CPT code 41113: Tongue lesion excision, complicated closure2026 Medicare rate & RVUs
Reports surgical removal of a tongue lesion when the operative service includes a complicated closure, rather than a routine closure or no closure.
Medicare pays $368.08 for 41113 nationally in the office and $244.83 in a hospital or facility. Local office rates run $326.36–$482.16.
Medicare rate · 41113
Tongue lesion excision, complicated closure
- Work RVUs
- 3.21
- Total RVUs
- 11.02
- Global days
- 090
National rate · 2026
$368.08
Office setting, before claim adjustments.
See every locality for 41113 →Billed by an NP, PA or therapist? →
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 10 sections
What 41113 covers
41113 describes surgical removal of a lesion from the tongue followed by a complicated closure. An otolaryngologist, oral and maxillofacial surgeon, or head-and-neck surgeon may perform the procedure in an operating room or another appropriate surgical setting. The operative report should identify the tongue site, describe the excision and closure, and support why the closure was complicated. The code is selected by the work performed, not by the lesion’s diagnosis alone.
Use 41112 for tongue-lesion excision with a routine closure and 41110 when the excision requires no closure. Medicare treats 41113 as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service, 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 41113 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$326.36 to $482.16
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $331.03 | $223.19 |
| Alaska | $431.26 | $300.00 |
| Arizona | $358.37 | $238.94 |
| Arkansas | $326.36 | $220.48 |
| Atlanta, GA | $375.23 | $250.01 |
| Austin, TX | $380.95 | $250.55 |
| Bakersfield, CA | $388.16 | $253.08 |
| Baltimore area, MD | $391.19 | $258.95 |
| Beaumont, TX | $344.87 | $232.72 |
| Brazoria, TX | $363.56 | $241.42 |
| Chicago, IL | $388.66 | $264.79 |
| Chico, CA | $386.90 | $251.82 |
| Colorado | $382.00 | $250.86 |
| Connecticut | $392.22 | $259.48 |
| Dallas, TX | $366.02 | $243.26 |
| Delaware | $364.21 | $242.44 |
| Detroit, MI | $369.30 | $250.37 |
| East St. Louis, IL | $362.92 | $249.53 |
| El Centro, CA | $386.97 | $251.89 |
| Fort Lauderdale, FL | $382.89 | $258.04 |
| Fort Worth, TX | $363.74 | $242.22 |
| Fresno, CA | $386.90 | $251.82 |
| Galveston, TX | $364.74 | $242.35 |
| Hanford, CA | $386.90 | $251.82 |
| Hawaii, Guam, HI | $395.80 | $255.67 |
| Houston, TX | $372.61 | $250.22 |
| Idaho | $340.79 | $227.40 |
| Indiana | $342.70 | $228.45 |
| Iowa | $338.47 | $225.69 |
| Kansas | $337.29 | $225.87 |
| Kentucky | $339.50 | $229.93 |
| King County, WA | $426.77 | $275.54 |
| Los Angeles, CA | $412.76 | $266.95 |
| Madera, CA | $386.90 | $251.82 |
| Manhattan, NY | $423.29 | $280.07 |
| Marin County, CA | $471.56 | $297.78 |
| Merced, CA | $386.90 | $251.82 |
| Metropolitan Boston, MA | $418.71 | $271.55 |
| Metropolitan Kansas City, MO | $352.71 | $236.98 |
| Metropolitan Philadelphia, PA | $382.89 | $254.58 |
| Metropolitan St. Louis, MO | $356.27 | $238.94 |
| Miami, FL | $400.14 | $271.84 |
| Minnesota | $365.12 | $238.29 |
| Mississippi | $330.07 | $223.95 |
| Modesto, CA | $386.90 | $251.82 |
| Montana | $368.05 | $244.80 |
