$414.87
Choose 41251 when repair includes the tongue tip. 41250 applies to the anterior two-thirds when the tip is not repaired.
On this page
CMS RVU26D · Effective 2026-10-01
41250 Tongue repair Medicare reimbursement rates in Arizona
Repair a laceration in the anterior two-thirds of the tongue when the injury does not require repair of the tongue tip. Compare 41250 office and facility rates across CMS payment localities in Arizona.
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 41250 in Arizona?
Arizona 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
$326.64
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
Facility setting
$161.90
1 of 1 localities have a supported rate.
Payment area: Arizona
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 41250: Anterior tongue laceration repair without tip repair
Repair a laceration in the anterior two-thirds of the tongue when the injury does not require repair of the tongue tip.
This service repairs a laceration in the front two-thirds of the tongue, without repair of the tip. The clinician evaluates the wound and approximates the injured tissue; it is commonly performed by an emergency physician, oral and maxillofacial surgeon, or otolaryngologist in an emergency department or other acute-care setting. The location and whether the tip itself required repair distinguish this service from the other tongue-laceration repair codes.
Select the code based on the injured tongue region and tip involvement, not simply the wound’s length. Documentation should identify the laceration’s location and describe the repair performed, including whether the tip was repaired. 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 are subject to the standard 50% reduction. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this service.
CMS billing rules for 41250
- 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 RVU1.91 · 19%
- Practice expense (office) RVU7.75 · 77%
- Malpractice RVU0.42 · 4%
347
Medicare services in 2024 · #3873 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.
41250 compared with similar codes
Office rates for Arizona, from the same CMS release.
$334.85
41252 is for a laceration in the posterior third of the tongue; 41250 is for the anterior two-thirds without tip repair.
$225.58
40830 concerns a small laceration of the mouth’s vestibule, not a laceration of the tongue.
Compare 41250 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
Arizona →
Office / nonfacility
$326.64
Facility
$161.90
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 41250 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
4,916
- Code
- 41250
- Physician work
- 1.91
- Practice expense
- 7.75
- Malpractice
- 0.42
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.91 | × 1.000 | 1.9100 |
| Practice expense | 7.75 | × 0.969 | 7.5097 |
| Malpractice | 0.42 | × 0.856 | 0.3595 |
| Total RVUs | 9.7793 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arizona$326.64
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.91 | 1 |
| Practice expense | 7.75 | 0.969 |
| Malpractice | 0.42 | 0.856 |
(1.91 × 1 + 7.75 × 0.969 + 0.42 × 0.856) × $33.4009 = $326.64
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.91 | 1 |
| Practice expense | 2.66 | 0.969 |
| Malpractice | 0.42 | 0.856 |
(1.91 × 1 + 2.66 × 0.969 + 0.42 × 0.856) × $33.4009 = $161.90
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.
41250 billing questions
How is 41250 distinguished from the other tongue-laceration repair codes?
Use 41250 for a laceration in the anterior two-thirds when the repair does not involve the tongue tip. Tip repair or a laceration in the posterior third points to a different code in the series.
What documentation supports reporting 41250?
Document the laceration’s location on the tongue and the repair performed. Clarify whether the tip was repaired, since that detail separates 41250 from its anterior-tongue sibling.
Are related postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the procedure’s global period.
Can modifier 50 be used for a tongue laceration involving both sides?
No. Bilateral adjustment does not apply to 41250, and modifier 50 is inappropriate for this service.
When is an assistant at surgery payable with 41250?
Only when medical necessity for the assistant is documented. Co-surgeons and team surgery are not permitted for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in that session are subject to the standard multiple-procedure reduction.
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.
4,9134115F,,Beta blckr admin w/in 24 hrs,I,,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
4,9144120F,,Antibiot rxd/given,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
4,9154124F,,Antibiot not rxd/given,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
4,91641250,,Repair tongue laceration,A,,1.91,7.75,,2.66,,0.42,10.08,4.99,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91741251,,Repair tongue laceration,A,,2.26,10.00,,3.98,,0.55,12.81,6.79,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91841252,,Repair tongue laceration,A,,2.94,6.87,,2.41,,0.50,10.31,5.85,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,9194130F,,Topical prep rx aoe,I,,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
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536