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

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 Virginia, Medicare pays $901.39 for 41530 in the office and $353.08 when it’s performed in a hospital or facility.

$901.39Office (non-facility)
$353.08Hospital or facility
−2.0%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 Virginia
  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 Virginia 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. Virginia pays $901.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

41530 in Virginia vs other payment areas
  1. Virginia · this page$901.39
  2. Los Angeles, CA · California$1,063.31+$161.92
  3. Washington, DC area · District of Columbia$1,068.04+$166.65
  4. Miami, FL · Florida$976.41+$75.02
  5. Chicago, IL · Illinois$945.03+$43.64
  6. Manhattan, NY · New York$1,064.13+$162.74
  7. Alaska · Alaska$1,020.60+$119.21

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 41530 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense23.64× 0.98323.2381
Malpractice0.48× 0.7060.3389
Total RVUs26.9870
Conversion factor× 33.4009

Office rate, Virginia$901.39

Office: (3.41 × 1 + 23.64 × 0.983 + 0.48 × 0.706) × $33.4009 = $901.39

Facility: (3.41 × 1 + 6.94 × 0.983 + 0.48 × 0.706) × $33.4009 = $353.08

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, Virginia
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 Virginia

41530 · Office / nonfacility

$901.39

Effective 2026-10-01

The base rate is $55.13 higher than on 2025-10-01, moving from $846.26 to $901.39 (6.5%).

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

    $846.26changed to$901.39

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $893.30changed to$846.26

    • 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

    $878.72changed to$893.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $930.88changed to$878.72

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $975.43changed to$930.88

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1013.48changed to$975.43

    • 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

    $969.55changed to$1013.48

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $975.46changed to$969.55

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $984.30changed to$975.46

    • 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

    $993.45changed to$984.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 24.11 changed to 23.72
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1007.23changed to$993.45

    • 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
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $3264.15changed to$1007.23

    • 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

    $3247.91changed to$3264.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $3261.39changed to$3247.91

    • 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
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $3441.99changed to$3261.39

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $3441.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$901.39$353.08RVU26D
2026-07-01$901.39$353.08RVU26C
2026-04-01$901.39$353.08RVU26B
2026-01-01$901.39$353.08RVU26A
2025-10-01$846.26$359.91RVU25D
2025-07-01$846.26$359.91RVU25C
2025-04-01$846.26$359.91RVU25B
2025-01-01$846.26$359.91RVU25A
2024-10-01$893.30$369.88RVU24D
2024-07-01$893.30$369.88RVU24C
2024-04-01$893.30$369.88RVU24B
2024-03-09$893.30$369.88RVU24AR
2024-01-01$878.72$363.84RVU24A
2023-10-01$930.88$379.68RVU23D
2023-07-01$930.88$379.68RVU23C
2023-04-01$930.88$379.68RVU23B
2023-01-01$930.88$379.68RVU23A
2022-10-01$975.43$391.79RVU22D
2022-07-01$975.43$391.79RVU22C
2022-04-01$975.43$391.79RVU22B
2022-01-01$975.43$391.79RVU22A
2021-10-01$1,013.48$394.45RVU21D
2021-07-01$1,013.48$394.45RVU21C
2021-04-01$1,013.48$394.45RVU21B
2021-01-01$1,013.48$394.45RVU21A
2020-10-01$969.55$381.22RVU20D
2020-07-01$969.55$381.22RVU20C
2020-04-01$969.55$381.22RVU20B
2020-01-01$969.55$381.22RVU20A
2019-10-01$975.46$381.32RVU19D
2019-07-01$975.46$381.32RVU19C
2019-04-01$975.46$381.32RVU19B
2019-01-01$975.46$381.32RVU19A
2018-10-01$984.30$381.23RVU18D
2018-07-01$984.30$381.23RVU18C
2018-04-01$984.30$381.23RVU18B
2018-01-01$984.30$381.23RVU18AR1
2017-10-01$993.45$384.36RVU17D
2017-07-01$993.45$384.36RVU17C
2017-04-01$993.45$384.36RVU17B
2017-01-01$993.45$384.36RVU17A
2016-10-01$1,007.23$387.79RVU16D
2016-07-01$1,007.23$387.79RVU16C
2016-04-01$1,007.23$387.79RVU16B
2016-01-01$1,007.23$387.79RVU16A
2015-10-01$3,264.15$424.92RVU15D
2015-07-01$3,264.15$424.92RVU15C
2015-04-01$3,247.91$422.80RVU15B
2015-01-01$3,247.91$422.80RVU15A
2014-10-01$3,261.39$412.16RVU14D
2014-07-01$3,261.39$412.16RVU14C
2014-04-01$3,261.39$412.16RVU14B
2014-01-01$3,261.39$412.16RVU14A
2013-10-01$3,441.99$414.78RVU13D
2013-07-01$3,441.99$414.78RVU13C
2013-04-01$3,441.99$414.78RVU13B
2013-01-01$3,441.99$414.78RVU13AR

Price 41530 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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