CPT code 41512: Tongue suspension, permanent suture technique2026 Medicare rate & RVUs in Montana

Reports surgical suspension of the tongue base with permanent sutures to address obstructive sleep apnea related to posterior tongue collapse.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $618.85 for 41512 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$618.85Hospital or facility

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.

We’ll open 41512 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 41512 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 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 Montana 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. Montana pays $618.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

41512 in Montana vs other payment areas
  1. Montana · this page$618.85
  2. Los Angeles, CA · California$683.29+$64.44
  3. Washington, DC area · District of Columbia$699.23+$80.38
  4. Miami, FL · Florida$684.34+$65.49
  5. Chicago, IL · Illinois$665.12+$46.27
  6. Manhattan, NY · New York$711.31+$92.46
  7. Alaska · Alaska$739.35+$120.50

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

Every other payment area

41512 in every other Medicare payment locality
Payment localityOfficeFacility
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

41512 rates by state

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

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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
41512 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 41512 in every payment locality

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

Office or facility?

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 Montana 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

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 41512 in Montana
ComponentRVULocality factorAdjusted
Physician work6.69× 1.0006.6900
Practice expense10.85× 1.00010.8500
Malpractice0.99× 0.9980.9880
Total RVUs18.5280
Conversion factor× 33.4009

Facility rate, Montana$618.85

Facility: (6.69 × 1 + 10.85 × 1 + 0.99 × 0.998) × $33.4009 = $618.85

Open 41512 in the RVU calculator

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

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share 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.

  • 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

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%).

When to use modifier 51

How 41512 has changed in Montana

41512 · 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$618.85RVU26D
2026-07-01Not available in this setting$618.85RVU26C
2026-04-01Not available in this setting$618.85RVU26B
2026-01-01Not available in this setting$618.85RVU26A
2025-10-01Not available in this setting$646.87RVU25D
2025-07-01Not available in this setting$646.87RVU25C
2025-04-01Not available in this setting$646.87RVU25B
2025-01-01Not available in this setting$646.87RVU25A
2024-10-01Not available in this setting$665.67RVU24D
2024-07-01Not available in this setting$665.67RVU24C
2024-04-01Not available in this setting$665.67RVU24B
2024-03-09Not available in this setting$665.67RVU24AR
2024-01-01Not available in this setting$654.80RVU24A
2023-10-01Not available in this setting$680.07RVU23D
2023-07-01Not available in this setting$680.07RVU23C
2023-04-01Not available in this setting$680.07RVU23B
2023-01-01Not available in this setting$680.07RVU23A
2022-10-01Not available in this setting$691.00RVU22D
2022-07-01Not available in this setting$691.00RVU22C
2022-04-01Not available in this setting$691.00RVU22B
2022-01-01Not available in this setting$691.00RVU22A
2021-10-01Not available in this setting$692.21RVU21D
2021-07-01Not available in this setting$692.21RVU21C
2021-04-01Not available in this setting$692.21RVU21B
2021-01-01Not available in this setting$692.21RVU21A
2020-10-01Not available in this setting$689.41RVU20D
2020-07-01Not available in this setting$689.41RVU20C
2020-04-01Not available in this setting$689.41RVU20B
2020-01-01Not available in this setting$689.41RVU20A
2019-10-01Not available in this setting$706.67RVU19D
2019-07-01Not available in this setting$706.67RVU19C
2019-04-01Not available in this setting$704.32RVU19B
2019-01-01Not available in this setting$704.32RVU19A
2018-10-01Not available in this setting$704.09RVU18D
2018-07-01Not available in this setting$704.09RVU18C
2018-04-01Not available in this setting$704.09RVU18B
2018-01-01Not available in this setting$704.09RVU18AR1
2017-10-01Not available in this setting$703.07RVU17D
2017-07-01Not available in this setting$703.07RVU17C
2017-04-01Not available in this setting$703.07RVU17B
2017-01-01Not available in this setting$703.07RVU17A
2016-10-01Not available in this setting$704.76RVU16D
2016-07-01Not available in this setting$704.76RVU16C
2016-04-01Not available in this setting$704.76RVU16B
2016-01-01Not available in this setting$704.76RVU16A
2015-10-01Not available in this setting$671.81RVU15D
2015-07-01Not available in this setting$671.81RVU15C
2015-04-01Not available in this setting$668.47RVU15B
2015-01-01Not available in this setting$668.47RVU15A
2014-10-01Not available in this setting$647.23RVU14D
2014-07-01Not available in this setting$647.23RVU14C
2014-04-01Not available in this setting$647.23RVU14B
2014-01-01Not available in this setting$647.23RVU14A
2013-10-01Not available in this setting$652.92RVU13D
2013-07-01Not available in this setting$652.92RVU13C
2013-04-01Not available in this setting$652.92RVU13B
2013-01-01Not available in this setting$652.92RVU13AR

Price 41512 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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
RVUs for 41512PPRRVU2026_Oct_nonQPP.csv, line 4,934 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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