CPT code 41145: Total glossectomy, bilateral radical neck dissection2026 Medicare rate & RVUs

Medicare pays $2,416.22 for 41145 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 41145 covers

This code describes removal of the entire tongue together with radical neck dissections on both sides of the neck; a tracheostomy may or may not be performed. Head and neck surgeons typically perform this extensive operation in a hospital setting for advanced cancers involving the tongue. The defining distinction is the combination of total tongue removal and bilateral radical neck dissection, rather than tongue removal alone or a partial glossectomy.

Select the code when the operative report supports total glossectomy and bilateral radical neck dissection. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate because bilateral neck surgery is built into this code. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 41145 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

41145 rates by state

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

How the 41145 rate is calculated

Each of 41145’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 41145

41145 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

41145 compared with similar codes

How to choose

41135Tongue and neck surgeryPartial glossectomy, unilateral dissection

Use 41135 for total glossectomy without radical neck dissection. This code includes bilateral radical neck dissection.

41140Total glossectomyUnilateral radical neck dissection

Both codes describe total glossectomy with radical neck dissection; 41140 is unilateral, while this code is bilateral.

41130Tongue resectionHemiglossectomy

41130 represents hemiglossectomy, not removal of the entire tongue with bilateral radical neck dissection.

Codes related to 41145

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