310.55changed to$311.62

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.35 changed to 6.38
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $311.29changed to$310.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.43 changed to 6.35
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $312.02changed to$311.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.51 changed to 6.43
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $312.52changed to$312.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.49 changed to 6.51

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $310.96changed to$312.52

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $309.50changed to$310.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.51 changed to 6.49
    • Malpractice RVU 0.35 changed to 0.45
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $312.08changed to$309.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.14 changed to 6.51
    • Malpractice RVU 0.37 changed to 0.35
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $312.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$302.72$202.59RVU26D
2026-07-01$302.72$202.59RVU26C
2026-04-01$302.72$202.59RVU26B
2026-01-01$302.72$202.59RVU26A
2025-10-01$291.57$214.24RVU25D
2025-07-01$291.57$214.24RVU25C
2025-04-01$291.57$214.24RVU25B
2025-01-01$291.57$214.24RVU25A
2024-10-01$301.37$218.93RVU24D
2024-07-01$301.37$218.93RVU24C
2024-04-01$301.37$218.93RVU24B
2024-03-09$301.37$218.93RVU24AR
2024-01-01$296.46$215.35RVU24A
2023-10-01$305.52$220.83RVU23D
2023-07-01$305.52$220.83RVU23C
2023-04-01$305.52$220.83RVU23B
2023-01-01$305.52$220.83RVU23A
2022-10-01$307.71$220.95RVU22D
2022-07-01$307.71$220.95RVU22C
2022-04-01$307.71$220.95RVU22B
2022-01-01$307.71$220.95RVU22A
2021-10-01$308.16$221.27RVU21D
2021-07-01$308.16$221.27RVU21C
2021-04-01$308.16$221.27RVU21B
2021-01-01$308.16$221.27RVU21A
2020-10-01$307.18$228.43RVU20D
2020-07-01$307.18$228.43RVU20C
2020-04-01$307.18$228.43RVU20B
2020-01-01$307.18$228.43RVU20A
2019-10-01$311.62$235.26RVU19D
2019-07-01$311.62$235.26RVU19C
2019-04-01$311.62$235.26RVU19B
2019-01-01$311.62$235.26RVU19A
2018-10-01$310.55$237.72RVU18D
2018-07-01$310.55$237.72RVU18C
2018-04-01$310.55$237.72RVU18B
2018-01-01$310.55$237.72RVU18AR1
2017-10-01$311.29$239.17RVU17D
2017-07-01$311.29$239.17RVU17C
2017-04-01$311.29$239.17RVU17B
2017-01-01$311.29$239.17RVU17A
2016-10-01$312.02$239.38RVU16D
2016-07-01$312.02$239.38RVU16C
2016-04-01$312.02$239.38RVU16B
2016-01-01$312.02$239.38RVU16A
2015-10-01$312.52$239.31RVU15D
2015-07-01$312.52$239.31RVU15C
2015-04-01$310.96$238.11RVU15B
2015-01-01$310.96$238.11RVU15A
2014-10-01$309.50$237.53RVU14D
2014-07-01$309.50$237.53RVU14C
2014-04-01$309.50$237.53RVU14B
2014-01-01$309.50$237.53RVU14A
2013-10-01$312.08$236.15RVU13D
2013-07-01$312.08$236.15RVU13C
2013-04-01$312.08$236.15RVU13B
2013-01-01$312.08$236.15RVU13AR

Price 41112 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

41112 billing questions

How is excision different from a tongue biopsy?

41112 describes removal of a lesion with closure, while a biopsy code is for diagnostic tissue sampling. The operative report should support which service was performed.

When should the posterior-tongue sibling be used?

Use 41113 when the excised lesion is in the posterior one-third of the tongue and the wound is closed. 41112 is for the anterior two-thirds.

Can wound closure be billed separately?

Closure is part of the service represented by 41112; it is not a separate closure procedure for the same excision.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.

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 other procedures are paid at 50%.

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 41112PPRRVU2026_Oct_nonQPP.csv, line 4,900 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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