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CPT code 41530: Tongue base reduction, radiofrequency, one or more areas2026 Medicare rate & RVUs in Nevada

Reports radiofrequency reduction of tongue-base tissue, typically to address retrolingual obstruction in a patient with obstructive sleep apnea.

CMS RVU26DEffective Oct 1, 2026One payment locality52 Medicare services in 2024

In Nevada, Medicare pays $917.64 for 41530 in the office and $359.29 when it’s performed in a hospital or facility.

$917.64Office (non-facility)
$359.29Hospital or facility
−0.2%vs the national office rate ($919.53)

Check a contract rate as a % of Medicare · 41530 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 41530 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 41530 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 41530 covers

An otolaryngologist delivers radiofrequency energy into one or more areas of the tongue base to reduce tissue volume. The procedure is used for selected patients with obstructive sleep apnea and obstruction behind the tongue, and is generally performed in an operating room or outpatient surgical setting. The code covers treatment of one or more areas during the procedure; it is not a tongue-suspension operation or a palate procedure.

Report the service when the operative record supports radiofrequency reduction at the tongue base, including the treated site and technique. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted for this code.

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 Nevada compares for 41530

Across 109 of 109 payment localities, the office rate for 41530 runs from $800.42 in Arkansas to $1,273.62 in San Benito County, CA. Nevada pays $917.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

41530 in Nevada vs other payment areas
  1. Nevada · this page$917.64
  2. Los Angeles, CA · California$1,063.31+$145.67
  3. Washington, DC area · District of Columbia$1,068.04+$150.40
  4. Miami, FL · Florida$976.41+$58.77
  5. Chicago, IL · Illinois$945.03+$27.39
  6. Manhattan, NY · New York$1,064.13+$146.49
  7. Alaska · Alaska$1,020.60+$102.96

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

Every other payment area

41530 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$813.87$325.80
ArkansasArkansas$800.42$321.27
ArizonaArizona$892.74$352.24
Bakersfield, CACalifornia$991.22$379.88
Chico, CACalifornia$989.83$378.48
El Centro, CACalifornia$989.91$378.56
Fresno, CACalifornia$989.83$378.48
Hanford, CACalifornia$989.83$378.48

41530 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$800.42

$1,131.73

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
41530 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,020.601
AL$813.871
AR$800.421
AZ$892.741
CA$989.83–$1,273.6229
CO$967.921
CT$985.971
DC$1,068.041
DE$909.001
FL$892.85–$976.413
GA$837.33–$935.722
GU$1,020.951
HI$1,020.951
IA$842.741
ID$847.911
IL$859.86–$954.024
IN$853.651
KS$835.771
KY$830.521
LA$828.05–$875.122
MA$959.94–$1,075.612
MD$928.83–$1,068.043
ME$850.30–$906.502
MI$852.90–$902.892
MN$931.141
MO$810.15–$881.663
MS$805.591
MT$919.491
NC$860.841
ND$910.001
NE$848.761
NH$949.901
NJ$998.28–$1,054.132
NM$857.211
NV$917.641
NY$875.29–$1,089.795
OH$850.961
OK$831.461
OR$911.61–$1,004.892
PA$853.90–$957.042
PR$927.971
RI$946.021
SC$857.111
SD$908.881
TN$840.251
TX$847.32–$963.728
UT$870.521
VA$901.39–$1,068.042
VI$927.971
VT$903.711
WA$959.02–$1,101.532
WI$875.271
WV$823.001
WY$915.361

See 41530 in every payment locality

How the 41530 rate is calculated

Each of 41530’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 · 41530

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense23.64

23.64 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

27.5300

Conversion factor

$33.4009

Medicare rate

$919.53

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,937

Code
41530
Physician work
3.41
Practice expense
23.64
Malpractice
0.48

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 41530 in Nevada
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense23.64× 1.00123.6636
Malpractice0.48× 0.8330.3998
Total RVUs27.4735
Conversion factor× 33.4009

Office rate, Nevada$917.64

Office: (3.41 × 1 + 23.64 × 1.001 + 0.48 × 0.833) × $33.4009 = $917.64

Facility: (3.41 × 1 + 6.94 × 1.001 + 0.48 × 0.833) × $33.4009 = $359.29

Open 41530 in the RVU calculator

Payment rules and modifiers for 41530

The CMS indicators that decide how 41530 is paid alongside other services.

CMS payment indicators · 41530

Tongue base reduction, radiofrequency, one or more areas

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41530 without 51 · national office

$919.53

Tongue base reduction, radiofrequency, one or more areas

41530-51 · Second procedure: 50%

$459.77

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

Codes related to 41530

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

Codes related to 41530
CodeHow it relatesOffice range, Nevada
Used instead
41512Tongue suspension, permanent suture techniqueTongue suspension treats tongue-related airway obstruction using a suspension technique rather than radiofrequency tissue reduction.No office rate
41599Unlisted oral surgery, tongue or floor of mouthUse the unlisted tongue or floor-of-mouth code only when no listed code describes the procedure performed.No office rate
Often billed with
42145Palatopharyngoplasty, palate and pharynx repairPalatopharyngoplasty may be performed with tongue-base reduction during separately documented multilevel obstructive sleep apnea surgery.No office rate

