No office rate
Use 41135 for complete or total glossectomy without radical neck dissection. 41140 includes a unilateral radical neck dissection.
On this page
CMS RVU26D · Effective 2026-10-01
41140 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1960.51
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.
Head and neck surgery
About 41140: Total glossectomy with unilateral radical neck dissection
Reports complete or total tongue removal performed with a unilateral radical neck dissection, commonly for advanced tongue cancer requiring an extensive oncologic operation.
This operation removes the entire tongue and includes a radical neck dissection on one side. Head and neck oncologic surgeons typically perform it for advanced oral tongue or tongue-base malignancy when the planned resection requires total rather than partial tongue removal and unilateral radical neck treatment. A tracheostomy may be performed, but its presence does not change selection of this code.
Report 41140 when the operative record supports complete or total glossectomy together with unilateral radical neck dissection. Documentation should identify the extent of tongue resection, the side and extent of the neck dissection, and the clinical indication. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 41140
- 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 RVU28.42 · 49%
- Practice expense (office) RVU25.14 · 44%
- Malpractice RVU4.14 · 7%
48
Medicare services in 2024 · #5377 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.
41140 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Both include total glossectomy and radical neck dissection; 41145 describes bilateral neck dissection, while 41140 describes unilateral dissection.
No office rate
41130 is for hemiglossectomy, not removal of the entire tongue with unilateral radical neck dissection.
No office rate
41153 describes a composite resection involving the tongue, floor of mouth, and mandible with unilateral radical neck dissection. 41140 does not describe that composite resection.
The same code, a different location
How does El Centro compare?
41140 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Modesto
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Napa
California · 41140
Office
Unavailable
Facility
$2186.03
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 41140
Office
Unavailable
Facility
$2054.50
No comparable office rate is available.
Redding
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Rest Of California
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 41140
Office
Unavailable
Facility
$2004.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 41140
Office
Unavailable
Facility
$2034.11
No comparable office rate is available.
Salinas
California · 41140
Office
Unavailable
Facility
$2026.01
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 41140
Office
Unavailable
Facility
$2056.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 41140
Office
Unavailable
Facility
$2286.88
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 41140
Office
Unavailable
Facility
$2282.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 41140
Office
Unavailable
Facility
$2338.63
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 41140
Office
Unavailable
Facility
$2319.41
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 41140
Office
Unavailable
Facility
$1995.93
No comparable office rate is available.
Santa Cruz-Watsonville
California · 41140
Office
Unavailable
Facility
$2063.54
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 41140
Office
Unavailable
Facility
$2029.04
No comparable office rate is available.
Santa Rosa-Petaluma
California · 41140
Office
Unavailable
Facility
$2083.00
No comparable office rate is available.
Stockton
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Vallejo
California · 41140
Office
Unavailable
Facility
$2179.25
No comparable office rate is available.
Visalia
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Yuba City
California · 41140
Office
Unavailable
Facility
$1959.82
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 41140
Office
Unavailable
Facility
$2143.58
No comparable office rate is available.
Miami
Florida · 41140
Office
Unavailable
Facility
$2173.09
No comparable office rate is available.
Chicago
Illinois · 41140
Office
Unavailable
Facility
$2117.15
No comparable office rate is available.
Manhattan
New York · 41140
Office
Unavailable
Facility
$2205.05
No comparable office rate is available.
Alaska*
Alaska · 41140
Office
Unavailable
Facility
$2394.35
No comparable office rate is available.
Alabama
Alabama · 41140
Office
Unavailable
Facility
$1762.26
No comparable office rate is available.
Arkansas
Arkansas · 41140
Office
Unavailable
Facility
$1741.77
No comparable office rate is available.
Arizona
Arizona · 41140
Office
Unavailable
Facility
$1881.29
No comparable office rate is available.
Colorado
Colorado · 41140
Office
Unavailable
Facility
$1962.08
No comparable office rate is available.
Connecticut
Connecticut · 41140
Office
Unavailable
Facility
$2039.91
No comparable office rate is available.
Delaware
Delaware · 41140
Office
Unavailable
Facility
$1907.94
No comparable office rate is available.
Fort Lauderdale
Florida · 41140
Office
Unavailable
Facility
$2049.88
No comparable office rate is available.
Rest Of Florida
Florida · 41140
Office
Unavailable
Facility
$1959.84
No comparable office rate is available.
