CPT code 41130: Tongue resection, hemiglossectomy2026 Medicare rate & RVUs in Connecticut
Reports removal of one side of the tongue for disease requiring a hemiglossectomy, rather than a limited lesion excision or complete tongue removal.
In Connecticut, Medicare pays $1,256.86 for 41130 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 41130 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Connecticut compares for 41130
Across 109 of 109 payment localities, the facility rate for 41130 runs from $1,063.78 in Arkansas to $1,469.17 in San Benito County, CA. Connecticut pays $1,256.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$1,256.86
- Los Angeles, CA · California$1,289.21+$32.35
- Washington, DC area · District of Columbia$1,327.09+$70.23
- Miami, FL · Florida$1,325.60+$68.74
- Chicago, IL · Illinois$1,289.92+$33.06
- Manhattan, NY · New York$1,358.70+$101.84
- Alaska · Alaska$1,445.62+$188.76
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,077.20 |
| ArkansasArkansas | — | $1,063.78 |
| ArizonaArizona | — | $1,155.29 |
| Bakersfield, CACalifornia | — | $1,221.90 |
| Chico, CACalifornia | — | $1,215.31 |
| El Centro, CACalifornia | — | $1,215.69 |
| Fresno, CACalifornia | — | $1,215.31 |
| Hanford, CACalifornia | — | $1,215.31 |
| Madera, CACalifornia | — | $1,215.31 |
| Merced, CACalifornia | — | $1,215.31 |
| Modesto, CACalifornia | — | $1,215.31 |
| Napa, CACalifornia | — | $1,369.05 |
| Oxnard, CACalifornia | — | $1,278.82 |
| Redding, CACalifornia | — | $1,215.31 |
| Rest of CaliforniaCalifornia | — | $1,215.31 |
| Riverside, CACalifornia | — | $1,239.97 |
| Sacramento, CACalifornia | — | $1,264.98 |
| Salinas, CACalifornia | — | $1,260.03 |
| San Diego, CACalifornia | — | $1,282.02 |
| Marin County, CACalifornia | — | $1,436.54 |
| San Francisco, CACalifornia | — | $1,433.96 |
| San Benito County, CACalifornia | — | $1,469.17 |
| Santa Clara County, CACalifornia | — | $1,458.58 |
| San Luis Obispo, CACalifornia | — | $1,240.94 |
| Santa Cruz, CACalifornia | — | $1,288.27 |
| Santa Maria, CACalifornia | — | $1,262.66 |
| Santa Rosa, CACalifornia | — | $1,300.63 |
| Stockton, CACalifornia | — | $1,215.31 |
| Vallejo, CACalifornia | — | $1,365.32 |
| Visalia, CACalifornia | — | $1,215.31 |
| Yuba City, CACalifornia | — | $1,215.31 |
| ColoradoColorado | — | $1,212.34 |
| DelawareDelaware | — | $1,172.45 |
| Fort Lauderdale, FLFlorida | — | $1,254.01 |
| Rest of FloridaFlorida | — | $1,196.82 |
| Atlanta, GAGeorgia | — | $1,211.11 |
| Rest of GeorgiaGeorgia | — | $1,135.00 |
| Hawaii, Guam, HIHawaii | — | $1,234.30 |
| IowaIowa | — | $1,088.16 |
| IdahoIdaho | — | $1,096.93 |
| East St. Louis, ILIllinois | — | $1,214.28 |
| Rest of IllinoisIllinois | — | $1,175.76 |
| Suburban Chicago, ILIllinois | — | $1,263.20 |
| IndianaIndiana | — | $1,102.09 |
| KansasKansas | — | $1,089.75 |
| KentuckyKentucky | — | $1,112.12 |
| New Orleans, LALouisiana | — | $1,159.93 |
| Rest of LouisianaLouisiana | — | $1,113.01 |
| Metropolitan Boston, MAMassachusetts | — | $1,312.97 |
| Rest of MassachusettsMassachusetts | — | $1,209.06 |
| Baltimore area, MDMaryland | — | $1,254.48 |
| Rest of MarylandMaryland | — | $1,190.76 |
| Rest of MaineMaine | — | $1,108.27 |
| Southern Maine, MEMaine | — | $1,151.27 |
| Detroit, MIMichigan | — | $1,216.12 |
| Rest of MichiganMichigan | — | $1,142.71 |
| MinnesotaMinnesota | — | $1,148.40 |
| Metropolitan Kansas City, MOMissouri | — | $1,146.63 |
| Metropolitan St. Louis, MOMissouri | — | $1,156.28 |
| Rest of MissouriMissouri | — | $1,100.52 |
| MississippiMississippi | — | $1,082.03 |
| MontanaMontana | — | $1,184.58 |
| North CarolinaNorth Carolina | — | $1,117.31 |
| North DakotaNorth Dakota | — | $1,139.49 |
| NebraskaNebraska | — | $1,091.48 |
| New HampshireNew Hampshire | — | $1,199.64 |
| Northern New JerseyNew Jersey | — | $1,317.55 |
| Rest of New JerseyNew Jersey | — | $1,267.45 |
| New MexicoNew Mexico | — | $1,150.58 |
| NevadaNevada | — | $1,172.61 |
| NYC suburbs and Long Island, NYNew York | — | $1,395.43 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,280.40 |
| Queens, NYNew York | — | $1,359.65 |
| Rest of New YorkNew York | — | $1,132.32 |
| OhioOhio | — | $1,133.50 |
| OklahomaOklahoma | — | $1,103.99 |
| Portland, OROregon | — | $1,239.58 |
| Rest of OregonOregon | — | $1,159.73 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,233.09 |
| Rest of PennsylvaniaPennsylvania | — | $1,131.68 |
| Puerto RicoPuerto Rico | — | $1,190.14 |
| Rhode IslandRhode Island | — | $1,205.91 |
| South CarolinaSouth Carolina | — | $1,128.02 |
| South DakotaSouth Dakota | — | $1,134.16 |
| TennesseeTennessee | — | $1,095.25 |
| Austin, TXTexas | — | $1,211.63 |
| Beaumont, TXTexas | — | $1,125.69 |
| Brazoria, TXTexas | — | $1,166.71 |
| Dallas, TXTexas | — | $1,176.15 |
| Fort Worth, TXTexas | — | $1,171.18 |
| Galveston, TXTexas | — | $1,171.56 |
| Houston, TXTexas | — | $1,213.29 |
| Rest of TexasTexas | — | $1,146.95 |
| UtahUtah | — | $1,141.21 |
| VirginiaVirginia | — | $1,152.21 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,190.14 |
| VermontVermont | — | $1,141.15 |
| Rest of WashingtonWashington | — | $1,204.78 |
| King County, WAWashington | — | $1,331.69 |
| WisconsinWisconsin | — | $1,107.00 |
| West VirginiaWest Virginia | — | $1,139.49 |
| WyomingWyoming | — | $1,164.93 |
