CPT code 41512: Tongue suspension, permanent suture technique2026 Medicare rate & RVUs in Minnesota
Reports surgical suspension of the tongue base with permanent sutures to address obstructive sleep apnea related to posterior tongue collapse.
In Minnesota, Medicare pays $606.15 for 41512 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 41512 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 41512 covers
An otolaryngologist or another surgeon experienced in sleep surgery performs tongue suspension to reduce posterior movement of the tongue during sleep. The procedure uses permanent sutures to secure the tongue base to a stable anterior anchor, commonly the mandible. It is used for selected patients with obstructive sleep apnea when tongue-base collapse contributes to airway obstruction, often as part of surgery addressing more than one level of the airway. It is generally performed in an operating room under anesthesia.
Report 41512 when the operative record supports the permanent-suture suspension technique, not simply because the patient has sleep apnea or underwent another tongue-base procedure. Document the indication, surgical approach, suture placement, and anchoring details. This major surgery has a 90-day global period that includes 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 are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 Minnesota compares for 41512
Across 109 of 109 payment localities, the facility rate for 41512 runs from $551.78 in Arkansas to $788.34 in San Benito County, CA. Minnesota pays $606.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$606.15
- Los Angeles, CA · California$683.29+$77.14
- Washington, DC area · District of Columbia$699.23+$93.08
- Miami, FL · Florida$684.34+$78.19
- Chicago, IL · Illinois$665.12+$58.97
- Manhattan, NY · New York$711.31+$105.16
- Alaska · Alaska$739.35+$133.20
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $559.27 |
| ArkansasArkansas | — | $551.78 |
| ArizonaArizona | — | $602.92 |
| Bakersfield, CACalifornia | — | $645.03 |
| Chico, CACalifornia | — | $642.16 |
| El Centro, CACalifornia | — | $642.33 |
| Fresno, CACalifornia | — | $642.16 |
| Hanford, CACalifornia | — | $642.16 |
| Madera, CACalifornia | — | $642.16 |
| Merced, CACalifornia | — | $642.16 |
| Modesto, CACalifornia | — | $642.16 |
| Napa, CACalifornia | — | $731.97 |
| Oxnard, CACalifornia | — | $678.67 |
| Redding, CACalifornia | — | $642.16 |
| Rest of CaliforniaCalifornia | — | $642.16 |
| Riverside, CACalifornia | — | $652.87 |
| Sacramento, CACalifornia | — | $670.69 |
| Salinas, CACalifornia | — | $668.12 |
| San Diego, CACalifornia | — | $681.51 |
| Marin County, CACalifornia | — | $770.84 |
| San Francisco, CACalifornia | — | $769.72 |
| San Benito County, CACalifornia | — | $788.34 |
| Santa Clara County, CACalifornia | — | $783.74 |
| San Luis Obispo, CACalifornia | — | $657.75 |
| Santa Cruz, CACalifornia | — | $686.18 |
| Santa Maria, CACalifornia | — | $669.99 |
| Santa Rosa, CACalifornia | — | $692.91 |
| Stockton, CACalifornia | — | $642.16 |
| Vallejo, CACalifornia | — | $730.35 |
| Visalia, CACalifornia | — | $642.16 |
| Yuba City, CACalifornia | — | $642.16 |
| ColoradoColorado | — | $637.55 |
| ConnecticutConnecticut | — | $658.24 |
| DelawareDelaware | — | $612.35 |
| Fort Lauderdale, FLFlorida | — | $650.35 |
| Rest of FloridaFlorida | — | $619.61 |
| Atlanta, GAGeorgia | — | $632.03 |
| Rest of GeorgiaGeorgia | — | $586.13 |
| Hawaii, Guam, HIHawaii | — | $654.65 |
| IowaIowa | — | $568.18 |
| IdahoIdaho | — | $572.50 |
| East St. Louis, ILIllinois | — | $623.46 |
| Rest of IllinoisIllinois | — | $606.01 |
| Suburban Chicago, ILIllinois | — | $655.80 |
| IndianaIndiana | — | $575.47 |
| KansasKansas | — | $567.73 |
| KentuckyKentucky | — | $575.88 |
| New Orleans, LALouisiana | — | $602.03 |
| Rest of LouisianaLouisiana | — | $575.85 |
| Metropolitan Boston, MAMassachusetts | — | $694.75 |
| Rest of MassachusettsMassachusetts | — | $634.99 |
