CPT code 41130: Tongue resection, hemiglossectomy2026 Medicare rate & RVUs in Michigan
Reports removal of one side of the tongue for disease requiring a hemiglossectomy, rather than a limited lesion excision or complete tongue removal.
CMS doesn’t publish an office rate for 41130 in Michigan.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 41130 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | $1,216.12 |
| Rest of Michigan | Unavailable | $1,142.71 |
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.
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%).
41130 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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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