| Napa, CA | $446.15 | $283.71 |
| Nebraska | $340.16 | $226.40 |
| Nevada | $365.93 | $242.55 |
| New Hampshire | $376.39 | $248.09 |
| New Mexico | $350.51 | $237.49 |
| New Orleans, LA | $355.49 | $239.51 |
| North Carolina | $346.38 | $231.39 |
| North Dakota | $359.55 | $236.30 |
| Northern New Jersey | $415.25 | $272.28 |
| NYC suburbs and Long Island, NY | $433.84 | $287.29 |
| Ohio | $346.75 | $234.22 |
| Oklahoma | $338.50 | $228.44 |
| Oxnard, CA | $410.53 | $264.85 |
| Portland, OR | $393.48 | $256.55 |
| Poughkeepsie and northern NYC suburbs, NY | $399.34 | $264.38 |
| Puerto Rico | $370.57 | $245.97 |
| Queens, NY | $426.15 | $280.47 |
| Redding, CA | $386.90 | $251.82 |
| Rest of California | $386.90 | $251.82 |
| Rest of Florida | $364.46 | $246.63 |
| Rest of Georgia | $344.21 | $234.28 |
| Rest of Illinois | $354.72 | $242.19 |
| Rest of Louisiana | $339.13 | $230.05 |
| Rest of Maine | $342.93 | $229.54 |
| Rest of Maryland | $370.93 | $246.20 |
| Rest of Massachusetts | $379.94 | $250.16 |
| Rest of Michigan | $348.49 | $235.96 |
| Rest of Missouri | $333.69 | $227.45 |
| Rest of New Jersey | $396.44 | $261.85 |
| Rest of New York | $351.49 | $234.40 |
| Rest of Oregon | $362.83 | $240.07 |
| Rest of Pennsylvania | $347.08 | $233.93 |
| Rest of Texas | $354.11 | $237.15 |
| Rest of Washington | $379.10 | $249.32 |
| Rhode Island | $376.70 | $249.38 |
| Riverside, CA | $391.56 | $256.48 |
| Sacramento, CA | $405.45 | $262.11 |
| Salinas, CA | $403.93 | $261.08 |
| San Benito County, CA | $482.16 | $304.43 |
| San Diego, CA | $413.03 | $265.62 |
| San Francisco, CA | $471.07 | $297.29 |
| San Luis Obispo, CA | $397.50 | $257.12 |
| Santa Clara County, CA | $480.16 | $302.44 |
| Santa Cruz, CA | $416.66 | $266.91 |
| Santa Maria, CA | $405.33 | $261.63 |
| Santa Rosa, CA | $420.83 | $269.48 |
| South Carolina | $347.19 | $233.31 |
| South Dakota | $358.54 | $235.29 |
| Southern Maine, ME | $360.56 | $238.42 |
| Stockton, CA | $386.90 | $251.82 |
| Suburban Chicago, IL | $386.57 | $259.99 |
| Tennessee | $339.00 | $226.96 |
| Utah | $351.82 | $235.97 |
| Vallejo, CA | $445.45 | $283.01 |
| Vermont | $358.52 | $236.50 |
| Virgin Islands, VI | $370.57 | $245.97 |
| Virginia | $359.66 | $238.51 |
| Visalia, CA | $386.90 | $251.82 |
| Washington, DC area | $419.37 | $274.18 |
| West Virginia | $341.98 | $234.87 |
| Wisconsin | $347.79 | $229.71 |
| Wyoming | $364.34 | $241.09 |
| Yuba City, CA | $386.90 | $251.82 |
41113 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$326.36
$434.53
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $431.26 | 1 |
| AL | $331.03 | 1 |
| AR | $326.36 | 1 |
| AZ | $358.37 | 1 |
| CA | $386.90–$482.16 | 29 |
| CO | $382.00 | 1 |
| CT | $392.22 | 1 |
| DC | $419.37 | 1 |
| DE | $364.21 | 1 |
| FL | $364.46–$400.14 | 3 |
| GA | $344.21–$375.23 | 2 |
| GU | $395.80 | 1 |
| HI | $395.80 | 1 |
| IA | $338.47 | 1 |
| ID | $340.79 | 1 |
| IL | $354.72–$388.66 | 4 |
| IN | $342.70 | 1 |
| KS | $337.29 | 1 |
| KY | $339.50 | 1 |
| LA | $339.13–$355.49 | 2 |
| MA | $379.94–$418.71 | 2 |
| MD | $370.93–$419.37 | 3 |
| ME | $342.93–$360.56 | 2 |
| MI | $348.49–$369.30 | 2 |
| MN | $365.12 | 1 |
| MO | $333.69–$356.27 | 3 |
| MS | $330.07 | 1 |
| MT | $368.05 | 1 |
