Billing code 41112: Tongue excisionMedicare rate & RVUs in Alaska
Surgical excision of a lesion in the anterior two-thirds of the tongue with wound closure, reported when the surgeon removes tissue rather than taking a diagnostic sample.
Medicare pays $398.19 for 41112 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 41112 covers
41112 reports surgical removal of a lesion from the anterior two-thirds of the tongue when the wound is closed. The surgeon removes the target tissue rather than taking a limited sample solely for diagnosis; the specimen is typically submitted for histopathologic examination. Otolaryngologists, oral and maxillofacial surgeons, and head-and-neck surgeons may perform this procedure in an office operating room, ambulatory surgery center, or hospital operating room, depending on the lesion and patient needs.
Choose this code when the operative report supports excision in the specified tongue region with closure. Document the lesion location, tissue removed, closure, and operative findings; use a biopsy code when the service is diagnostic sampling rather than excision. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Medicare does not pay an assistant at surgery; co-surgeon and team-surgery billing are not permitted.
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.
41112 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $398.19 | $274.04 |
How the 41112 rate is calculated
Each of 41112’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 41112
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.76Practice expense 7.11Malpractice 0.38
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 41112
41112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41112
Tongue excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41112
Tongue excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41112 without 51 · national office
$342.36
Tongue excision
41112-51 · Second procedure: 50%
$171.18
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
41112 compared with similar codes
Compare codes
41112 vs 41110 vs 41113 vs 41114 vs 41100: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 41110Tongue lesion excision
- Use 41110 when a tongue lesion is excised without closure. 41112 includes closure and is specific to the anterior two-thirds.
- 41113Tongue lesion excision
- 41113 is for a lesion in the posterior one-third of the tongue with closure; 41112 is for the anterior two-thirds.
- 41114Tongue excision
- Choose 41114 for extensive lesion excision requiring flap reconstruction, rather than the more limited excision represented by 41112.
- 41100Tongue biopsy
- 41100 represents tongue biopsy for diagnostic sampling. Use 41112 when the surgeon excises the lesion and closes the wound.
41112 billing questions
How is excision different from a tongue biopsy?
41112 describes removal of a lesion with closure, while a biopsy code is for diagnostic tissue sampling. The operative report should support which service was performed.
When should the posterior-tongue sibling be used?
Use 41113 when the excised lesion is in the posterior one-third of the tongue and the wound is closed. 41112 is for the anterior two-thirds.
Can wound closure be billed separately?
Closure is part of the service represented by 41112; it is not a separate closure procedure for the same excision.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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