CPT code 41250: Tongue repair2026 Medicare rate & RVUs in Nebraska
Repair a laceration in the anterior two-thirds of the tongue when the injury does not require repair of the tongue tip.
Medicare pays $308.02 for 41250 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 41250 covers
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.
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 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $308.02 | $151.10 |
How the 41250 rate is calculated
Each of 41250’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 41250
RVUs × geographic indexes × conversion factor
Work1.91
1.91 RVUs× 1.000 GPCI
Practice expense7.75
7.75 RVUs× 1.000 GPCI
Malpractice0.42
0.42 RVUs× 1.000 GPCI
Adjusted RVUs
10.0800
Conversion factor
$33.4009
Medicare rate
$336.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 41250
41250 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41250
Tongue repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41250
Tongue repair
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41250 without 51 · national office
$336.68
Tongue repair
41250-51 · Second procedure: 50%
$168.34
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
41250 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 41251Tongue repair
- Choose 41251 when repair includes the tongue tip. 41250 applies to the anterior two-thirds when the tip is not repaired.
- 41252Tongue repair
- 41252 is for a laceration in the posterior third of the tongue; 41250 is for the anterior two-thirds without tip repair.
- 40830Mouth laceration repair
- 40830 concerns a small laceration of the mouth’s vestibule, not a laceration of the tongue.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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