No office rate
41150 covers floor-of-mouth resection without radical neck dissection. Choose 41153 when the same operation includes radical neck dissection.
On this page
CMS RVU26D · Effective 2026-10-01
41153 Floor-of-mouth resection Medicare reimbursement rates in Indiana
Reports resection of floor-of-mouth tissue with radical neck dissection, typically for a tumor requiring treatment of both the primary site and neck. Compare 41153 office and facility rates across CMS payment localities in Indiana.
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 41153 in Indiana?
Indiana 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
$1956.73
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Head and neck surgery
About 41153: Floor-of-mouth resection with neck dissection
Reports resection of floor-of-mouth tissue with radical neck dissection, typically for a tumor requiring treatment of both the primary site and neck.
This operation removes diseased tissue from the floor of the mouth and includes a radical neck dissection in the same surgical service. It is commonly performed by an otolaryngologist or head and neck surgeon for a malignancy involving the floor of the mouth with cervical nodal disease or risk requiring neck surgery. The procedure is generally performed in a hospital operating room.
Select this code when the operative report supports floor-of-mouth resection and the included radical neck dissection; it is not the code for a floor-of-mouth resection without neck dissection or for a primary tongue resection. The note should identify the operative site, extent of resection, and neck procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be allowed; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 41153
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU32.75 · 52%
- Practice expense (office) RVU25.33 · 40%
- Malpractice RVU4.84 · 8%
114
Medicare services in 2024 · #4778 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.
41153 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
41155 represents a composite resection with radical neck dissection, involving a broader combination of structures. 41153 is the floor-of-mouth resection with radical neck dissection.
No office rate
41135 is for complete or total tongue removal without radical neck dissection. 41153 centers on floor-of-mouth resection and includes radical neck dissection.
No office rate
41140 describes complete or total tongue removal with unilateral radical neck dissection. Use 41153 for floor-of-mouth resection with radical neck dissection.
Compare 41153 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1956.73
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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 41153 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,911
- Code
- 41153
- Physician work
- 32.75
- Practice expense
- 25.33
- Malpractice
- 4.84
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.75 | × 1.000 | 32.7500 |
| Practice expense | 25.33 | × 0.927 | 23.4809 |
| Malpractice | 4.84 | × 0.486 | 2.3522 |
| Total RVUs | 58.5831 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1956.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.75 | 1 |
| Practice expense | 25.33 | 0.927 |
| Malpractice | 4.84 | 0.486 |
(32.75 × 1 + 25.33 × 0.927 + 4.84 × 0.486) × $33.4009 = $1956.73
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.
41153 billing questions
How does this differ from 41150?
41153 includes radical neck dissection with the floor-of-mouth resection. 41150 is for the corresponding floor-of-mouth operation without radical neck dissection.
When would 41155 be a better fit?
Use 41155 when the documented operation is a composite resection involving structures such as the mandible, tongue, floor of mouth, or oropharynx, together with radical neck dissection. 41153 describes floor-of-mouth resection with radical neck dissection.
Can the neck dissection be billed separately?
The radical neck dissection is included in 41153. The operative report should support both the floor-of-mouth resection and the included neck procedure.
Should modifier 50 be appended for bilateral surgery?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeons require supporting documentation, and team surgery is not permitted.
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.
4,90841140,,Removal of tongue,A,,28.42,25.14,NA,25.14,,4.14,57.70,57.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90941145,,Tongue removal neck surgery,A,,36.98,29.96,NA,29.96,,5.40,72.34,72.34,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91041150,,Tongue mouth jaw surgery,A,,29.11,24.73,NA,24.73,,4.31,58.15,58.15,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91141153,,Tongue mouth neck surgery,A,,32.75,25.33,NA,25.33,,4.84,62.92,62.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91241155,,Tongue jaw & neck surgery,A,,43.19,28.61,NA,28.61,,6.44,78.24,78.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915