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

In Puerto Rico, Medicare pays $2,620.57 for 41155 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $2,620.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

41155 rates by state

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

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.

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

Codes related to 41155

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 41155 has changed in Puerto Rico

Price 41155 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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