No office rate
Both are composite oral cavity operations. Choose based on the specific structures removed and neck dissection documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
41155 Composite resection Medicare reimbursement rates in Oregon
Reports an extensive composite operation removing tongue and adjacent oral structures, including mandible and neck dissection, typically for advanced oral cavity cancer. Compare 41155 office and facility rates across CMS payment localities in Oregon.
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 41155 in Oregon?
Oregon 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
$2545.58–$2687.37
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 41155: Composite glossectomy with jaw and neck resection
Reports an extensive composite operation removing tongue and adjacent oral structures, including mandible and neck dissection, typically for advanced oral cavity cancer.
This code represents an extensive composite operation for disease involving the tongue and adjacent oral cavity. The resection includes the floor of the mouth and mandible along with neck dissection. Head and neck surgeons typically perform it in a hospital operating room for advanced oral cavity cancer when the documented disease and operative plan require removal of these connected structures. The operative report should identify the structures removed and the neck dissection performed.
Report the code when the documented operation matches this combined extent, rather than a tongue-only resection or a composite procedure with different components. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code’s anatomy and descriptor.
CMS billing rules for 41155
- 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 RVU43.19 · 55%
- Practice expense (office) RVU28.61 · 37%
- Malpractice RVU6.44 · 8%
169
Medicare services in 2024 · #4480 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.
41155 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
This code describes a composite operation involving the floor of the mouth, mandible, and neck. 41135 is for partial tongue removal with unilateral radical neck dissection.
No office rate
41145 describes complete or total tongue removal with unilateral radical neck dissection. This code is distinguished by the combined floor-of-mouth and mandibular resection.
No office rate
41130 is a hemiglossectomy. Use this code when the operative procedure instead includes the composite oral cavity, mandibular, and neck work.
Compare 41155 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
Portland →
Office / nonfacility
Unavailable
Facility
$2687.37
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$2545.58
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41155 billing questions
How is this distinguished from a tongue-only resection?
This code is for a composite operation that includes resection of the floor of the mouth and mandible along with neck dissection. A tongue-only procedure does not describe that operative combination.
When should 41153 be considered instead?
Compare the operative components with the specific composite procedure represented by 41153. The documented structures removed and whether a neck dissection was performed determine which code fits.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this code’s anatomy and descriptor.
What documentation supports reporting this code?
The operative report should identify the tongue and adjacent structures resected, the mandibular resection, and the neck dissection. It should make clear that the combined operative extent matches this composite procedure.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.
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.
4,90941145,,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
4,91141153,,Tongue mouth neck surgery,A,,32.75,25.33,NA,25.33,,4.84,62.92,62.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,91241155,,Tongue jaw & neck surgery,A,,43.19,28.61,NA,28.61,,6.44,78.24,78.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,9134115F,,Beta blckr admin w/in 24 hrs,I,,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
4,9144120F,,Antibiot rxd/given,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
4,9154124F,,Antibiot not rxd/given,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