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CMS RVU26D · Effective 2026-10-01

41251 in Redding

Office / nonfacility

$452.69

Base rate per service

Facility setting

$232.31

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 41251: Complicated tongue laceration repair

Reports operative repair of a complicated tongue laceration when the documented wound and repair support the complicated level rather than simple closure.

This service covers repair of a complicated laceration of the tongue. It is commonly performed by an emergency physician, otolaryngologist, or oral and maxillofacial surgeon in an emergency department or hospital setting. The record should identify the tongue wound and describe its extent, depth, tissue disruption, and repair technique sufficiently to support the complicated level; the fact that sutures were placed alone does not establish that level.

Select this code based on the documented complexity of the tongue wound and repair, distinguishing it from the simple repair code and the other tongue-repair family entry. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 41251

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.26 · 18%
  • Practice expense (office) RVU10.00 · 78%
  • Malpractice RVU0.55 · 4%

21

Medicare services in 2024 · #5894 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.

41251 compared with similar codes

Office rates for Redding, from the same CMS release.

41250

Tongue repair

Anterior tongue, tip not repaired

$356.11

41250 is for simple tongue-laceration repair. Choose 41251 when the documentation supports a complicated repair.

41252

Tongue repair

Complicated laceration

$360.31

41252 is another distinct tongue-laceration repair entry. Select between the family codes using the specific wound and repair circumstances in the applicable descriptor.

40831

Laceration repair

Complicated vestibular wound

$329.66

40831 describes complicated repair at the oral vestibule. A laceration of the tongue is reported with the applicable tongue-repair code instead.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 41251 is $454.18—$1.49 higher than the $452.69 rate in Redding. Both use the same code, release and participation basis.

41251 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $452.69

  2. Bakersfield

    $454.18

    $1.49 higher than Redding

  3. Chico

    $452.69

    The same base rate than Redding

  4. El Centro

    $452.78

    $0.09 higher than Redding

  5. Fresno

    $452.69

    The same base rate than Redding

  6. Hanford-Corcoran

    $452.69

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $485.91

    $33.22 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 41251 ranges from $371.86 in Arkansas to $575.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Madera

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Merced

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Modesto

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Napa

    California · 41251

    Office

    $529.80

    Facility

    $264.78

    $77.11 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 41251

    Office

    $483.84

    Facility

    $246.17

    $31.15 higher than Redding for the office setting.

  • Rest Of California

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 41251

    Office

    $458.59

    Facility

    $238.21

    $5.90 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 41251

    Office

    $476.50

    Facility

    $242.65

    $23.81 higher than Redding for the office setting.

  • Salinas

    California · 41251

    Office

    $474.79

    Facility

    $241.75

    $22.10 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 41251

    Office

    $487.18

    Facility

    $246.70

    $34.49 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 41251

    Office

    $562.04

    Facility

    $278.53

    $109.35 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 41251

    Office

    $561.42

    Facility

    $277.90

    $108.73 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 41251

    Office

    $575.28

    Facility

    $285.33

    $122.59 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 41251

    Office

    $572.72

    Facility

    $282.78

    $120.03 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 41251

    Office

    $467.05

    Facility

    $238.03

    $14.36 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 41251

    Office

    $492.74

    Facility

    $248.43

    $40.05 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 41251

    Office

    $476.90

    Facility

    $242.45

    $24.21 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 41251

    Office

    $497.76

    Facility

    $250.84

    $45.07 higher than Redding for the office setting.

  • Stockton

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 41251

    Office

    $528.90

    Facility

    $263.88

    $76.21 higher than Redding for the office setting.

  • Visalia

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 41251

    Office

    $452.69

    Facility

    $232.31

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 41251

    Office

    $493.47

    Facility

    $256.61

    $40.78 higher than Redding for the office setting.

  • Miami

    Florida · 41251

    Office

    $469.65

    Facility

    $260.33

    $16.96 higher than Redding for the office setting.

