$210.62–$222.68
Use 41110 when a tongue lesion is excised without closure. 41112 includes closure and is specific to the anterior two-thirds.
On this page
CMS RVU26D · Effective 2026-10-01
41112 Tongue excision Medicare reimbursement rates in Maine
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. Compare 41112 office and facility rates across CMS payment localities in Maine.
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 41112 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$318.56–$335.54
2 of 2 localities have a supported rate.
Facility setting
$211.32–$220.02
2 of 2 localities have a supported rate.
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 41112: Anterior tongue lesion excision with closure
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.
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.
CMS billing rules for 41112
- 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
- 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 RVU2.76 · 27%
- Practice expense (office) RVU7.11 · 69%
- Malpractice RVU0.38 · 4%
2.8K
Medicare services in 2024 · #2217 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.
41112 compared with similar codes
Office rates for Maine, from the same CMS release.
$342.93–$360.56
41113 is for a lesion in the posterior one-third of the tongue with closure; 41112 is for the anterior two-thirds.
No office rate
Choose 41114 for extensive lesion excision requiring flap reconstruction, rather than the more limited excision represented by 41112.
$174.80–$184.48
41100 represents tongue biopsy for diagnostic sampling. Use 41112 when the surgeon excises the lesion and closes the wound.
Compare 41112 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$318.56
Facility
$211.32
Southern Maine →
Office / nonfacility
$335.54
Facility
$220.02
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.
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 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.
4,89741108,,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
4,90341115,,Excision of tongue fold,A,,1.75,5.66,,1.99,,0.25,7.66,3.99,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00