| NC | $346.38 | 1 |
| ND | $359.55 | 1 |
| NE | $340.16 | 1 |
| NH | $376.39 | 1 |
| NJ | $396.44–$415.25 | 2 |
| NM | $350.51 | 1 |
| NV | $365.93 | 1 |
| NY | $351.49–$433.84 | 5 |
| OH | $346.75 | 1 |
| OK | $338.50 | 1 |
| OR | $362.83–$393.48 | 2 |
| PA | $347.08–$382.89 | 2 |
| PR | $370.57 | 1 |
| RI | $376.70 | 1 |
| SC | $347.19 | 1 |
| SD | $358.54 | 1 |
| TN | $339.00 | 1 |
| TX | $344.87–$380.95 | 8 |
| UT | $351.82 | 1 |
| VA | $359.66–$419.37 | 2 |
| VI | $370.57 | 1 |
| VT | $358.52 | 1 |
| WA | $379.10–$426.77 | 2 |
| WI | $347.79 | 1 |
| WV | $341.98 | 1 |
| WY | $364.34 | 1 |
How the 41113 rate is calculated
Each of 41113’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 · 41113
RVUs × geographic indexes × conversion factor
Work3.21
3.21 RVUs× 1.000 GPCI
Practice expense7.38
7.38 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
11.0200
Conversion factor
$33.4009
Medicare rate
$368.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 41113
41113 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41113
Tongue lesion excision, complicated closure
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41113
Tongue lesion excision, complicated 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41113 without 51 · national office
$368.08
Tongue lesion excision, complicated closure
41113-51 · Second procedure: 50%
$184.04
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%).
41113 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 41112Tongue excisionAnterior two-thirds, with closure
- Both include closure after tongue-lesion excision. 41113 is for a complicated closure; 41112 is for a routine closure.
- 41114Tongue excisionExtensive excision with closure
- 41114 describes an extensive tongue-lesion excision. 41113 is selected for a complicated closure, not simply because a lesion is present.
- 41110Tongue lesion excisionWithout closure
- 41110 is for tongue-lesion excision without closure; 41113 includes a complicated closure.
- 41100Tongue biopsyAnterior two-thirds
- 41100 is a tongue biopsy for tissue sampling. 41113 is for excision of the lesion with a complicated closure.
41113 billing questions
How is 41113 distinguished from 41112?
Both describe tongue-lesion excision with closure. Choose 41113 when the operative documentation supports a complicated closure; 41112 is for a routine closure.
When should 41110 be used instead?
Use 41110 when the tongue lesion is excised without closure. The closure performed, not simply the lesion’s location, distinguishes it from 41113.
What documentation supports 41113?
Document the tongue site, the lesion excision, the closure performed, and the operative details supporting its complicated nature.
Can modifier 50 be reported for lesions on both sides of the tongue?
No. Modifier 50 is not appropriate for 41113, including when the operative documentation describes bilateral tongue sites.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global surgery payment.
Can an assistant or co-surgeon be billed for this procedure?
Medicare does not pay an assistant at surgery for 41113. Co-surgeon and team-surgery billing are not permitted.
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
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