  • Chicago

    Illinois · 41251

    Office

    $453.85

    Facility

    $251.77

    $1.16 higher than Redding for the office setting.

  • Manhattan

    New York · 41251

    Office

    $497.57

    Facility

    $263.92

    $44.88 higher than Redding for the office setting.

  • Alaska*

    Alaska · 41251

    Office

    $479.07

    Facility

    $264.93

    $26.38 higher than Redding for the office setting.

  • Alabama

    Alabama · 41251

    Office

    $378.14

    Facility

    $202.20

    $74.55 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 41251

    Office

    $371.86

    Facility

    $199.14

    $80.83 lower than Redding for the office setting.

  • Arizona

    Arizona · 41251

    Office

    $414.87

    Facility

    $220.03

    $37.82 lower than Redding for the office setting.

  • Colorado

    Colorado · 41251

    Office

    $446.12

    Facility

    $232.18

    $6.57 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 41251

    Office

    $458.95

    Facility

    $242.40

    $6.26 higher than Redding for the office setting.

  • Delaware

    Delaware · 41251

    Office

    $422.38

    Facility

    $223.72

    $30.31 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 41251

    Office

    $447.05

    Facility

    $243.36

    $5.64 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 41251

    Office

    $422.41

    Facility

    $230.18

    $30.28 lower than Redding for the office setting.

  • Atlanta

    Georgia · 41251

    Office

    $437.13

    Facility

    $232.84

    $15.56 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 41251

    Office

    $395.32

    Facility

    $215.96

    $57.37 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 41251

    Office

    $465.89

    Facility

    $237.27

    $13.20 higher than Redding for the office setting.

  • Iowa

    Iowa · 41251

    Office

    $388.40

    Facility

    $204.42

    $64.29 lower than Redding for the office setting.

  • Idaho

    Idaho · 41251

    Office

    $391.46

    Facility

    $206.48

    $61.23 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 41251

    Office

    $419.77

    Facility

    $234.78

    $32.92 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 41251

    Office

    $409.15

    Facility

    $225.57

    $43.54 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 41251

    Office

    $451.59

    Facility

    $245.09

    $1.10 lower than Redding for the office setting.

  • Indiana

    Indiana · 41251

    Office

    $394.04

    Facility

    $207.65

    $58.65 lower than Redding for the office setting.

  • Kansas

    Kansas · 41251

    Office

    $386.69

    Facility

    $204.92

    $66.00 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 41251

    Office

    $389.23

    Facility

    $210.47

    $63.46 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 41251

    Office

    $410.66

    Facility

    $221.45

    $42.03 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 41251

    Office

    $388.68

    Facility

    $210.73

    $64.01 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 41251

    Office

    $493.74

    Facility

    $253.66

    $41.05 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 41251

    Office

    $443.05

    Facility

    $231.32

    $9.64 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 41251

    Office

    $457.81

    Facility

    $242.06

    $5.12 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 41251

    Office

    $431.12

    Facility

    $227.64

    $21.57 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 41251

    Office

    $394.20

    Facility

    $209.21

    $58.49 lower than Redding for the office setting.

  • Southern Maine

    Maine · 41251

    Office

    $418.08

    Facility

    $218.82

    $34.61 lower than Redding for the office setting.

  • Detroit

    Michigan · 41251

    Office

    $428.78

    Facility

    $234.74

    $23.91 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 41251

    Office

    $401.18

    Facility

    $217.60

    $51.51 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 41251

    Office

    $424.62

    Facility

    $217.71

    $28.07 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 41251

    Office

    $407.07

    Facility

    $218.26

    $45.62 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 41251

    Office

    $411.87

    Facility

    $220.45

    $40.82 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 41251

    Office

    $381.29

    Facility

    $207.97

    $71.40 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 41251

    Office

    $376.64

    Facility

    $203.52

    $76.05 lower than Redding for the office setting.

