No office rate
41120 is for removal of less than half the tongue; 41130 is for a hemiglossectomy.
On this page
CMS RVU26D · Effective 2026-10-01
41120 Partial glossectomy Medicare reimbursement rates in Michigan
Reports surgical removal of less than half the tongue, commonly for an oral tongue tumor requiring resection beyond a limited lesion excision. Compare 41120 office and facility rates across CMS payment localities in Michigan.
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 41120 in Michigan?
Michigan 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
No supported rate
Facility setting
$935.76–$994.89
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 41120: Partial glossectomy under one-half tongue
Reports surgical removal of less than half the tongue, commonly for an oral tongue tumor requiring resection beyond a limited lesion excision.
An otolaryngologist, head and neck surgeon, or oral and maxillofacial surgeon may remove a portion of the tongue to treat a tumor or other condition requiring partial glossectomy. The operation is commonly performed in a hospital operating room, often under general anesthesia. For an oral tongue cancer, the surgeon removes the affected portion as part of definitive treatment; this is more extensive than simply sampling or locally excising a small lesion.
Select this code when the operative report supports removal of less than half the tongue. Document the condition treated, the site and extent of resection, and the operative work so the scope can be distinguished from a hemiglossectomy or a limited lesion excision. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 41120
- 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 RVU10.86 · 37%
- Practice expense (office) RVU16.80 · 57%
- Malpractice RVU1.61 · 6%
2.7K
Medicare services in 2024 · #2238 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.
41120 compared with similar codes
Office rates for Michigan, from the same CMS release.
$212.99–$225.69
41110 reports excision of a tongue lesion without closure. Choose 41120 when the documented operation is a partial glossectomy involving less than half the tongue.
$323.34–$342.75
41112 reports tongue lesion excision with closure. 41120 represents a broader partial tongue resection, not just a localized lesion excision.
No office rate
41140 describes total glossectomy; 41120 is limited to removal of less than half the tongue.
Compare 41120 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
Detroit →
Office / nonfacility
Unavailable
Facility
$994.89
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$935.76
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41120 billing questions
How does 41120 differ from 41130?
41120 applies when less than half the tongue is removed. 41130 describes a hemiglossectomy.
When is this code more appropriate than a tongue lesion excision code?
Use 41120 when the operation is a partial glossectomy involving less than half the tongue, rather than a limited excision of a discrete lesion. The operative report should support the broader resection.
Can a tongue biopsy be reported with this procedure?
A biopsy code describes tissue sampling, while 41120 describes partial tongue removal. If a separate biopsy is documented, evaluate whether it represents distinct work rather than assuming it is separately reportable.
Does the 90-day global period include postoperative visits?
It includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for removal from both sides of the tongue?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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.
4,90241114,,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
4,90441116,,Excision of mouth lesion,A,,2.46,7.22,,3.21,,0.36,10.04,6.03,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90541120,,Partial removal of tongue,A,,10.86,16.80,NA,16.80,,1.61,29.27,29.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90641130,,Partial removal of tongue,A,,15.35,17.84,NA,17.84,,2.28,35.47,35.47,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90741135,,Tongue and neck surgery,A,,29.39,23.64,NA,23.64,,4.36,57.39,57.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90841140,,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