| Baltimore area, MDMaryland | — | $656.79 |
| Rest of MarylandMaryland | — | $622.79 |
| Rest of MaineMaine | — | $577.43 |
| Southern Maine, MEMaine | — | $603.46 |
| Detroit, MIMichigan | — | $628.92 |
| Rest of MichiganMichigan | — | $591.66 |
| Metropolitan Kansas City, MOMissouri | — | $596.05 |
| Metropolitan St. Louis, MOMissouri | — | $601.59 |
| Rest of MissouriMissouri | — | $568.05 |
| MississippiMississippi | — | $559.91 |
| MontanaMontana | — | $618.85 |
| North CarolinaNorth Carolina | — | $582.70 |
| North DakotaNorth Dakota | — | $599.28 |
| NebraskaNebraska | — | $570.45 |
| New HampshireNew Hampshire | — | $629.64 |
| Northern New JerseyNew Jersey | — | $693.23 |
| Rest of New JerseyNew Jersey | — | $664.41 |
| New MexicoNew Mexico | — | $595.49 |
| NevadaNevada | — | $613.76 |
| NYC suburbs and Long Island, NYNew York | — | $730.05 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $670.35 |
| Queens, NYNew York | — | $713.79 |
| Rest of New YorkNew York | — | $590.98 |
| OhioOhio | — | $587.65 |
| OklahomaOklahoma | — | $572.77 |
| Portland, OROregon | — | $654.26 |
| Rest of OregonOregon | — | $607.65 |
| Metropolitan Philadelphia, PAPennsylvania | — | $644.18 |
| Rest of PennsylvaniaPennsylvania | — | $587.38 |
| Puerto RicoPuerto Rico | — | $622.41 |
| Rhode IslandRhode Island | — | $631.55 |
| South CarolinaSouth Carolina | — | $586.42 |
| South DakotaSouth Dakota | — | $596.96 |
| TennesseeTennessee | — | $570.63 |
| Austin, TXTexas | — | $636.62 |
| Beaumont, TXTexas | — | $583.95 |
| Brazoria, TXTexas | — | $610.17 |
| Dallas, TXTexas | — | $614.78 |
| Fort Worth, TXTexas | — | $611.59 |
| Galveston, TXTexas | — | $612.48 |
| Houston, TXTexas | — | $630.60 |
| Rest of TexasTexas | — | $597.23 |
| UtahUtah | — | $593.80 |
| VirginiaVirginia | — | $603.04 |
| Virgin Islands, VIUnited States Virgin Islands | — | $622.41 |
| VermontVermont | — | $598.96 |
| Rest of WashingtonWashington | — | $633.13 |
| King County, WAWashington | — | $706.30 |
| WisconsinWisconsin | — | $580.82 |
| West VirginiaWest Virginia | — | $585.70 |
| WyomingWyoming | — | $610.32 |
41512 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 41512 rate is calculated
Each of 41512’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 · 41512
RVUs × geographic indexes × conversion factor
Work6.69
6.69 RVUs× 1.000 GPCI
Practice expense10.85
10.85 RVUs× 1.000 GPCI
Malpractice0.99
0.99 RVUs× 1.000 GPCI
Adjusted RVUs
18.5300
Conversion factor
$33.4009
Medicare rate
$618.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,934
- Code
- 41512
- Physician work
- 6.69
- Practice expense
- 10.85
- Malpractice
- 0.99
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.69 | × 1.000 | 6.6900 |
| Practice expense | 10.85 | × 1.029 | 11.1646 |
| Malpractice | 0.99 | × 0.296 | 0.2930 |
| Total RVUs | 18.1477 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$606.15
Facility: (6.69 × 1 + 10.85 × 1.029 + 0.99 × 0.296) × $33.4009 = $606.15
Payment rules and modifiers for 41512
41512 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41512
Tongue suspension, permanent suture technique
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41512
Tongue suspension, permanent suture technique
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
41512 without 51 · national facility
$618.92
Tongue suspension, permanent suture technique
41512-51 · Second procedure: 50%
$309.46
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 41512 has changed in Minnesota
41512 · 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 | $606.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $606.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $606.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $606.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $634.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $634.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $634.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $634.77 | RVU25A |
