No office rate
This code is for interstitial radiation-device placement in the head or neck. Code 55920 describes placement in pelvic organs or genitalia, excluding the prostate.
On this page
CMS RVU26D · Effective 2026-10-01
41019 Needle placement Medicare reimbursement rates in Hawaii
Reports surgical placement of needles or similar devices in head and neck tissue to prepare a site for interstitial radiation therapy. Compare 41019 office and facility rates across CMS payment localities in Hawaii.
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 41019 in Hawaii?
Hawaii 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
No supported rate
Facility setting
$409.30
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Radiation therapy
About 41019: Head and neck brachytherapy needle placement
Reports surgical placement of needles or similar devices in head and neck tissue to prepare a site for interstitial radiation therapy.
This service involves placing needles, catheters, or other devices into head and neck tissue so radioactive material can be delivered within or near a treatment site. It is typically performed by a surgeon, such as an otolaryngologist or oral and maxillofacial surgeon, in coordination with the radiation oncology team. Placement is distinct from delivering radiation or applying the radioactive source; the treatment plan determines the target and device arrangement.
Report the service when the record supports interstitial device placement in the head or neck for radiation treatment. Document the treated site, the placement performed, and its relationship to the radiation plan. The 0-day global period includes same-day preoperative and postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this code. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon and team-surgery payment require supporting documentation.
CMS billing rules for 41019
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 paid only with supporting documentation.
- Team surgery
- Team surgery paid only with supporting documentation.
Where the value comes from
- Work RVU8.62 · 71%
- Practice expense (office) RVU2.85 · 23%
- Malpractice RVU0.68 · 6%
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.
41019 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Use this code for head and neck placement; 55875 describes transperineal needle or catheter placement for prostate treatment.
$420.38
This code concerns interstitial placement in head and neck tissue. Code 57155 is for placing uterine or vaginal applicators for intracavitary brachytherapy.
Compare 41019 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$409.30
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 41019 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,894
- Code
- 41019
- Physician work
- 8.62
- Practice expense
- 2.85
- Malpractice
- 0.68
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.62 | × 1.000 | 8.6200 |
| Practice expense | 2.85 | × 1.137 | 3.2405 |
| Malpractice | 0.68 | × 0.579 | 0.3937 |
| Total RVUs | 12.2542 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$409.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.62 | 1 |
| Practice expense | 2.85 | 1.137 |
| Malpractice | 0.68 | 0.579 |
(8.62 × 1 + 2.85 × 1.137 + 0.68 × 0.579) × $33.4009 = $409.30
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.
41019 billing questions
When is this code appropriate instead of a pelvic placement code?
Use this code for interstitial radiation-device placement in the head or neck. Pelvic-organ and prostate placements are described by separate codes.
Does this code include radiation delivery?
It reports device placement, not radiation delivery or application of the radioactive source. Report other treatment services only when they are performed and separately supported.
Should modifier 50 be appended for placement on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
How does the multiple-procedure reduction affect payment?
When 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.
What documentation supports this service?
Record the head or neck treatment site, the devices placed, and how the placement supports the interstitial radiation plan. Assistant-at-surgery payment requires medical-necessity documentation, while co-surgeon and team-surgery payment require 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.
4,89141016,,Drainage of mouth lesion,A,,4.09,9.83,,5.09,,0.56,14.48,9.74,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89241017,,Drainage of mouth lesion,A,,4.09,9.70,,4.98,,0.55,14.34,9.62,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89341018,,Drainage of mouth lesion,A,,5.09,10.62,,5.42,,0.71,16.42,11.22,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89441019,,Place needles h&n for rt,A,,8.62,2.85,NA,2.85,,0.68,12.15,12.15,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89541100,,Biopsy of tongue,A,,1.38,4.06,,1.35,,0.19,5.63,2.92,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89641105,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014