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CPT code 41116: Oral lesion excision, floor of mouth2026 Medicare rate & RVUs in Delaware

Reports surgical removal of a lesion from the floor of the mouth, rather than diagnostic sampling or excision of a tongue lesion.

CMS RVU26DEffective Oct 1, 2026One payment locality750 Medicare services in 2024

In Delaware, Medicare pays $331.65 for 41116 in the office and $199.32 when it’s performed in a hospital or facility.

$331.65Office (non-facility)
$199.32Hospital or facility
−1.1%vs the national office rate ($335.35)

Check a contract rate as a % of Medicare · 41116 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 41116 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 41116 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 41116 covers

This service removes a lesion arising in the soft tissue beneath the tongue, such as a localized mucosal growth or abnormal area on the floor of the mouth. Oral and maxillofacial surgeons, otolaryngologists, and other clinicians who perform oral surgery may provide it in an office or operating-room setting. The procedure is distinct from sampling a lesion for diagnosis and from removing a lesion whose site is the tongue.

Report the code when the operative documentation identifies the floor of the mouth as the lesion site and supports excision rather than biopsy alone. The service has a 90-day global period, which includes the day-before preoperative visit and related postoperative care for 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 multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery 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 Delaware compares for 41116

Across 109 of 109 payment localities, the office rate for 41116 runs from $295.51 in Arkansas to $445.39 in San Benito County, CA. Delaware pays $331.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

41116 in Delaware vs other payment areas
  1. Delaware · this page$331.65
  2. Los Angeles, CA · California$378.80+$47.15
  3. Washington, DC area · District of Columbia$384.07+$52.42
  4. Miami, FL · Florida$363.62+$31.97
  5. Chicago, IL · Illinois$352.70+$21.05
  6. Manhattan, NY · New York$386.72+$55.07
  7. Alaska · Alaska$386.70+$55.05

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

Every other payment area

41116 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$299.98$182.79
ArkansasArkansas$295.51$180.46
ArizonaArizona$326.14$196.35
Bakersfield, CACalifornia$355.36$208.56
Chico, CACalifornia$354.31$207.52
El Centro, CACalifornia$354.37$207.58
Fresno, CACalifornia$354.31$207.52
Hanford, CACalifornia$354.31$207.52

41116 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.

$295.51

$399.85

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

View every state and territory as a table
41116 office rate range by state
State / territoryOffice rate rangeLocalities
AK$386.701
AL$299.981
AR$295.511
AZ$326.141
CA$354.31–$445.3929
CO$349.131
CT$358.081
DC$384.071
DE$331.651
FL$330.78–$363.623
GA$311.61–$341.872
GU$363.321
HI$363.321
IA$307.601
ID$309.721
IL$321.13–$352.704
IN$311.561
KS$306.231
KY$307.551
LA$307.11–$322.752
MA$347.00–$384.182
MD$338.07–$384.073
ME$311.51–$328.742
MI$315.92–$335.152
MN$333.871
MO$301.75–$323.793
MS$298.691
MT$335.321
NC$314.851
ND$328.201
NE$309.301
NH$343.731
NJ$361.98–$379.922
NM$317.751
NV$333.581
NY$319.72–$396.495
OH$314.461
OK$306.861
OR$330.81–$360.352
PA$314.91–$349.032
PR$337.821
RI$343.571
SC$315.211
SD$327.361
TN$307.831
TX$312.79–$348.138
UT$319.651
VA$327.71–$384.072
VI$337.821
VT$326.991
WA$346.32–$391.992
WI$316.901
WV$308.941
WY$332.221

See 41116 in every payment locality

How the 41116 rate is calculated

Each of 41116’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 · 41116

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.46

2.46 RVUs× 1.000 GPCI

Practice expense7.22

7.22 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

10.0400

Conversion factor

$33.4009

Medicare rate

$335.35

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,904

Code
41116
Physician work
2.46
Practice expense
7.22
Malpractice
0.36

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 41116 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.46× 1.0052.4723
Practice expense7.22× 0.9887.1334
Malpractice0.36× 0.8990.3236
Total RVUs9.9293
Conversion factor× 33.4009

Office rate, Delaware$331.65

Office: (2.46 × 1.005 + 7.22 × 0.988 + 0.36 × 0.899) × $33.4009 = $331.65

Facility: (2.46 × 1.005 + 3.21 × 0.988 + 0.36 × 0.899) × $33.4009 = $199.32

Open 41116 in the RVU calculator

Payment rules and modifiers for 41116

41116 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41116

Oral lesion excision, floor of mouth

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 · 41116

Oral lesion excision, floor of mouth

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

41116 without 51 · national office

$335.35

Oral lesion excision, floor of mouth

41116-51 · Second procedure: 50%

$167.68

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 41116

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

Codes related to 41116
CodeHow it relatesOffice range, Delaware
Used instead
41108Oral biopsy, floor of mouthBiopsy of the floor of the mouth when tissue sampling, rather than lesion excision, is performed.$168.13
41110Tongue lesion excision, without closureExcision of a tongue lesion when the lesion site is the tongue rather than the floor of the mouth.$224.31
41112Tongue excision, anterior two-thirds, with closureAnother tongue-lesion excision option; select by documented site and procedure.$338.69

How 41116 has changed in Delaware

41116 · Office / nonfacility

$331.65

Effective 2026-10-01

The base rate is $10.50 higher than on 2025-10-01, moving from $321.15 to $331.65 (3.3%).

