CPT code 41140: Total glossectomy, unilateral radical neck dissection2026 Medicare rate & RVUs in Missouri
Reports complete or total tongue removal performed with a unilateral radical neck dissection, commonly for advanced tongue cancer requiring an extensive oncologic operation.
CMS doesn’t publish an office rate for 41140 in Missouri.
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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What 41140 covers
This operation removes the entire tongue and includes a radical neck dissection on one side. Head and neck oncologic surgeons typically perform it for advanced oral tongue or tongue-base malignancy when the planned resection requires total rather than partial tongue removal and unilateral radical neck treatment. A tracheostomy may be performed, but its presence does not change selection of this code.
Report 41140 when the operative record supports complete or total glossectomy together with unilateral radical neck dissection. Documentation should identify the extent of tongue resection, the side and extent of the neck dissection, and the clinical indication. 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 others are subject to the standard 50% reduction. 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 41140 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,872.83 |
| Metropolitan St. Louis, MO | Unavailable | $1,887.20 |
| Rest of Missouri | Unavailable | $1,807.76 |
How the 41140 rate is calculated
Each of 41140’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 · 41140
RVUs × geographic indexes × conversion factor
Work28.42
28.42 RVUs× 1.000 GPCI
Practice expense25.14
25.14 RVUs× 1.000 GPCI
Malpractice4.14
4.14 RVUs× 1.000 GPCI
Adjusted RVUs
57.7000
Conversion factor
$33.4009
Medicare rate
$1,927.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 41140
41140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41140
Total glossectomy, unilateral radical neck dissection
| 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 · 41140
Total glossectomy, unilateral radical neck dissection
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
41140 without 51 · national facility
$1,927.23
Total glossectomy, unilateral radical neck dissection
41140-51 · Second procedure: 50%
$963.62
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%).
41140 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 41135Tongue and neck surgeryPartial glossectomy, unilateral dissection
- Use 41135 for complete or total glossectomy without radical neck dissection. 41140 includes a unilateral radical neck dissection.
- 41145Total glossectomyBilateral radical neck dissection
- Both include total glossectomy and radical neck dissection; 41145 describes bilateral neck dissection, while 41140 describes unilateral dissection.
- 41130Tongue resectionHemiglossectomy
- 41130 is for hemiglossectomy, not removal of the entire tongue with unilateral radical neck dissection.
- 41153Floor-of-mouth resectionWith radical neck dissection
- 41153 describes a composite resection involving the tongue, floor of mouth, and mandible with unilateral radical neck dissection. 41140 does not describe that composite resection.
41140 billing questions
How does 41140 differ from 41135?
Both describe complete or total glossectomy. 41140 includes a unilateral radical neck dissection; 41135 describes the total glossectomy without radical neck dissection.
Can 41140 be reported with modifier 50 for bilateral neck dissection?
No. Modifier 50 is inappropriate for 41140. The code for total glossectomy with bilateral radical neck dissection is 41145.
Does a tracheostomy change the code selection?
No. The code includes total glossectomy whether or not a tracheostomy is performed.
What documentation supports reporting 41140?
The operative report should establish complete or total tongue removal and a unilateral radical neck dissection, including the side treated.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation.
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
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