No office rate
41120 is for removal of less than half the tongue; 41130 describes a hemiglossectomy.
On this page
CMS RVU26D · Effective 2026-10-01
41130 Tongue resection Medicare reimbursement rates
Reports removal of one side of the tongue for disease requiring a hemiglossectomy, rather than a limited lesion excision or complete tongue removal. Compare 41130 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 41130?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1063.78–$1469.17
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $405.39 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 41130 pays more and less
Head and neck surgery
About 41130: Partial tongue removal, one side
Reports removal of one side of the tongue for disease requiring a hemiglossectomy, rather than a limited lesion excision or complete tongue removal.
This code describes a hemiglossectomy: surgical removal of one side of the tongue. Head and neck surgeons, including otolaryngologists and oral and maxillofacial surgeons, typically perform it in an operating room for conditions such as a tongue malignancy that requires resection beyond a small, localized lesion. The operative report should make the extent and site of tongue removal clear.
Choose this code for a hemiglossectomy, not a limited excision or a more extensive complete or total tongue removal. Document the reason for surgery, the portion removed, and any additional procedures performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 41130
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.35 · 43%
- Practice expense (office) RVU17.84 · 50%
- Malpractice RVU2.28 · 6%
517
Medicare services in 2024 · #3537 by national volume
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.
41130 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
41135 describes complete or total tongue removal without radical neck dissection, a more extensive resection than a hemiglossectomy.
No office rate
41140 is for complete or total tongue removal with unilateral radical neck dissection; 41130 is the hemiglossectomy code.
$199.56–$303.82
41110 is for excision of a tongue lesion. Choose 41130 when the operation is a hemiglossectomy rather than a limited lesion excision.
See how rates vary across the country
41130 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 41130 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1077.20 |
| Alaska* | Office Unavailable | Facility $1445.62 |
| Arizona | Office Unavailable | Facility $1155.29 |
| Arkansas | Office Unavailable | Facility $1063.78 |
| Atlanta | Office Unavailable | Facility $1211.11 |
| Austin | Office Unavailable | Facility $1211.63 |
| Bakersfield | Office Unavailable | Facility $1221.90 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1254.48 |
| Beaumont | Office Unavailable | Facility $1125.69 |
| Brazoria | Office Unavailable | Facility $1166.71 |
| Chicago | Office Unavailable | Facility $1289.92 |
| Chico | Office Unavailable | Facility $1215.31 |
| Colorado | Office Unavailable | Facility $1212.34 |
| Connecticut | Office Unavailable | Facility $1256.86 |
| Dallas | Office Unavailable | Facility $1176.15 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1327.09 |
| Delaware | Office Unavailable | Facility $1172.45 |
| Detroit | Office Unavailable | Facility $1216.12 |
| East St. Louis | Office Unavailable | Facility $1214.28 |
| El Centro | Office Unavailable | Facility $1215.69 |
| Fort Lauderdale | Office Unavailable | Facility $1254.01 |
| Fort Worth | Office Unavailable | Facility $1171.18 |
| Fresno | Office Unavailable | Facility $1215.31 |
| Galveston | Office Unavailable | Facility $1171.56 |
| Hanford-Corcoran | Office Unavailable | Facility $1215.31 |
| Hawaii, Guam | Office Unavailable | Facility $1234.30 |
| Houston | Office Unavailable | Facility $1213.29 |
| Idaho | Office Unavailable | Facility $1096.93 |
| Indiana | Office Unavailable | Facility $1102.09 |
| Iowa | Office Unavailable | Facility $1088.16 |
| Kansas | Office Unavailable | Facility $1089.75 |
| Kentucky | Office Unavailable | Facility $1112.12 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1289.21 |
| Madera | Office Unavailable | Facility $1215.31 |
| Manhattan | Office Unavailable | Facility $1358.70 |
| Merced | Office Unavailable | Facility $1215.31 |
| Metropolitan Boston | Office Unavailable | Facility $1312.97 |
| Metropolitan Kansas City | Office Unavailable | Facility $1146.63 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1233.09 |
| Metropolitan St. Louis | Office Unavailable | Facility $1156.28 |
| Miami | Office Unavailable | Facility $1325.60 |
| Minnesota | Office Unavailable | Facility $1148.40 |
| Mississippi | Office Unavailable | Facility $1082.03 |
| Modesto | Office Unavailable | Facility $1215.31 |
| Montana** | Office Unavailable | Facility $1184.58 |
| Napa | Office Unavailable | Facility $1369.05 |
| Nebraska | Office Unavailable | Facility $1091.48 |
| Nevada** | Office Unavailable | Facility $1172.61 |
