CPT code 41130: Tongue resection, hemiglossectomy2026 Medicare rate & RVUs

Medicare pays $1,184.73 for 41130 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 41130 covers

This code describes a hemiglossectomy: surgical removal of one side of the tongue. Head and neck surgeons, including otolaryngologists and oral and maxillofacial surgeons, typically perform it in an operating room for conditions such as a tongue malignancy that requires resection beyond a small, localized lesion. The operative report should make the extent and site of tongue removal clear.

Choose this code for a hemiglossectomy, not a limited excision or a more extensive complete or total tongue removal. Document the reason for surgery, the portion removed, and any additional procedures performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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 41130 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

41130 rates by state

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

How the 41130 rate is calculated

Each of 41130’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 41130

41130 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

41130 compared with similar codes

How to choose

41120Partial glossectomyLess than half tongue

41120 is for removal of less than half the tongue; 41130 describes a hemiglossectomy.

41135Tongue and neck surgeryPartial glossectomy, unilateral dissection

41135 describes complete or total tongue removal without radical neck dissection, a more extensive resection than a hemiglossectomy.

41140Total glossectomyUnilateral radical neck dissection

41140 is for complete or total tongue removal with unilateral radical neck dissection; 41130 is the hemiglossectomy code.

41110Tongue lesion excisionWithout closure

41110 is for excision of a tongue lesion. Choose 41130 when the operation is a hemiglossectomy rather than a limited lesion excision.

Codes related to 41130

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