How 41530 has changed in Nevada

41530 · Office / nonfacility

$917.64

Effective 2026-10-01

The base rate is $58.45 higher than on 2025-10-01, moving from $859.19 to $917.64 (6.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $859.19changed to$917.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 22.64 changed to 23.64
    • Malpractice RVU 0.50 changed to 0.48
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $906.92changed to$859.19

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 23.34 changed to 22.64
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $892.12changed to$906.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $943.29changed to$892.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 23.82 changed to 23.34
    • Malpractice RVU 0.47 changed to 0.48
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $988.11changed to$943.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 24.36 changed to 23.82
    • Malpractice RVU 0.50 changed to 0.47
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1025.94changed to$988.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 25.25 changed to 24.36
    • Malpractice RVU 0.47 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $981.51changed to$1025.94

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 23.14 changed to 25.25
    • Malpractice RVU 0.48 changed to 0.47
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1001.93changed to$981.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 23.45 changed to 23.14
    • Malpractice RVU 0.49 changed to 0.48
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1011.04changed to$1001.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 23.72 changed to 23.45
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1037.78changed to$1011.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 24.11 changed to 23.72
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1070.71changed to$1037.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 24.63 changed to 24.11
    • Malpractice RVU 0.51 changed to 0.50
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $3481.98changed to$1070.71

    • Conversion factor 35.9335 changed to 35.8043
    • Work RVU 4.51 changed to 3.50
    • Practice expense RVU 87.26 changed to 24.63
    • Malpractice RVU 0.67 changed to 0.51

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $3464.66changed to$3481.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $3501.68changed to$3464.66

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 88.06 changed to 87.26
    • Malpractice RVU 0.30 changed to 0.67
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $3719.28changed to$3501.68

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 98.70 changed to 88.06
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$3719.28

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$917.64$359.29RVU26D
2026-07-01$917.64$359.29RVU26C
2026-04-01$917.64$359.29RVU26B
2026-01-01$917.64$359.29RVU26A
2025-10-01$859.19$364.93RVU25D
2025-07-01$859.19$364.93RVU25C
2025-04-01$859.19$364.93RVU25B
2025-01-01$859.19$364.93RVU25A
2024-10-01$906.92$374.99RVU24D
2024-07-01$906.92$374.99RVU24C
2024-04-01$906.92$374.99RVU24B
2024-03-09$906.92$374.99RVU24AR
2024-01-01$892.12$368.87RVU24A
2023-10-01$943.29$386.52RVU23D
2023-07-01$943.29$386.52RVU23C
2023-04-01$943.29$386.52RVU23B
2023-01-01$943.29$386.52RVU23A
2022-10-01$988.11$401.54RVU22D
2022-07-01$988.11$401.54RVU22C
2022-04-01$988.11$401.54RVU22B
2022-01-01$988.11$401.54RVU22A
2021-10-01$1,025.94$403.80RVU21D
2021-07-01$1,025.94$403.80RVU21C
2021-04-01$1,025.94$403.80RVU21B
2021-01-01$1,025.94$403.80RVU21A
2020-10-01$981.51$387.83RVU20D
2020-07-01$981.51$387.83RVU20C
2020-04-01$981.51$387.83RVU20B
2020-01-01$981.51$387.83RVU20A
2019-10-01$1,001.93$389.11RVU19D
2019-07-01$1,001.93$389.11RVU19C
2019-04-01$1,001.93$389.11RVU19B
2019-01-01$1,001.93$389.11RVU19A
2018-10-01$1,011.04$389.01RVU18D
2018-07-01$1,011.04$389.01RVU18C
2018-04-01$1,011.04$389.01RVU18B
2018-01-01$1,011.04$389.01RVU18AR1
2017-10-01$1,037.78$398.40RVU17D
2017-07-01$1,037.78$398.40RVU17C
2017-04-01$1,037.78$398.40RVU17B
2017-01-01$1,037.78$398.40RVU17A
2016-10-01$1,070.71$408.41RVU16D
2016-07-01$1,070.71$408.41RVU16C
2016-04-01$1,070.71$408.41RVU16B
2016-01-01$1,070.71$408.41RVU16A
2015-10-01$3,481.98$446.34RVU15D
2015-07-01$3,481.98$446.34RVU15C
2015-04-01$3,464.66$444.12RVU15B
2015-01-01$3,464.66$444.12RVU15A
2014-10-01$3,501.68$434.39RVU14D
2014-07-01$3,501.68$434.39RVU14C
2014-04-01$3,501.68$434.39RVU14B
2014-01-01$3,501.68$434.39RVU14A
2013-10-01$3,719.28$441.09RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 41530 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

41530 billing questions

How does 41530 differ from tongue suspension?

41530 reduces tongue-base tissue with radiofrequency energy. CPT 41512 describes tongue suspension, which supports the tongue through a different surgical method.

Can multiple tongue-base treatment areas be reported as multiple units?

The descriptor includes one or more treated areas in the procedure. Document the areas treated, but do not report separate units solely for multiple areas in the same procedure.

What same-day care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care associated with the procedure.

Can 41530 be reported with palate surgery?

It may be reported with a separately performed palate operation as part of multilevel surgery when each service is documented. When procedures occur in the same session, the multiple-procedure payment reduction applies.

When is an assistant-at-surgery claim payable?

Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeon and team-surgery payment are not permitted for this code.

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 41530PPRRVU2026_Oct_nonQPP.csv, line 4,937 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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