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

Reports an extensive composite operation removing tongue and adjacent oral structures, including mandible and neck dissection, typically for advanced oral cavity cancer.

CMS RVU26DEffective Oct 1, 2026One payment locality169 Medicare services in 2024

In Ohio, Medicare pays $2,531.87 for 41155 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,531.87Hospital or facility

Check a contract rate as a % of Medicare · 41155 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 41155 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 41155 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Ohio compares for 41155

Across 109 of 109 payment localities, the facility rate for 41155 runs from $2,374.22 in Arkansas to $3,300.11 in Alaska. Ohio pays $2,531.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

41155 in Ohio vs other payment areas
  1. Ohio · this page$2,531.87
  2. Los Angeles, CA · California$2,775.03+$243.16
  3. Washington, DC area · District of Columbia$2,885.59+$353.72
  4. Miami, FL · Florida$2,981.36+$449.49
  5. Chicago, IL · Illinois$2,906.72+$374.85
  6. Manhattan, NY · New York$2,986.47+$454.60
  7. Alaska · Alaska$3,300.11+$768.24

Other areas in Ohio first, then benchmark localities. Bars start at $0.

Every other payment area

41155 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,400.48
ArkansasArkansas—$2,374.22
ArizonaArizona—$2,552.69
Bakersfield, CACalifornia—$2,648.33
Chico, CACalifornia—$2,629.74
El Centro, CACalifornia—$2,630.82
Fresno, CACalifornia—$2,629.74
Hanford, CACalifornia—$2,629.74

41155 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
41155 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 41155 in every payment locality

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.

How the rate is built · 41155

RVUs × geographic indexes × conversion factor

Office or facility?

Work43.19

43.19 RVUs× 1.000 GPCI

Practice expense28.61

28.61 RVUs× 1.000 GPCI

Malpractice6.44

6.44 RVUs× 1.000 GPCI

Adjusted RVUs

78.2400

Conversion factor

$33.4009

Medicare rate

$2,613.29

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,912

Code
41155
Physician work
43.19
Practice expense
28.61
Malpractice
6.44

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 41155 in Ohio
ComponentRVULocality factorAdjusted
Physician work43.19× 1.00043.1900
Practice expense28.61× 0.91326.1209
Malpractice6.44× 1.0086.4915
Total RVUs75.8024
Conversion factor× 33.4009

Facility rate, Ohio$2531.87

Facility: (43.19 × 1 + 28.61 × 0.913 + 6.44 × 1.008) × $33.4009 = $2531.87

Open 41155 in the RVU calculator

Payment rules and modifiers for 41155

41155 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41155

Composite resection, tongue, floor of mouth, mandible, and neck

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 41155

Composite resection, tongue, floor of mouth, mandible, and neck

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41155 without 51 · national facility

$2,613.29

Composite resection, tongue, floor of mouth, mandible, and neck

41155-51 · Second procedure: 50%

$1,306.65

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%).

When to use modifier 51

How 41155 has changed in Ohio

41155 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,531.87RVU26D
2026-07-01Not available in this setting$2,531.87RVU26C
2026-04-01Not available in this setting$2,531.87RVU26B
2026-01-01Not available in this setting$2,531.87RVU26A
2025-10-01Not available in this setting$2,768.43RVU25D
2025-07-01Not available in this setting$2,768.43RVU25C
2025-04-01Not available in this setting$2,768.43RVU25B
2025-01-01Not available in this setting$2,768.43RVU25A
2024-10-01Not available in this setting$2,852.47RVU24D
2024-07-01Not available in this setting$2,852.47RVU24C
2024-04-01Not available in this setting$2,852.47RVU24B
2024-03-09Not available in this setting$2,852.47RVU24AR
2024-01-01Not available in this setting$2,805.91RVU24A
2023-10-01Not available in this setting$2,922.73RVU23D
2023-07-01Not available in this setting$2,922.73RVU23C
2023-04-01Not available in this setting$2,922.73RVU23B
2023-01-01Not available in this setting$2,922.73RVU23A
2022-10-01Not available in this setting$2,973.28RVU22D
2022-07-01Not available in this setting$2,973.28RVU22C
2022-04-01Not available in this setting$2,973.28RVU22B
2022-01-01Not available in this setting$2,973.28RVU22A
2021-10-01Not available in this setting$2,982.46RVU21D
2021-07-01Not available in this setting$2,982.46RVU21C
2021-04-01Not available in this setting$2,982.46RVU21B
2021-01-01Not available in this setting$2,982.46RVU21A
2020-10-01Not available in this setting$3,010.36RVU20D
2020-07-01Not available in this setting$3,010.36RVU20C
2020-04-01Not available in this setting$3,010.36RVU20B
2020-01-01Not available in this setting$3,010.36RVU20A
2019-10-01Not available in this setting$3,036.43RVU19D
2019-07-01Not available in this setting$3,036.43RVU19C
2019-04-01Not available in this setting$3,036.43RVU19B
2019-01-01Not available in this setting$3,036.43RVU19A
2018-10-01Not available in this setting$3,029.12RVU18D
2018-07-01Not available in this setting$3,029.12RVU18C
2018-04-01Not available in this setting$3,029.12RVU18B
2018-01-01Not available in this setting$3,029.12RVU18AR1
2017-10-01Not available in this setting$3,049.23RVU17D
2017-07-01Not available in this setting$3,049.23RVU17C
2017-04-01Not available in this setting$3,049.23RVU17B
2017-01-01Not available in this setting$3,049.23RVU17A
2016-10-01Not available in this setting$3,063.53RVU16D
2016-07-01Not available in this setting$3,063.53RVU16C
2016-04-01Not available in this setting$3,063.53RVU16B
2016-01-01Not available in this setting$3,063.53RVU16A
2015-10-01Not available in this setting$3,012.13RVU15D
2015-07-01Not available in this setting$3,012.13RVU15C
2015-04-01Not available in this setting$2,997.14RVU15B
2015-01-01Not available in this setting$2,997.14RVU15A
2014-10-01Not available in this setting$3,020.28RVU14D
2014-07-01Not available in this setting$3,020.28RVU14C
2014-04-01Not available in this setting$3,020.28RVU14B
2014-01-01Not available in this setting$3,020.28RVU14A
2013-10-01Not available in this setting$3,003.41RVU13D
2013-07-01Not available in this setting$3,003.41RVU13C
2013-04-01Not available in this setting$3,003.41RVU13B
2013-01-01Not available in this setting$3,003.41RVU13AR

Price 41155 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

41155 billing questions

How is this distinguished from a tongue-only resection?

This code is for a composite operation that includes resection of the floor of the mouth and mandible along with neck dissection. A tongue-only procedure does not describe that operative combination.

When should 41153 be considered instead?

Compare the operative components with the specific composite procedure represented by 41153. The documented structures removed and whether a neck dissection was performed determine which code fits.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this code’s anatomy and descriptor.

What documentation supports reporting this code?

The operative report should identify the tongue and adjacent structures resected, the mandibular resection, and the neck dissection. It should make clear that the combined operative extent matches this composite procedure.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. 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
RVUs for 41155PPRRVU2026_Oct_nonQPP.csv, line 4,912 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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