CPT code 41150: Composite resection2026 Medicare rate & RVUs in Nevada
Reports a composite operation removing involved tongue, floor-of-mouth tissue, and mandible, without radical neck dissection, commonly for extensive oral cavity cancer.
CMS doesn’t publish an office rate for 41150 in Nevada.
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 41150 covers
This code describes a composite oral cavity resection that removes involved tongue tissue together with the floor of the mouth and part of the mandible. Head and neck surgeons, including otolaryngologists and oral and maxillofacial surgeons, commonly perform it for extensive cancers involving these connected structures. The operative report should establish the extent and combination of tissue removed; an isolated tongue resection or a lesion excision does not represent this composite procedure.
Report 41150 when the documented operation includes the tongue, floor of mouth, and mandible and is performed without radical neck dissection. The operative note should identify the resected structures and clarify the neck procedure, if any; radical neck dissection changes the applicable composite code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
41150 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,919.05 |
How the 41150 rate is calculated
Each of 41150’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 · 41150
RVUs × geographic indexes × conversion factor
Work29.11
29.11 RVUs× 1.000 GPCI
Practice expense24.73
24.73 RVUs× 1.000 GPCI
Malpractice4.31
4.31 RVUs× 1.000 GPCI
Adjusted RVUs
58.1500
Conversion factor
$33.4009
Medicare rate
$1,942.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 41150
41150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 41150
Composite resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 41150
Composite resection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
41150 without 51 · national facility
$1,942.26
Composite resection
41150-51 · Second procedure: 50%
$971.13
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%).
41150 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 41153Floor-of-mouth resection
- This composite operation includes unilateral radical neck dissection. 41150 is for the composite tongue, floor-of-mouth, and mandibular resection without radical neck dissection.
- 41155Composite resection
- This composite operation includes bilateral radical neck dissection; 41150 describes the composite resection without radical neck dissection.
- 41135Tongue and neck surgery
- 41135 is for complete or total glossectomy without the specified composite floor-of-mouth and mandibular resection. Choose based on the structures actually removed.
- 41130Tongue resection
- 41130 describes hemiglossectomy, not the composite resection of tongue, floor of mouth, and mandible represented by 41150.
41150 billing questions
When is 41150 appropriate instead of a tongue-only resection code?
Use 41150 for the composite removal involving tongue, floor of mouth, and mandible. A tongue-only resection does not meet that extent.
Does 41150 include radical neck dissection?
No. This code represents the composite resection without radical neck dissection; use the applicable composite code when radical neck dissection is performed.
Can modifier 50 be reported for this procedure?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
What documentation supports reporting 41150?
The operative report should identify the tongue, floor-of-mouth, and mandibular resection, and describe whether a radical neck dissection was performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
May an assistant or co-surgeon be reported?
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 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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