CPT code 41150: Composite resection, without radical neck dissection2026 Medicare rate & RVUs in South Carolina
Reports a composite operation removing involved tongue, floor-of-mouth tissue, and mandible, without radical neck dissection, commonly for extensive oral cavity cancer.
In South Carolina, Medicare pays $1,857.89 for 41150 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 41150 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 41150 covers
This code describes a composite oral cavity resection that removes involved tongue tissue together with the floor of the mouth and part of the mandible. Head and neck surgeons, including otolaryngologists and oral and maxillofacial surgeons, commonly perform it for extensive cancers involving these connected structures. The operative report should establish the extent and combination of tissue removed; an isolated tongue resection or a lesion excision does not represent this composite procedure.
Report 41150 when the documented operation includes the tongue, floor of mouth, and mandible and is performed without radical neck dissection. The operative note should identify the resected structures and clarify the neck procedure, if any; radical neck dissection changes the applicable composite code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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.
How South Carolina compares for 41150
Across 109 of 109 payment localities, the facility rate for 41150 runs from $1,755.98 in Arkansas to $2,417.47 in Alaska. South Carolina pays $1,857.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$1,857.89
- Los Angeles, CA · California$2,084.92+$227.03
- Washington, DC area · District of Columbia$2,158.06+$300.17
- Miami, FL · Florida$2,196.24+$338.35
- Chicago, IL · Illinois$2,139.62+$281.73
- Manhattan, NY · New York$2,222.66+$364.77
- Alaska · Alaska$2,417.47+$559.58
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,776.53 |
| ArkansasArkansas | — | $1,755.98 |
| ArizonaArizona | — | $1,895.93 |
| Bakersfield, CACalifornia | — | $1,983.74 |
| Chico, CACalifornia | — | $1,971.29 |
| El Centro, CACalifornia | — | $1,972.01 |
| Fresno, CACalifornia | — | $1,971.29 |
| Hanford, CACalifornia | — | $1,971.29 |
| Madera, CACalifornia | — | $1,971.29 |
| Merced, CACalifornia | — | $1,971.29 |
| Modesto, CACalifornia | — | $1,971.29 |
| Napa, CACalifornia | — | $2,195.36 |
| Oxnard, CACalifornia | — | $2,065.55 |
| Redding, CACalifornia | — | $1,971.29 |
| Rest of CaliforniaCalifornia | — | $1,971.29 |
| Riverside, CACalifornia | — | $2,017.90 |
| Sacramento, CACalifornia | — | $2,045.11 |
| Salinas, CACalifornia | — | $2,036.94 |
| San Diego, CACalifornia | — | $2,067.40 |
| Marin County, CACalifornia | — | $2,295.41 |
| San Francisco, CACalifornia | — | $2,290.52 |
| San Benito County, CACalifornia | — | $2,347.51 |
| Santa Clara County, CACalifornia | — | $2,327.50 |
| San Luis Obispo, CACalifornia | — | $2,006.81 |
| Santa Cruz, CACalifornia | — | $2,073.48 |
| Santa Maria, CACalifornia | — | $2,039.81 |
| Santa Rosa, CACalifornia | — | $2,092.96 |
| Stockton, CACalifornia | — | $1,971.29 |
| Vallejo, CACalifornia | — | $2,188.31 |
| Visalia, CACalifornia | — | $1,971.29 |
| Yuba City, CACalifornia | — | $1,971.29 |
| ColoradoColorado | — | $1,975.27 |
| ConnecticutConnecticut | — | $2,055.54 |
| DelawareDelaware | — | $1,922.67 |
| Fort Lauderdale, FLFlorida | — | $2,069.32 |
| Rest of FloridaFlorida | — | $1,978.33 |
| Atlanta, GAGeorgia | — | $1,987.33 |
| Rest of GeorgiaGeorgia | — | $1,880.69 |
| Hawaii, Guam, HIHawaii | — | $1,994.82 |
| IowaIowa | — | $1,785.25 |
| IdahoIdaho | — | $1,800.32 |
| East St. Louis, ILIllinois | — | $2,022.16 |
| Rest of IllinoisIllinois | — | $1,951.45 |
| Suburban Chicago, ILIllinois | — | $2,082.51 |
| IndianaIndiana | — | $1,807.97 |
| KansasKansas | — | $1,791.56 |
| KentuckyKentucky | — | $1,838.34 |
| New Orleans, LALouisiana | — | $1,913.11 |
| Rest of LouisianaLouisiana | — | $1,841.23 |
| Metropolitan Boston, MAMassachusetts | — | $2,126.54 |
| Rest of MassachusettsMassachusetts | — | $1,972.37 |
| Baltimore area, MDMaryland | — | $2,052.24 |
| Rest of MarylandMaryland | — | $1,950.09 |
| Rest of MaineMaine | — | $1,821.77 |
| Southern Maine, MEMaine | — | $1,881.71 |
| Detroit, MIMichigan | — | $2,012.11 |
| Rest of MichiganMichigan | — | $1,888.97 |
| MinnesotaMinnesota | — | $1,864.87 |
| Metropolitan Kansas City, MOMissouri | — | $1,888.57 |
| Metropolitan St. Louis, MOMissouri | — | $1,902.90 |
| Rest of MissouriMissouri | — | $1,824.53 |
| MississippiMississippi | — | $1,789.87 |
| MontanaMontana | — | $1,941.97 |
| North CarolinaNorth Carolina | — | $1,834.95 |
| North DakotaNorth Dakota | — | $1,856.75 |
| NebraskaNebraska | — | $1,789.12 |
| New HampshireNew Hampshire | — | $1,958.13 |
| Northern New JerseyNew Jersey | — | $2,145.47 |
| Rest of New JerseyNew Jersey | — | $2,071.11 |
| New MexicoNew Mexico | — | $1,902.64 |
| NevadaNevada | — | $1,919.05 |
| NYC suburbs and Long Island, NYNew York | — | $2,283.98 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,094.72 |
| Queens, NYNew York | — | $2,218.45 |
| Rest of New YorkNew York | — | $1,858.21 |
| OhioOhio | — | $1,871.55 |
| OklahomaOklahoma | — | $1,821.78 |
| Portland, OROregon | — | $2,012.65 |
| Rest of OregonOregon | — | $1,896.20 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,021.41 |
| Rest of PennsylvaniaPennsylvania | — | $1,866.61 |
| Puerto RicoPuerto Rico | — | $1,949.19 |
| Rhode IslandRhode Island | — | $1,972.45 |
| South DakotaSouth Dakota | — | $1,846.67 |
| TennesseeTennessee | — | $1,800.44 |
| Austin, TXTexas | — | $1,975.70 |
| Beaumont, TXTexas | — | $1,857.70 |
| Brazoria, TXTexas | — | $1,910.94 |
| Dallas, TXTexas | — | $1,927.27 |
| Fort Worth, TXTexas | — | $1,920.88 |
| Galveston, TXTexas | — | $1,919.50 |
| Houston, TXTexas | — | $1,998.39 |
| Rest of TexasTexas | — | $1,886.17 |
| UtahUtah | — | $1,878.02 |
| VirginiaVirginia | — | $1,885.90 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,949.19 |