  • Montana**

    Montana · 41251

    Office

    $427.83

    Facility

    $226.76

    $24.86 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 41251

    Office

    $398.86

    Facility

    $211.25

    $53.83 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 41251

    Office

    $416.95

    Facility

    $215.88

    $35.74 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 41251

    Office

    $390.72

    Facility

    $205.13

    $61.97 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 41251

    Office

    $439.26

    Facility

    $229.95

    $13.43 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 41251

    Office

    $487.31

    Facility

    $254.07

    $34.62 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 41251

    Office

    $463.40

    Facility

    $243.82

    $10.71 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 41251

    Office

    $403.84

    Facility

    $219.45

    $48.85 lower than Redding for the office setting.

  • Nevada**

    Nevada · 41251

    Office

    $425.13

    Facility

    $223.86

    $27.56 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 41251

    Office

    $511.57

    Facility

    $272.49

    $58.88 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 41251

    Office

    $466.85

    Facility

    $246.68

    $14.16 higher than Redding for the office setting.

  • Queens

    New York · 41251

    Office

    $501.61

    Facility

    $263.94

    $48.92 higher than Redding for the office setting.

  • Rest Of New York

    New York · 41251

    Office

    $405.71

    Facility

    $214.69

    $46.98 lower than Redding for the office setting.

  • Ohio

    Ohio · 41251

    Office

    $398.95

    Facility

    $215.37

    $53.74 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 41251

    Office

    $388.03

    Facility

    $208.47

    $64.66 lower than Redding for the office setting.

  • Portland

    Oregon · 41251

    Office

    $461.45

    Facility

    $238.05

    $8.76 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 41251

    Office

    $421.07

    Facility

    $220.80

    $31.62 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 41251

    Office

    $446.46

    Facility

    $237.15

    $6.23 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 41251

    Office

    $399.47

    Facility

    $214.88

    $53.22 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 41251

    Office

    $431.26

    Facility

    $227.98

    $21.43 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 41251

    Office

    $438.34

    Facility

    $230.63

    $14.35 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 41251

    Office

    $399.73

    Facility

    $213.93

    $52.96 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 41251

    Office

    $415.67

    Facility

    $214.59

    $37.02 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 41251

    Office

    $388.97

    Facility

    $206.19

    $63.72 lower than Redding for the office setting.

  • Austin

    Texas · 41251

    Office

    $445.29

    Facility

    $232.56

    $7.40 lower than Redding for the office setting.

  • Beaumont

    Texas · 41251

    Office

    $396.50

    Facility

    $213.52

    $56.19 lower than Redding for the office setting.

  • Brazoria

    Texas · 41251

    Office

    $421.42

    Facility

    $222.16

    $31.27 lower than Redding for the office setting.

  • Dallas

    Texas · 41251

    Office

    $424.60

    Facility

    $224.33

    $28.09 lower than Redding for the office setting.

  • Fort Worth

    Texas · 41251

    Office

    $421.50

    Facility

    $223.24

    $31.19 lower than Redding for the office setting.

  • Galveston

    Texas · 41251

    Office

    $422.97

    Facility

    $223.31

    $29.72 lower than Redding for the office setting.

  • Houston

    Texas · 41251

    Office

    $433.04

    Facility

    $233.37

    $19.65 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 41251

    Office

    $409.05

    Facility

    $218.23

    $43.64 lower than Redding for the office setting.

  • Utah

    Utah · 41251

    Office

    $405.95

    Facility

    $216.94

    $46.74 lower than Redding for the office setting.

  • Virginia

    Virginia · 41251

    Office

    $416.79

    Facility

    $219.13

    $35.90 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 41251

    Office

    $431.26

    Facility

    $227.98

    $21.43 lower than Redding for the office setting.

