CPT code 41114: Tongue excision, extensive excision with closure2026 Medicare rate & RVUs

Medicare pays $548.44 for 41114 nationally in a facility.

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

What 41114 covers

Code 41114 describes removal of a substantial tongue lesion with closure when the excision involves more than one-third of the tongue. The service may address a sizable benign or suspicious lesion requiring therapeutic removal rather than a diagnostic sample alone. Otolaryngologists and oral and maxillofacial surgeons commonly perform it in an operating room or other surgical setting, with the excised tissue typically submitted for histologic examination.

Select this code when the operative report supports the extent of the lesion and excision, the portion of tongue involved, and closure of the surgical site. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; CMS does not permit co-surgeon or team-surgery payment for this service.

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 41114 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

41114 rates by state

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

How the 41114 rate is calculated

Each of 41114’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 41114

41114 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

41114 compared with similar codes

How to choose

41110Tongue lesion excisionWithout closure

41110 describes tongue lesion excision without closure. Choose 41114 when the excision is extensive and the wound is closed.

41112Tongue excisionAnterior two-thirds, with closure

41112 is the closure code for lesions in the anterior two-thirds of the tongue; 41114 is for an extensive excision involving more than one-third.

41113Tongue lesion excisionComplicated closure

41113 identifies closure of a lesion in the posterior one-third of the tongue. 41114 describes the extensive excision level.

41120Partial glossectomyLess than half tongue

41120 describes partial glossectomy. Use 41114 when the documented service is extensive lesion removal with closure, rather than partial removal of the tongue.

Codes related to 41114

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