41130 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 41130
RVUs × geographic indexes × conversion factor
Work15.35
15.35 RVUs× 1.000 GPCI
Practice expense17.84
17.84 RVUs× 1.000 GPCI
Malpractice2.28
2.28 RVUs× 1.000 GPCI
Adjusted RVUs
35.4700
Conversion factor
$33.4009
Medicare rate
$1,184.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,906
- Code
- 41130
- Physician work
- 15.35
- Practice expense
- 17.84
- Malpractice
- 2.28
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.35 | × 1.020 | 15.6570 |
| Practice expense | 17.84 | × 1.077 | 19.2137 |
| Malpractice | 2.28 | × 1.210 | 2.7588 |
| Total RVUs | 37.6295 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1256.86
Facility: (15.35 × 1.02 + 17.84 × 1.077 + 2.28 × 1.21) × $33.4009 = $1256.86
Payment rules and modifiers for 41130
41130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41130
Tongue resection, hemiglossectomy
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 41130
Tongue resection, hemiglossectomy
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
41130 without 51 · national facility
$1,184.73
Tongue resection, hemiglossectomy
41130-51 · Second procedure: 50%
$592.37
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%).
How 41130 has changed in Connecticut
41130 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,256.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,256.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,256.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,256.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,356.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,356.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,356.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,356.55 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,396.86 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,396.86 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,396.86 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,396.86 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,374.06 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,428.96 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,428.96 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,428.96 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,428.96 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,451.34 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,451.34 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,451.34 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,451.34 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,460.11 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,460.11 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,460.11 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,460.11 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,460.30 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,460.30 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,460.30 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,460.30 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,486.81 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,486.81 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,486.81 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,486.81 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,488.68 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,488.68 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,488.68 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,488.68 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,503.97 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,503.97 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,503.97 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,503.97 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,522.29 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,522.29 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,522.29 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,522.29 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,472.68 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,472.68 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,465.35 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,465.35 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,454.12 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,454.12 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,454.12 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,454.12 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,457.17 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,457.17 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,457.17 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,457.17 | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
41130 billing questions
How does 41130 differ from 41120?
41130 represents a hemiglossectomy. Use 41120 for a tongue resection that is less than half the tongue.
Does 41130 include a neck dissection?
It describes the tongue resection, not a combined tongue and neck operation. Review the operative report and select coding that reflects any neck dissection performed.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inapplicable and modifier 50 as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure 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
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