| VermontVermont | — | $1,862.89 |
| Rest of WashingtonWashington | — | $1,964.27 |
| King County, WAWashington | — | $2,152.04 |
| WisconsinWisconsin | — | $1,807.95 |
| West VirginiaWest Virginia | — | $1,896.10 |
| WyomingWyoming | — | $1,904.83 |
41150 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 41150 rate is calculated
Each of 41150’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 · 41150
RVUs × geographic indexes × conversion factor
Work29.11
29.11 RVUs× 1.000 GPCI
Practice expense24.73
24.73 RVUs× 1.000 GPCI
Malpractice4.31
4.31 RVUs× 1.000 GPCI
Adjusted RVUs
58.1500
Conversion factor
$33.4009
Medicare rate
$1,942.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,910
- Code
- 41150
- Physician work
- 29.11
- Practice expense
- 24.73
- Malpractice
- 4.31
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.11 | × 1.000 | 29.1100 |
| Practice expense | 24.73 | × 0.924 | 22.8505 |
| Malpractice | 4.31 | × 0.850 | 3.6635 |
| Total RVUs | 55.6240 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Carolina$1857.89
Facility: (29.11 × 1 + 24.73 × 0.924 + 4.31 × 0.85) × $33.4009 = $1857.89
Payment rules and modifiers for 41150
41150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41150
Composite resection, without 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 · 41150
Composite resection, without 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
41150 without 51 · national facility
$1,942.26
Composite resection, without radical neck dissection
41150-51 · Second procedure: 50%
$971.13
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 41150 has changed in South Carolina
41150 · 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 | $1,857.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,857.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,857.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,857.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,004.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,004.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,004.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,004.86 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,065.15 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,065.15 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,065.15 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,065.15 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,031.45 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,092.40 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,092.40 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,092.40 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,092.40 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,107.03 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,107.03 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,107.03 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,107.03 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,110.22 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,110.22 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,110.22 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,110.22 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,114.14 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,114.14 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,114.14 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,114.14 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,125.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,125.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,125.91 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,125.91 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,121.02 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,121.02 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,121.02 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,121.02 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,153.51 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,153.51 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,153.51 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,153.51 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,185.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,185.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,185.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,185.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,133.30 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,133.30 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,122.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,122.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,113.36 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,113.36 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,113.36 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,113.36 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,081.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,081.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,081.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,081.52 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
41150 billing questions
When is 41150 appropriate instead of a tongue-only resection code?
Use 41150 for the composite removal involving tongue, floor of mouth, and mandible. A tongue-only resection does not meet that extent.
Does 41150 include radical neck dissection?
No. This code represents the composite resection without radical neck dissection; use the applicable composite code when radical neck dissection is performed.
Can modifier 50 be reported for this procedure?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
What documentation supports reporting 41150?
The operative report should identify the tongue, floor-of-mouth, and mandibular resection, and describe whether a radical neck dissection was performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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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