| New Hampshire | Office Unavailable | Facility $1199.64 |
| New Mexico | Office Unavailable | Facility $1150.58 |
| New Orleans | Office Unavailable | Facility $1159.93 |
| North Carolina | Office Unavailable | Facility $1117.31 |
| North Dakota** | Office Unavailable | Facility $1139.49 |
| Northern Nj | Office Unavailable | Facility $1317.55 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1395.43 |
| Ohio | Office Unavailable | Facility $1133.50 |
| Oklahoma | Office Unavailable | Facility $1103.99 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1278.82 |
| Portland | Office Unavailable | Facility $1239.58 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1280.40 |
| Puerto Rico | Office Unavailable | Facility $1190.14 |
| Queens | Office Unavailable | Facility $1359.65 |
| Redding | Office Unavailable | Facility $1215.31 |
| Rest Of California | Office Unavailable | Facility $1215.31 |
| Rest Of Florida | Office Unavailable | Facility $1196.82 |
| Rest Of Georgia | Office Unavailable | Facility $1135.00 |
| Rest Of Illinois | Office Unavailable | Facility $1175.76 |
| Rest Of Louisiana | Office Unavailable | Facility $1113.01 |
| Rest Of Maine | Office Unavailable | Facility $1108.27 |
| Rest Of Maryland | Office Unavailable | Facility $1190.76 |
| Rest Of Massachusetts | Office Unavailable | Facility $1209.06 |
| Rest Of Michigan | Office Unavailable | Facility $1142.71 |
| Rest Of Missouri | Office Unavailable | Facility $1100.52 |
| Rest Of New Jersey | Office Unavailable | Facility $1267.45 |
| Rest Of New York | Office Unavailable | Facility $1132.32 |
| Rest Of Oregon | Office Unavailable | Facility $1159.73 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1131.68 |
| Rest Of Texas | Office Unavailable | Facility $1146.95 |
| Rest Of Washington | Office Unavailable | Facility $1204.78 |
| Rhode Island | Office Unavailable | Facility $1205.91 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1239.97 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1264.98 |
| Salinas | Office Unavailable | Facility $1260.03 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1282.02 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1436.54 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1433.96 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1469.17 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1458.58 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1240.94 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1288.27 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1262.66 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1300.63 |
| Seattle (King Cnty) | Office Unavailable | Facility $1331.69 |
| South Carolina | Office Unavailable | Facility $1128.02 |
| South Dakota** | Office Unavailable | Facility $1134.16 |
| Southern Maine | Office Unavailable | Facility $1151.27 |
| Stockton | Office Unavailable | Facility $1215.31 |
| Suburban Chicago | Office Unavailable | Facility $1263.20 |
| Tennessee | Office Unavailable | Facility $1095.25 |
| Utah | Office Unavailable | Facility $1141.21 |
| Vallejo | Office Unavailable | Facility $1365.32 |
| Vermont | Office Unavailable | Facility $1141.15 |
| Virgin Islands | Office Unavailable | Facility $1190.14 |
| Virginia | Office Unavailable | Facility $1152.21 |
| Visalia | Office Unavailable | Facility $1215.31 |
| West Virginia | Office Unavailable | Facility $1139.49 |
| Wisconsin | Office Unavailable | Facility $1107.00 |
| Wyoming** | Office Unavailable | Facility $1164.93 |
| Yuba City | Office Unavailable | Facility $1215.31 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
41130 billing questions
How does 41130 differ from 41120?
41130 represents a hemiglossectomy. Use 41120 for a tongue resection that is less than half the tongue.
Does 41130 include a neck dissection?
It describes the tongue resection, not a combined tongue and neck operation. Review the operative report and select coding that reflects any neck dissection performed.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inapplicable and modifier 50 as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,90341115,,Excision of tongue fold,A,,1.75,5.66,,1.99,,0.25,7.66,3.99,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90441116,,Excision of mouth lesion,A,,2.46,7.22,,3.21,,0.36,10.04,6.03,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90541120,,Partial removal of tongue,A,,10.86,16.80,NA,16.80,,1.61,29.27,29.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90641130,,Partial removal of tongue,A,,15.35,17.84,NA,17.84,,2.28,35.47,35.47,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90741135,,Tongue and neck surgery,A,,29.39,23.64,NA,23.64,,4.36,57.39,57.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90841140,,Removal of tongue,A,,28.42,25.14,NA,25.14,,4.14,57.70,57.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90941145,,Tongue removal neck surgery,A,,36.98,29.96,NA,29.96,,5.40,72.34,72.34,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00