| 2024-10-01 | Not available in this setting | $652.75 | RVU24D |
| 2024-07-01 | Not available in this setting | $652.75 | RVU24C |
| 2024-04-01 | Not available in this setting | $652.75 | RVU24B |
| 2024-03-09 | Not available in this setting | $652.75 | RVU24AR |
| 2024-01-01 | Not available in this setting | $642.10 | RVU24A |
| 2023-10-01 | Not available in this setting | $666.53 | RVU23D |
| 2023-07-01 | Not available in this setting | $666.53 | RVU23C |
| 2023-04-01 | Not available in this setting | $666.53 | RVU23B |
| 2023-01-01 | Not available in this setting | $666.53 | RVU23A |
| 2022-10-01 | Not available in this setting | $675.30 | RVU22D |
| 2022-07-01 | Not available in this setting | $675.30 | RVU22C |
| 2022-04-01 | Not available in this setting | $675.30 | RVU22B |
| 2022-01-01 | Not available in this setting | $675.30 | RVU22A |
| 2021-10-01 | Not available in this setting | $677.00 | RVU21D |
| 2021-07-01 | Not available in this setting | $677.00 | RVU21C |
| 2021-04-01 | Not available in this setting | $677.00 | RVU21B |
| 2021-01-01 | Not available in this setting | $677.00 | RVU21A |
| 2020-10-01 | Not available in this setting | $662.40 | RVU20D |
| 2020-07-01 | Not available in this setting | $662.40 | RVU20C |
| 2020-04-01 | Not available in this setting | $662.40 | RVU20B |
| 2020-01-01 | Not available in this setting | $662.40 | RVU20A |
| 2019-10-01 | Not available in this setting | $666.27 | RVU19D |
| 2019-07-01 | Not available in this setting | $666.27 | RVU19C |
| 2019-04-01 | Not available in this setting | $665.75 | RVU19B |
| 2019-01-01 | Not available in this setting | $665.75 | RVU19A |
| 2018-10-01 | Not available in this setting | $663.72 | RVU18D |
| 2018-07-01 | Not available in this setting | $663.72 | RVU18C |
| 2018-04-01 | Not available in this setting | $663.72 | RVU18B |
| 2018-01-01 | Not available in this setting | $663.72 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $671.31 | RVU17D |
| 2017-07-01 | Not available in this setting | $671.31 | RVU17C |
| 2017-04-01 | Not available in this setting | $671.31 | RVU17B |
| 2017-01-01 | Not available in this setting | $671.31 | RVU17A |
| 2016-10-01 | Not available in this setting | $680.93 | RVU16D |
| 2016-07-01 | Not available in this setting | $680.93 | RVU16C |
| 2016-04-01 | Not available in this setting | $680.93 | RVU16B |
| 2016-01-01 | Not available in this setting | $680.93 | RVU16A |
| 2015-10-01 | Not available in this setting | $646.85 | RVU15D |
| 2015-07-01 | Not available in this setting | $646.85 | RVU15C |
| 2015-04-01 | Not available in this setting | $643.63 | RVU15B |
| 2015-01-01 | Not available in this setting | $643.63 | RVU15A |
| 2014-10-01 | Not available in this setting | $638.79 | RVU14D |
| 2014-07-01 | Not available in this setting | $638.79 | RVU14C |
| 2014-04-01 | Not available in this setting | $638.79 | RVU14B |
| 2014-01-01 | Not available in this setting | $638.79 | RVU14A |
| 2013-10-01 | Not available in this setting | $644.04 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
41512 billing questions
How is tongue suspension different from tongue-base reduction?
41512 reports permanent-suture suspension that limits posterior tongue movement. 41530 describes tongue-base tissue reduction, a different operative method.
Can tongue suspension be reported with palatopharyngoplasty?
It may be reported with 42145 when both distinct procedures are performed during the same session to address obstruction at different airway levels. Document the work performed for each.
Does the 90-day global period include related postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for tongue suspension?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant is documented. Co-surgeons and team surgery are 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
Fee sheets
Put 41512 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →