No office rate
41120 is for removal of less than half the tongue; 41130 is for a hemiglossectomy.
On this page
CMS RVU26D · Effective 2026-10-01
41120 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$967.29
Base rate per service
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.
Oral surgery
About 41120: Partial glossectomy under one-half tongue
Reports surgical removal of less than half the tongue, commonly for an oral tongue tumor requiring resection beyond a limited lesion excision.
An otolaryngologist, head and neck surgeon, or oral and maxillofacial surgeon may remove a portion of the tongue to treat a tumor or other condition requiring partial glossectomy. The operation is commonly performed in a hospital operating room, often under general anesthesia. For an oral tongue cancer, the surgeon removes the affected portion as part of definitive treatment; this is more extensive than simply sampling or locally excising a small lesion.
Select this code when the operative report supports removal of less than half the tongue. Document the condition treated, the site and extent of resection, and the operative work so the scope can be distinguished from a hemiglossectomy or a limited lesion excision. The code has 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 is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 41120
- 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 RVU10.86 · 37%
- Practice expense (office) RVU16.80 · 57%
- Malpractice RVU1.61 · 6%
2.7K
Medicare services in 2024 · #2238 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.
41120 compared with similar codes
Office rates for Delaware, from the same CMS release.
$224.31
41110 reports excision of a tongue lesion without closure. Choose 41120 when the documented operation is a partial glossectomy involving less than half the tongue.
$338.69
41112 reports tongue lesion excision with closure. 41120 represents a broader partial tongue resection, not just a localized lesion excision.
No office rate
41140 describes total glossectomy; 41120 is limited to removal of less than half the tongue.
The same code, a different location
How does Delaware compare?
41120 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 41120
Office
Unavailable
Facility
$884.16
No comparable office rate is available.
Arkansas
Arkansas · 41120
Office
Unavailable
Facility
$872.44
No comparable office rate is available.
Arizona
Arizona · 41120
Office
Unavailable
Facility
$952.51
No comparable office rate is available.
Bakersfield
California · 41120
Office
Unavailable
Facility
$1017.38
No comparable office rate is available.
Chico
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
El Centro
California · 41120
Office
Unavailable
Facility
$1013.00
No comparable office rate is available.
Fresno
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Hanford-Corcoran
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Madera
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Merced
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Modesto
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Napa
California · 41120
Office
Unavailable
Facility
$1152.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 41120
Office
Unavailable
Facility
$1069.65
No comparable office rate is available.
Redding
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Rest Of California
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 41120
Office
Unavailable
Facility
$1030.14
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 41120
Office
Unavailable
Facility
$1057.22
No comparable office rate is available.
Salinas
California · 41120
Office
Unavailable
Facility
$1053.16
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 41120
Office
Unavailable
Facility
$1073.88
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 41120
Office
Unavailable
Facility
$1213.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 41120
Office
Unavailable
Facility
$1211.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 41120
Office
Unavailable
Facility
$1240.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 41120
Office
Unavailable
Facility
$1233.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 41120
Office
Unavailable
Facility
$1036.86
No comparable office rate is available.
Santa Cruz-Watsonville
California · 41120
Office
Unavailable
Facility
$1080.95
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 41120
Office
Unavailable
Facility
$1056.00
No comparable office rate is available.
Santa Rosa-Petaluma
California · 41120
Office
Unavailable
Facility
$1091.51
No comparable office rate is available.
Stockton
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Vallejo
California · 41120
Office
Unavailable
Facility
$1149.85
No comparable office rate is available.
Visalia
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Yuba City
California · 41120
Office
Unavailable
Facility
$1012.73
No comparable office rate is available.
Colorado
Colorado · 41120
Office
Unavailable
Facility
$1006.13
No comparable office rate is available.
Connecticut
Connecticut · 41120
Office
Unavailable
Facility
$1039.40
No comparable office rate is available.
Fort Lauderdale
Florida · 41120
Office
Unavailable
Facility
$1028.39
No comparable office rate is available.
Rest Of Florida
Florida · 41120
Office
Unavailable
Facility
$980.00
No comparable office rate is available.
Atlanta
Georgia · 41120
Office
Unavailable
Facility
$998.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 41120
Office
Unavailable
Facility
$927.37
No comparable office rate is available.
Hawaii, Guam
Hawaii · 41120
Office
Unavailable
Facility
$1031.88
No comparable office rate is available.
Iowa
Iowa · 41120
Office
Unavailable
Facility
$897.52
No comparable office rate is available.
Idaho
Idaho · 41120
Office
Unavailable
Facility
$904.41
No comparable office rate is available.
East St. Louis
Illinois · 41120
Office
Unavailable
Facility
$987.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 41120
Office
Unavailable
Facility
$959.10
No comparable office rate is available.
Suburban Chicago
Illinois · 41120
Office
Unavailable
Facility
$1036.85
No comparable office rate is available.
Indiana
Indiana · 41120
Office
Unavailable
Facility
$909.04
No comparable office rate is available.
Kansas
Kansas · 41120
Office
Unavailable
Facility
$897.10
No comparable office rate is available.
Kentucky
Kentucky · 41120
Office
Unavailable
Facility
$910.79
No comparable office rate is available.
New Orleans
Louisiana · 41120
Office
Unavailable
Facility
$951.85
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 41120
Office
Unavailable
Facility
$910.86
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 41120
Office
Unavailable
Facility
$1095.46
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 41120
Office
Unavailable
Facility
$1002.27
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 41120
Office
Unavailable
Facility
$1037.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 41120
Office
Unavailable
Facility
$983.60
No comparable office rate is available.
Rest Of Maine
Maine · 41120
Office
Unavailable
Facility
$912.43
No comparable office rate is available.
Southern Maine
Maine · 41120
Office
Unavailable
Facility
$952.75
No comparable office rate is available.
Detroit
Michigan · 41120
Office
Unavailable
Facility
$994.89
No comparable office rate is available.
Rest Of Michigan
Michigan · 41120
Office
Unavailable
Facility
$935.76
No comparable office rate is available.
Minnesota
Minnesota · 41120
Office
Unavailable
Facility
$956.06
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 41120
Office
Unavailable
Facility
$942.18
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 41120
Office
Unavailable
Facility
$950.82
No comparable office rate is available.
Rest Of Missouri
Missouri · 41120
Office
Unavailable
Facility
$898.81
No comparable office rate is available.
Mississippi
Mississippi · 41120
Office
Unavailable
Facility
$885.61
No comparable office rate is available.
Montana**
Montana · 41120
Office
Unavailable
Facility
$977.54
No comparable office rate is available.
North Carolina
North Carolina · 41120
Office
Unavailable
Facility
$920.64
No comparable office rate is available.
North Dakota**
North Dakota · 41120
Office
Unavailable
Facility
$945.70
No comparable office rate is available.
Nebraska
Nebraska · 41120
Office
Unavailable
Facility
$900.99
No comparable office rate is available.
New Hampshire
New Hampshire · 41120
Office
Unavailable
Facility
$993.93
No comparable office rate is available.
Northern Nj
New Jersey · 41120
Office
Unavailable
Facility
$1093.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 41120
Office
Unavailable
Facility
$1048.99
No comparable office rate is available.
New Mexico
New Mexico · 41120
Office
Unavailable
Facility
$941.88
No comparable office rate is available.
Nevada**
Nevada · 41120
Office
Unavailable
Facility
$969.22
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 41120
Office
Unavailable
Facility
$1153.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 41120
Office
Unavailable
Facility
$1058.57
No comparable office rate is available.
Queens
New York · 41120
Office
Unavailable
Facility
$1126.75
No comparable office rate is available.
Rest Of New York
New York · 41120
Office
Unavailable
Facility
$933.62
No comparable office rate is available.
Ohio
Ohio · 41120
Office
Unavailable
Facility
$929.26
No comparable office rate is available.
Oklahoma
Oklahoma · 41120
Office
Unavailable
Facility
$905.61
No comparable office rate is available.
Portland
Oregon · 41120
Office
Unavailable
Facility
$1031.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 41120
Office
Unavailable
Facility
$959.43
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 41120
Office
Unavailable
Facility
$1017.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 41120
Office
Unavailable
Facility
$928.67
No comparable office rate is available.
Puerto Rico
Puerto Rico · 41120
Office
Unavailable
Facility
$983.01
No comparable office rate is available.
Rhode Island
Rhode Island · 41120
Office
Unavailable
Facility
$997.25
No comparable office rate is available.
South Carolina
South Carolina · 41120
Office
Unavailable
Facility
$926.93
No comparable office rate is available.
South Dakota**
South Dakota · 41120
Office
Unavailable
Facility
$941.94
No comparable office rate is available.
Tennessee
Tennessee · 41120
Office
Unavailable
Facility
$901.68
No comparable office rate is available.
Austin
Texas · 41120
Office
Unavailable
Facility
$1004.79
No comparable office rate is available.
Beaumont
Texas · 41120
Office
Unavailable
Facility
$923.32
No comparable office rate is available.
Brazoria
Texas · 41120
Office
Unavailable
Facility
$963.67
No comparable office rate is available.
Dallas
Texas · 41120
Office
Unavailable
Facility
$971.03
No comparable office rate is available.
Fort Worth
Texas · 41120
Office
Unavailable
Facility
$966.12
No comparable office rate is available.
Galveston
Texas · 41120
Office
Unavailable
Facility
$967.37
No comparable office rate is available.
Houston
Texas · 41120
Office
Unavailable
Facility
$996.84
No comparable office rate is available.
Rest Of Texas
Texas · 41120
Office
Unavailable
Facility
$943.81
No comparable office rate is available.
Utah
Utah · 41120
Office
Unavailable
Facility
$938.49
No comparable office rate is available.
Virginia
Virginia · 41120
Office
Unavailable
Facility
$952.30
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 41120
Office
Unavailable
Facility
$983.01
No comparable office rate is available.
Vermont
Vermont · 41120
Office
Unavailable
Facility
$945.47
No comparable office rate is available.
Rest Of Washington
Washington · 41120
Office
Unavailable
Facility
$999.25
No comparable office rate is available.
Seattle (King Cnty)
Washington · 41120
Office
Unavailable
Facility
$1113.32
No comparable office rate is available.
Wisconsin
Wisconsin · 41120
Office
Unavailable
Facility
$916.86
No comparable office rate is available.
West Virginia
West Virginia · 41120
Office
Unavailable
Facility
$927.31
No comparable office rate is available.
Wyoming**
Wyoming · 41120
Office
Unavailable
Facility
$963.66
No comparable office rate is available.
See how rates vary across the country
41120 · 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 41120 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1064.02
$967.29 × 110% = $1064.02
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 41120 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,905
- Code
- 41120
- Physician work
- 10.86
- Practice expense
- 16.80
- Malpractice
- 1.61
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.86 | × 1.005 | 10.9143 |
| Practice expense | 16.80 | × 0.988 | 16.5984 |
| Malpractice | 1.61 | × 0.899 | 1.4474 |
| Total RVUs | 28.9601 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$967.29
Open 41120 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.86 | 1.005 |
| Practice expense | 16.8 | 0.988 |
| Malpractice | 1.61 | 0.899 |
(10.86 × 1.005 + 16.8 × 0.988 + 1.61 × 0.899) × $33.4009 = $967.29
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
41120 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $967.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $967.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $967.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $967.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $1020.10 | RVU25D |
| 2025-07-01 | Not available in this setting | $1020.10 | RVU25C |
| 2025-04-01 | Not available in this setting | $1020.10 | RVU25B |
| 2025-01-01 | Not available in this setting | $1020.10 | RVU25A |
41120 billing questions
How does 41120 differ from 41130?
41120 applies when less than half the tongue is removed. 41130 describes a hemiglossectomy.
When is this code more appropriate than a tongue lesion excision code?
Use 41120 when the operation is a partial glossectomy involving less than half the tongue, rather than a limited excision of a discrete lesion. The operative report should support the broader resection.
Can a tongue biopsy be reported with this procedure?
A biopsy code describes tissue sampling, while 41120 describes partial tongue removal. If a separate biopsy is documented, evaluate whether it represents distinct work rather than assuming it is separately reportable.
Does the 90-day global period include postoperative visits?
It includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for removal from both sides of the tongue?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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 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.
4,90241114,,Excision of tongue lesion,A,,8.60,6.56,NA,6.56,,1.26,16.42,16.42,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503