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CPT code 41113: Tongue lesion excision, complicated closure2026 Medicare rate & RVUs in Washington, DC area

Reports surgical removal of a tongue lesion when the operative service includes a complicated closure, rather than a routine closure or no closure.

CMS RVU26DEffective Oct 1, 2026One payment locality584 Medicare services in 2024

In Washington, DC area, Medicare pays $419.37 for 41113 in the office and $274.18 when it’s performed in a hospital or facility.

$419.37Office (non-facility)
$274.18Hospital or facility
+13.9%vs the national office rate ($368.08)

Check a contract rate as a % of Medicare · 41113 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 41113 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 41113 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 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.

How Washington, DC area compares for 41113

Across 109 of 109 payment localities, the office rate for 41113 runs from $326.36 in Arkansas to $482.16 in San Benito County, CA. Washington, DC area pays $419.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

41113 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$419.37
  2. Los Angeles, CA · California$412.76−$6.61
  3. Miami, FL · Florida$400.14−$19.23
  4. Chicago, IL · Illinois$388.66−$30.71
  5. Manhattan, NY · New York$423.29+$3.92
  6. Alaska · Alaska$431.26+$11.89
  7. Alabama · Alabama$331.03−$88.34

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

41113 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$326.36$220.48
ArizonaArizona$358.37$238.94
Bakersfield, CACalifornia$388.16$253.08
Chico, CACalifornia$386.90$251.82
El Centro, CACalifornia$386.97$251.89
Fresno, CACalifornia$386.90$251.82
Hanford, CACalifornia$386.90$251.82
Madera, CACalifornia$386.90$251.82

41113 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.

$326.36

$434.53

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

View every state and territory as a table
41113 office rate range by state
State / territoryOffice rate rangeLocalities
AK$431.261
AL$331.031
AR$326.361
AZ$358.371
CA$386.90–$482.1629
CO$382.001
CT$392.221
DC$419.371
DE$364.211
FL$364.46–$400.143
GA$344.21–$375.232
GU$395.801
HI$395.801
IA$338.471
ID$340.791
IL$354.72–$388.664
IN$342.701
KS$337.291
KY$339.501
LA$339.13–$355.492
MA$379.94–$418.712
MD$370.93–$419.373
ME$342.93–$360.562
MI$348.49–$369.302
MN$365.121
MO$333.69–$356.273
MS$330.071
MT$368.051
NC$346.381
ND$359.551
NE$340.161
NH$376.391
NJ$396.44–$415.252
NM$350.511
NV$365.931
NY$351.49–$433.845
OH$346.751
OK$338.501
OR$362.83–$393.482
PA$347.08–$382.892
PR$370.571
RI$376.701
SC$347.191
SD$358.541
TN$339.001
TX$344.87–$380.958
UT$351.821
VA$359.66–$419.372
VI$370.571
VT$358.521
WA$379.10–$426.772
WI$347.791
WV$341.981
WY$364.341

See 41113 in every payment locality

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

Office or facility?

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,901

Code
41113
Physician work
3.21
Practice expense
7.38
Malpractice
0.43

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 41113 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.21× 1.0543.3833
Practice expense7.38× 1.1788.6936
Malpractice0.43× 1.1130.4786
Total RVUs12.5556
Conversion factor× 33.4009

Office rate, Washington, DC area$419.37

Office: (3.21 × 1.054 + 7.38 × 1.178 + 0.43 × 1.113) × $33.4009 = $419.37

Facility: (3.21 × 1.054 + 3.69 × 1.178 + 0.43 × 1.113) × $33.4009 = $274.18

Open 41113 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 41113

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

Codes related to 41113
CodeHow it relatesOffice range, Washington, DC area
Same family
41110Tongue lesion excision, without closureTongue-lesion excision without closure.$260.41
41112Tongue excision, anterior two-thirds, with closureTongue-lesion excision with routine closure.$391.04
41114Tongue excision, extensive excision with closureTongue-lesion excision distinguished by extensive rather than complicated closure.No office rate
Used instead
41100Tongue biopsy, anterior two-thirdsTongue biopsy samples tissue for diagnosis rather than excising the lesion with closure.$215.39
41120Partial glossectomy, less than half tonguePartial tongue removal is considered when the procedure involves a more extensive tongue resection.No office rate

How 41113 has changed in Washington, DC area

41113 · Office / nonfacility

$419.37

Effective 2026-10-01

The base rate is $15.31 higher than on 2025-10-01, moving from $404.06 to $419.37 (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

    $404.06changed to$419.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.29 changed to 3.21
    • Practice expense RVU 7.18 changed to 7.38
    • Malpractice RVU 0.39 changed to 0.43
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $417.00changed to$404.06

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.21 changed to 7.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $410.20changed to$417.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $433.49changed to$410.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.29 changed to 7.21
    • Malpractice RVU 0.38 changed to 0.39
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $446.72changed to$433.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.23 changed to 7.29
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $449.09changed to$446.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.22 changed to 7.23
    • Malpractice RVU 0.37 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $438.61changed to$449.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.74 changed to 7.22
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $438.50changed to$438.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.70 changed to 6.74
    • Malpractice RVU 0.52 changed to 0.37
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $439.32changed to$438.50

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.73 changed to 6.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $442.40changed to$439.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.82 changed to 6.73
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $445.36changed to$442.40

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.89 changed to 6.82
    • Malpractice RVU 0.53 changed to 0.52
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $446.50changed to$445.36

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.52 changed to 0.53

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $444.28changed to$446.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $437.26changed to$444.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.88 changed to 6.89
    • Malpractice RVU 0.40 changed to 0.52
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $440.89changed to$437.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.54 changed to 6.88
    • Malpractice RVU 0.42 changed to 0.40
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $440.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$419.37$274.18RVU26D
2026-07-01$419.37$274.18RVU26C
2026-04-01$419.37$274.18RVU26B
2026-01-01$419.37$274.18RVU26A
2025-10-01$404.06$294.17RVU25D
2025-07-01$404.06$294.17RVU25C
2025-04-01$404.06$294.17RVU25B
2025-01-01$404.06$294.17RVU25A
2024-10-01$417.00$300.35RVU24D
2024-07-01$417.00$300.35RVU24C
2024-04-01$417.00$300.35RVU24B
2024-03-09$417.00$300.35RVU24AR
2024-01-01$410.20$295.45RVU24A
2023-10-01$433.49$309.66RVU23D
2023-07-01$433.49$309.66RVU23C
2023-04-01$433.49$309.66RVU23B
2023-01-01$433.49$309.66RVU23A
2022-10-01$446.72$315.83RVU22D
2022-07-01$446.72$315.83RVU22C
2022-04-01$446.72$315.83RVU22B
2022-01-01$446.72$315.83RVU22A
2021-10-01$449.09$317.55RVU21D
2021-07-01$449.09$317.55RVU21C
2021-04-01$449.09$317.55RVU21B
2021-01-01$449.09$317.55RVU21A
2020-10-01$438.61$322.27RVU20D
2020-07-01$438.61$322.27RVU20C
2020-04-01$438.61$322.27RVU20B
2020-01-01$438.61$322.27RVU20A
2019-10-01$438.50$328.63RVU19D
2019-07-01$438.50$328.63RVU19C
2019-04-01$438.50$328.63RVU19B
2019-01-01$438.50$328.63RVU19A
2018-10-01$439.32$333.47RVU18D
2018-07-01$439.32$333.47RVU18C
2018-04-01$439.32$333.47RVU18B
2018-01-01$439.32$333.47RVU18AR1
2017-10-01$442.40$336.88RVU17D
2017-07-01$442.40$336.88RVU17C
2017-04-01$442.40$336.88RVU17B
2017-01-01$442.40$336.88RVU17A
2016-10-01$445.36$339.22RVU16D
2016-07-01$445.36$339.22RVU16C
2016-04-01$445.36$339.22RVU16B
2016-01-01$445.36$339.22RVU16A
2015-10-01$446.50$339.12RVU15D
2015-07-01$446.50$339.12RVU15C
2015-04-01$444.28$337.43RVU15B
2015-01-01$444.28$337.43RVU15A
2014-10-01$437.26$332.63RVU14D
2014-07-01$437.26$332.63RVU14C
2014-04-01$437.26$332.63RVU14B
2014-01-01$437.26$332.63RVU14A
2013-10-01$440.89$330.84RVU13D
2013-07-01$440.89$330.84RVU13C
2013-04-01$440.89$330.84RVU13B
2013-01-01$440.89$330.84RVU13AR

Price 41113 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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
RVUs for 41113PPRRVU2026_Oct_nonQPP.csv, line 4,901 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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