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

    $321.15changed to$331.65

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.52 changed to 2.46
    • Practice expense RVU 7.12 changed to 7.22
    • Malpractice RVU 0.34 changed to 0.36
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $333.13changed to$321.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.20 changed to 7.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $327.70changed to$333.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $344.20changed to$327.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.25 changed to 7.20
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $352.91changed to$344.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.21 changed to 7.25
    • Malpractice RVU 0.32 changed to 0.34
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $355.15changed to$352.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.20 changed to 7.21
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $348.71changed to$355.15

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.67 changed to 7.20
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $351.03changed to$348.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.64 changed to 6.67
    • Malpractice RVU 0.39 changed to 0.31
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $349.14changed to$351.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.61 changed to 6.64
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $352.48changed to$349.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.68 changed to 6.61
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $356.71changed to$352.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.78 changed to 6.68
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $355.76changed to$356.71

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.73 changed to 6.78
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $353.99changed to$355.76

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $354.59changed to$353.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.80 changed to 6.73
    • Malpractice RVU 0.33 changed to 0.38
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $359.16changed to$354.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.45 changed to 6.80
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $359.16

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$331.65$199.32RVU26D
2026-07-01$331.65$199.32RVU26C
2026-04-01$331.65$199.32RVU26B
2026-01-01$331.65$199.32RVU26A
2025-10-01$321.15$212.05RVU25D
2025-07-01$321.15$212.05RVU25C
2025-04-01$321.15$212.05RVU25B
2025-01-01$321.15$212.05RVU25A
2024-10-01$333.13$216.90RVU24D
2024-07-01$333.13$216.90RVU24C
2024-04-01$333.13$216.90RVU24B
2024-03-09$333.13$216.90RVU24AR
2024-01-01$327.70$213.36RVU24A
2023-10-01$344.20$220.33RVU23D
2023-07-01$344.20$220.33RVU23C
2023-04-01$344.20$220.33RVU23B
2023-01-01$344.20$220.33RVU23A
2022-10-01$352.91$222.40RVU22D
2022-07-01$352.91$222.40RVU22C
2022-04-01$352.91$222.40RVU22B
2022-01-01$352.91$222.40RVU22A
2021-10-01$355.15$221.78RVU21D
2021-07-01$355.15$221.78RVU21C
2021-04-01$355.15$221.78RVU21B
2021-01-01$355.15$221.78RVU21A
2020-10-01$348.71$226.38RVU20D
2020-07-01$348.71$226.38RVU20C
2020-04-01$348.71$226.38RVU20B
2020-01-01$348.71$226.38RVU20A
2019-10-01$351.03$232.04RVU19D
2019-07-01$351.03$232.04RVU19C
2019-04-01$351.03$232.04RVU19B
2019-01-01$351.03$232.04RVU19A
2018-10-01$349.14$232.85RVU18D
2018-07-01$349.14$232.85RVU18C
2018-04-01$349.14$232.85RVU18B
2018-01-01$349.14$232.85RVU18AR1
2017-10-01$352.48$235.87RVU17D
2017-07-01$352.48$235.87RVU17C
2017-04-01$352.48$235.87RVU17B
2017-01-01$352.48$235.87RVU17A
2016-10-01$356.71$238.22RVU16D
2016-07-01$356.71$238.22RVU16C
2016-04-01$356.71$238.22RVU16B
2016-01-01$356.71$238.22RVU16A
2015-10-01$355.76$237.20RVU15D
2015-07-01$355.76$237.20RVU15C
2015-04-01$353.99$236.02RVU15B
2015-01-01$353.99$236.02RVU15A
2014-10-01$354.59$235.23RVU14D
2014-07-01$354.59$235.23RVU14C
2014-04-01$354.59$235.23RVU14B
2014-01-01$354.59$235.23RVU14A
2013-10-01$359.16$233.78RVU13D
2013-07-01$359.16$233.78RVU13C
2013-04-01$359.16$233.78RVU13B
2013-01-01$359.16$233.78RVU13AR

Price 41116 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

41116 billing questions

When should this be reported instead of 41108?

Use 41116 for surgical excision of a floor-of-mouth lesion. Use 41108 when the service is a biopsy of that site rather than excision.

Does a lesion on the underside of the tongue qualify?

The operative note should establish that the lesion arises in the floor of the mouth, not the tongue. Tongue lesions are reported with the applicable tongue procedure code.

Is modifier 50 appropriate for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.

What postoperative care is included?

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

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery 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 other procedures are subject to a 50% reduction.

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 41116PPRRVU2026_Oct_nonQPP.csv, line 4,904 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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