Atlanta
Georgia · 41140
Office
Unavailable
Facility
$1971.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 41140
Office
Unavailable
Facility
$1863.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 41140
Office
Unavailable
Facility
$1984.05
No comparable office rate is available.
Iowa
Iowa · 41140
Office
Unavailable
Facility
$1772.47
No comparable office rate is available.
Idaho
Idaho · 41140
Office
Unavailable
Facility
$1787.18
No comparable office rate is available.
East St. Louis
Illinois · 41140
Office
Unavailable
Facility
$2000.27
No comparable office rate is available.
Rest Of Illinois
Illinois · 41140
Office
Unavailable
Facility
$1932.03
No comparable office rate is available.
Suburban Chicago
Illinois · 41140
Office
Unavailable
Facility
$2063.30
No comparable office rate is available.
Indiana
Indiana · 41140
Office
Unavailable
Facility
$1794.86
No comparable office rate is available.
Kansas
Kansas · 41140
Office
Unavailable
Facility
$1778.03
No comparable office rate is available.
Kentucky
Kentucky · 41140
Office
Unavailable
Facility
$1822.27
No comparable office rate is available.
New Orleans
Louisiana · 41140
Office
Unavailable
Facility
$1896.50
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 41140
Office
Unavailable
Facility
$1824.86
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 41140
Office
Unavailable
Facility
$2113.84
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 41140
Office
Unavailable
Facility
$1958.85
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 41140
Office
Unavailable
Facility
$2036.49
No comparable office rate is available.
Rest Of Maryland
Maryland · 41140
Office
Unavailable
Facility
$1935.46
No comparable office rate is available.
Rest Of Maine
Maine · 41140
Office
Unavailable
Facility
$1807.79
No comparable office rate is available.
Southern Maine
Maine · 41140
Office
Unavailable
Facility
$1868.65
No comparable office rate is available.
Detroit
Michigan · 41140
Office
Unavailable
Facility
$1992.70
No comparable office rate is available.
Rest Of Michigan
Michigan · 41140
Office
Unavailable
Facility
$1872.02
No comparable office rate is available.
Minnesota
Minnesota · 41140
Office
Unavailable
Facility
$1854.23
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 41140
Office
Unavailable
Facility
$1872.83
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 41140
Office
Unavailable
Facility
$1887.20
No comparable office rate is available.
Rest Of Missouri
Missouri · 41140
Office
Unavailable
Facility
$1807.76
No comparable office rate is available.
Mississippi
Mississippi · 41140
Office
Unavailable
Facility
$1774.42
No comparable office rate is available.
Montana**
Montana · 41140
Office
Unavailable
Facility
$1926.96
No comparable office rate is available.
North Carolina
North Carolina · 41140
Office
Unavailable
Facility
$1821.05
No comparable office rate is available.
North Dakota**
North Dakota · 41140
Office
Unavailable
Facility
$1845.09
No comparable office rate is available.
Nebraska
Nebraska · 41140
Office
Unavailable
Facility
$1776.57
No comparable office rate is available.
New Hampshire
New Hampshire · 41140
Office
Unavailable
Facility
$1944.37
No comparable office rate is available.
Northern Nj
New Jersey · 41140
Office
Unavailable
Facility
$2130.79
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 41140
Office
Unavailable
Facility
$2055.87
No comparable office rate is available.
New Mexico
New Mexico · 41140
Office
Unavailable
Facility
$1885.33
No comparable office rate is available.
Nevada**
Nevada · 41140
Office
Unavailable
Facility
$1904.98
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 41140
Office
Unavailable
Facility
$2265.19
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 41140
Office
Unavailable
Facility
$2078.76
No comparable office rate is available.
Queens
New York · 41140
Office
Unavailable
Facility
$2201.93
No comparable office rate is available.
Rest Of New York
New York · 41140
Office
Unavailable
Facility
$1844.18
No comparable office rate is available.
Ohio
Ohio · 41140
Office
Unavailable
Facility
$1855.28
No comparable office rate is available.
Oklahoma
Oklahoma · 41140
Office
Unavailable
Facility
$1806.55
No comparable office rate is available.
Portland
Oregon · 41140
Office
Unavailable
Facility
$2000.23
No comparable office rate is available.
Rest Of Oregon
Oregon · 41140
Office
Unavailable
Facility
$1882.80
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 41140
Office
Unavailable
Facility
$2005.43
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 41140
Office
Unavailable
Facility
$1850.77
No comparable office rate is available.
Puerto Rico
Puerto Rico · 41140
Office
Unavailable
Facility
$1934.39
No comparable office rate is available.
Rhode Island
Rhode Island · 41140
Office
Unavailable
Facility
$1958.04
No comparable office rate is available.
South Carolina
South Carolina · 41140
Office
Unavailable
Facility
$1842.67
No comparable office rate is available.
South Dakota**
South Dakota · 41140
Office
Unavailable
Facility
$1835.41
No comparable office rate is available.
Tennessee
Tennessee · 41140
Office
Unavailable
Facility
$1786.80
No comparable office rate is available.
Austin
Texas · 41140
Office
Unavailable
Facility
$1962.07
No comparable office rate is available.
Beaumont
Texas · 41140
Office
Unavailable
Facility
$1841.84
No comparable office rate is available.
Brazoria
Texas · 41140
Office
Unavailable
Facility
$1896.85
No comparable office rate is available.
Dallas
Texas · 41140
Office
Unavailable
Facility
$1912.78
No comparable office rate is available.
Fort Worth
Texas · 41140
Office
Unavailable
Facility
$1906.18
No comparable office rate is available.
Galveston
Texas · 41140
Office
Unavailable
Facility
$1905.16
No comparable office rate is available.
Houston
Texas · 41140
Office
Unavailable
Facility
$1980.94
No comparable office rate is available.
Rest Of Texas
Texas · 41140
Office
Unavailable
Facility
$1870.99
No comparable office rate is available.
Utah
Utah · 41140
Office
Unavailable
Facility
$1862.75
No comparable office rate is available.
Virginia
Virginia · 41140
Office
Unavailable
Facility
$1872.30
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 41140
Office
Unavailable
Facility
$1934.39
No comparable office rate is available.
Vermont
Vermont · 41140
Office
Unavailable
Facility
$1850.52
No comparable office rate is available.
Rest Of Washington
Washington · 41140
Office
Unavailable
Facility
$1951.03
No comparable office rate is available.
Seattle (King Cnty)
Washington · 41140
Office
Unavailable
Facility
$2140.00
No comparable office rate is available.
Wisconsin
Wisconsin · 41140
Office
Unavailable
Facility
$1796.28
No comparable office rate is available.
West Virginia
West Virginia · 41140
Office
Unavailable
Facility
$1876.83
No comparable office rate is available.
Wyoming**
Wyoming · 41140
Office
Unavailable
Facility
$1891.28
No comparable office rate is available.
See how rates vary across the country
41140 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 41140 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2156.56
$1960.51 × 110% = $2156.56
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 41140 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
4,908
- Code
- 41140
- Physician work
- 28.42
- Practice expense
- 25.14
- Malpractice
- 4.14
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.42 | × 1.017 | 28.9031 |
| Practice expense | 25.14 | × 1.096 | 27.5534 |
| Malpractice | 4.14 | × 0.541 | 2.2397 |
| Total RVUs | 58.6963 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1960.51
Open 41140 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.42 | 1.017 |
| Practice expense | 25.14 | 1.096 |
| Malpractice | 4.14 | 0.541 |
(28.42 × 1.017 + 25.14 × 1.096 + 4.14 × 0.541) × $33.4009 = $1960.51
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
41140 · 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 | $1960.51 | RVU26D |
| 2026-07-01 | Not available in this setting | $1960.51 | RVU26C |
| 2026-04-01 | Not available in this setting | $1960.51 | RVU26B |
| 2026-01-01 | Not available in this setting | $1960.51 | RVU26A |
| 2025-10-01 | Not available in this setting | $2151.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $2151.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $2151.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $2151.45 | RVU25A |
41140 billing questions
How does 41140 differ from 41135?
Both describe complete or total glossectomy. 41140 includes a unilateral radical neck dissection; 41135 describes the total glossectomy without radical neck dissection.
Can 41140 be reported with modifier 50 for bilateral neck dissection?
No. Modifier 50 is inappropriate for 41140. The code for total glossectomy with bilateral radical neck dissection is 41145.
Does a tracheostomy change the code selection?
No. The code includes total glossectomy whether or not a tracheostomy is performed.
What documentation supports reporting 41140?
The operative report should establish complete or total tongue removal and a unilateral radical neck dissection, including the side treated.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation.
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.
4,90541120,,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
4,91041150,,Tongue mouth jaw surgery,A,,29.11,24.73,NA,24.73,,4.31,58.15,58.15,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91141153,,Tongue mouth neck surgery,A,,32.75,25.33,NA,25.33,,4.84,62.92,62.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664