$168.34
41100 is for a diagnostic tongue biopsy. Use 41110 when the lesion itself is excised and the defect is left unclosed.
On this page
CMS RVU26D · Effective 2026-10-01
41110 Tongue lesion excision Medicare reimbursement rates in Alabama
Removal of a discrete tongue lesion without closure, reported when the surgeon excises the lesion rather than taking a diagnostic sample. Compare 41110 office and facility rates across CMS payment localities in Alabama.
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 41110 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$202.62
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$108.22
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Oral surgery
About 41110: Tongue lesion excision without closure
Removal of a discrete tongue lesion without closure, reported when the surgeon excises the lesion rather than taking a diagnostic sample.
An otolaryngologist, oral and maxillofacial surgeon, or other qualified surgeon removes a discrete lesion from the tongue and leaves the resulting defect unclosed. The service may be performed in an office or facility; the excised tissue can be sent for pathologic examination. This code distinguishes removal without closure from tongue excisions that include closure and from procedures that remove only a diagnostic sample.
Choose the code based on the documented procedure, including the tongue site and whether the defect was closed. The operative note should identify the lesion’s location, describe its removal, and state that no closure was performed. This minor procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 41110
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.52 · 22%
- Practice expense (office) RVU5.06 · 75%
- Malpractice RVU0.21 · 3%
1.1K
Medicare services in 2024 · #2920 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.
41110 compared with similar codes
Office rates for Alabama, from the same CMS release.
$169.62
41105 describes tongue biopsy sampling. It is not the lesion-removal code when the surgeon excises the lesion.
$307.17
41112 is a closure-inclusive tongue lesion excision for its specified site. 41110 is for excision without closure.
$331.03
41113 is a closure-inclusive excision for a different tongue site. Apply the code matching the documented site and whether closure was performed.
Compare 41110 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
$202.62
Facility
$108.22
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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 41110 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
4,899
- Code
- 41110
- Physician work
- 1.52
- Practice expense
- 5.06
- Malpractice
- 0.21
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.52 | × 1.000 | 1.5200 |
| Practice expense | 5.06 | × 0.875 | 4.4275 |
| Malpractice | 0.21 | × 0.566 | 0.1189 |
| Total RVUs | 6.0664 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$202.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.52 | 1 |
| Practice expense | 5.06 | 0.875 |
| Malpractice | 0.21 | 0.566 |
(1.52 × 1 + 5.06 × 0.875 + 0.21 × 0.566) × $33.4009 = $202.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.52 | 1 |
| Practice expense | 1.83 | 0.875 |
| Malpractice | 0.21 | 0.566 |
(1.52 × 1 + 1.83 × 0.875 + 0.21 × 0.566) × $33.4009 = $108.22
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.
41110 billing questions
When should 41110 be reported instead of a tongue biopsy code?
Report 41110 when the surgeon removes the lesion rather than taking a sample for diagnosis. A biopsy code describes sampling tissue, not excision of the lesion.
How does 41110 differ from the tongue excision codes that include closure?
41110 is for excision without closure. Select a closure-inclusive sibling when the operative report documents closure and the applicable site criteria are met.
Can modifier 50 be used for lesions on both sides of the tongue?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
What documentation supports reporting 41110?
Document the tongue lesion’s location, its excision, and that the defect was left without closure. The record should distinguish removal from diagnostic sampling.
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.
4,89641105,,Biopsy of tongue,A,,1.43,4.04,,1.38,,0.20,5.67,3.01,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89741108,,Biopsy of floor of mouth,A,,1.07,3.87,,1.30,,0.15,5.09,2.52,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8984110F,,Int mam art used for cabg,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89941110,,Excision of tongue lesion,A,,1.52,5.06,,1.83,,0.21,6.79,3.56,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90041112,,Excision of tongue lesion,A,,2.76,7.11,,3.62,,0.38,10.25,6.76,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90141113,,Excision of tongue lesion,A,,3.21,7.38,,3.69,,0.43,11.02,7.33,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90241114,,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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515