  • Vermont

    Vermont · 41251

    Office

    $415.45

    Facility

    $216.39

    $37.24 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 41251

    Office

    $442.16

    Facility

    $230.43

    $10.53 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 41251

    Office

    $504.10

    Facility

    $257.38

    $51.41 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 41251

    Office

    $401.12

    Facility

    $208.50

    $51.57 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 41251

    Office

    $392.03

    Facility

    $217.30

    $60.66 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 41251

    Office

    $423.09

    Facility

    $222.02

    $29.60 lower than Redding for the office setting.

See how rates vary across the country

41251 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$371.86

$513.99

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$479.071
AL$378.141
AR$371.861
AZ$414.871
CA$452.69–$575.2829
CO$446.121
CT$458.951
DC$493.471
DE$422.381
FL$422.41–$469.653
GA$395.32–$437.132
GU$465.891
HI$465.891
IA$388.401
ID$391.461
IL$409.15–$453.854
IN$394.041
KS$386.691
KY$389.231
LA$388.68–$410.662
MA$443.05–$493.742
MD$431.12–$493.473
ME$394.20–$418.082
MI$401.18–$428.782
MN$424.621
MO$381.29–$411.873
MS$376.641
MT$427.831
NC$398.861
ND$416.951
NE$390.721
NH$439.261
NJ$463.40–$487.312
NM$403.841
NV$425.131
NY$405.71–$511.575
OH$398.951
OK$388.031
OR$421.07–$461.452
PA$399.47–$446.462
PR$431.261
RI$438.341
SC$399.731
SD$415.671
TN$388.971
TX$396.50–$445.298
UT$405.951
VA$416.79–$493.472
VI$431.261
VT$415.451
WA$442.16–$504.102
WI$401.121
WV$392.031
WY$423.091

Explore 41251 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 41251 in Redding, the physician’s office rate is $452.69 and the facility-setting rate is $232.31: a difference of $220.38.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 41251 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$497.96

$452.69 × 110% = $497.96

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.

Compare your contract offer →

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 41251 in Redding.

PPRRVU2026_Oct_nonQPP.csv

4,917

Code
41251
Physician work
2.26
Practice expense
10.00
Malpractice
0.55

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 41251 in Redding
ComponentRVULocality factorAdjusted
Physician work2.26× 1.0172.2984
Practice expense10.00× 1.09610.9600
Malpractice0.55× 0.5360.2948
Total RVUs13.5532
Conversion factor× 33.4009

Office / nonfacility rate, Redding$452.69

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 41251 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.261.017
Practice expense101.096
Malpractice0.550.536

(2.26 × 1.017 + 10 × 1.096 + 0.55 × 0.536) × $33.4009 = $452.69

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.261.017
Practice expense3.981.096
Malpractice0.550.536

(2.26 × 1.017 + 3.98 × 1.096 + 0.55 × 0.536) × $33.4009 = $232.31

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

41251 · Office / nonfacility

$452.69

Effective 2026-10-01

The base rate is $138.44 higher than on 2025-10-01, moving from $314.25 to $452.69 (44.1%).

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

    $314.25changed to$452.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.32 changed to 2.26
    • Practice expense RVU 6.48 changed to 10.00
    • Malpractice RVU 0.50 changed to 0.55
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $314.25

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$452.69$232.31RVU26D
2026-07-01$452.69$232.31RVU26C
2026-04-01$452.69$232.31RVU26B
2026-01-01$452.69$232.31RVU26A
2025-10-01$314.25$182.38RVU25D
2025-07-01$314.25$182.38RVU25C
2025-04-01$314.25$182.38RVU25B
2025-01-01$314.25$182.38RVU25A

41251 billing questions

How is this code distinguished from 41250?

41250 is the simple tongue-laceration repair code. Use 41251 when the documented wound and repair support the complicated level, not merely because the wound was sutured.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in this procedure's payment.

How does the multiple-procedure rule affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

Should modifier 50 be appended for a tongue wound?

No. Modifier 50 is inappropriate 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 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.

RVUs for 41251PPRRVU2026_Oct_nonQPP.csv, line 4,917 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet