CPT code 41155: Composite resection, tongue, floor of mouth, mandible, and neck2026 Medicare rate & RVUs

Medicare pays $2,613.29 for 41155 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 41155 covers

This code represents an extensive composite operation for disease involving the tongue and adjacent oral cavity. The resection includes the floor of the mouth and mandible along with neck dissection. Head and neck surgeons typically perform it in a hospital operating room for advanced oral cavity cancer when the documented disease and operative plan require removal of these connected structures. The operative report should identify the structures removed and the neck dissection performed.

Report the code when the documented operation matches this combined extent, rather than a tongue-only resection or a composite procedure with different components. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code’s anatomy and descriptor.

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 41155 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

41155 rates by state

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

How the 41155 rate is calculated

Each of 41155’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 41155

41155 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

41155 compared with similar codes

How to choose

41153Floor-of-mouth resectionWith radical neck dissection

Both are composite oral cavity operations. Choose based on the specific structures removed and neck dissection documented in the operative report.

41135Tongue and neck surgeryPartial glossectomy, unilateral dissection

This code describes a composite operation involving the floor of the mouth, mandible, and neck. 41135 is for partial tongue removal with unilateral radical neck dissection.

41145Total glossectomyBilateral radical neck dissection

41145 describes complete or total tongue removal with unilateral radical neck dissection. This code is distinguished by the combined floor-of-mouth and mandibular resection.

41130Tongue resectionHemiglossectomy

41130 is a hemiglossectomy. Use this code when the operative procedure instead includes the composite oral cavity, mandibular, and neck work.

Codes related to 41155

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