No office rate
41120 is for tongue removal involving less than half the tongue without the unilateral radical neck dissection bundled into 41135.
On this page
CMS RVU26D · Effective 2026-10-01
41135 Tongue and neck surgery Medicare reimbursement rates in New Jersey
Reports partial removal of the tongue performed with a radical neck dissection on one side, commonly for treatment of oral tongue cancer. Compare 41135 office and facility rates across CMS payment localities in New Jersey.
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 41135 in New Jersey?
New Jersey 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
$2042.91–$2114.96
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.
Head and neck surgery
About 41135: Partial glossectomy with unilateral radical neck dissection
Reports partial removal of the tongue performed with a radical neck dissection on one side, commonly for treatment of oral tongue cancer.
This service combines removal of part of the tongue with a radical neck dissection on one side. It is typically performed by a head and neck surgeon or otolaryngologist in a hospital operating room for a patient whose oral tongue cancer requires both procedures. The operative record should make clear the extent of tongue resection and that a unilateral radical, rather than a more limited, neck dissection was performed.
Report the combined code when both components are performed; do not separately report the included neck dissection as though it were a standalone service. The 90-day global includes the day-before preoperative visit and related postoperative care during the following 90 days. If other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 41135
- 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 RVU29.39 · 51%
- Practice expense (office) RVU23.64 · 41%
- Malpractice RVU4.36 · 8%
178
Medicare services in 2024 · #4430 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.
41135 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
41130 describes hemiglossectomy without the unilateral radical neck dissection included in 41135.
No office rate
41145 combines unilateral radical neck dissection with complete or total glossectomy; 41135 is for partial glossectomy.
No office rate
41153 includes resection of the floor of the mouth with partial glossectomy and unilateral radical neck dissection. Choose it when that composite floor-of-mouth resection is performed.
Compare 41135 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$2114.96
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$2042.91
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41135 billing questions
When should this be chosen over 41120 or 41130?
Use 41135 when partial tongue removal is performed together with a unilateral radical neck dissection. Codes 41120 and 41130 describe tongue resections without that included neck procedure.
Can the neck dissection be billed separately?
The unilateral radical neck dissection is part of this combined service. Do not separately report it as a standalone neck dissection for the same operative work.
Is modifier 50 appropriate?
No. CMS identifies bilateral adjustment as inapplicable to this code, and modifier 50 is inappropriate.
What documentation supports reporting 41135?
The operative report should describe the partial tongue resection and identify the unilateral radical neck dissection performed. It should distinguish that extent of neck surgery from a more limited dissection.
How does the global period affect postoperative visits?
The 90-day global includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
4,90441116,,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
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