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CMS RVU26D · Effective 2026-10-01

41510 Tongue adhesion Medicare reimbursement rates in Oregon

Reports surgical fixation of the tongue to the lip, commonly to limit posterior tongue movement in an infant with glossoptosis and airway obstruction. Compare 41510 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 41510 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

$424.91–$461.96

2 of 2 localities have a supported rate.

Lowest: Rest Of Oregon

Highest: Portland

A spread of $37.05 per service.

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.

Find 41510 in your payment locality →

Oral surgery

About 41510: Tongue-to-lip fixation surgery

Reports surgical fixation of the tongue to the lip, commonly to limit posterior tongue movement in an infant with glossoptosis and airway obstruction.

The surgeon secures the tongue forward to the lip to reduce its tendency to fall back and obstruct the airway. A common clinical setting is an infant with micrognathia and glossoptosis, including Pierre Robin sequence. An otolaryngologist or oral and maxillofacial surgeon typically performs the operation in an operating room under general anesthesia.

Report 41510 when the operative work is tongue-to-lip fixation, rather than another tongue procedure intended to address obstruction. The operative report should identify the fixation performed and the clinical problem it addresses. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant is paid only when medical necessity is documented. Modifier 50 is inappropriate; co-surgeons and team surgery are not permitted.

CMS billing rules for 41510

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.42 · 27%
  • Practice expense (office) RVU9.00 · 70%
  • Malpractice RVU0.48 · 4%

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.

41510 compared with similar codes

Office rates for Oregon, from the same CMS release.

41512

Tongue suspension

Permanent suture technique

No office rate

41510 fixes the tongue to the lip; 41512 describes tongue suspension, a different operative technique.

41520

Frenuloplasty

For restricted tongue movement

$356.07–$387.48

41520 concerns reconstruction of a tongue fold, not tongue-to-lip fixation for limiting posterior tongue movement.

41530

Tongue base reduction

Radiofrequency, one or more areas

$911.61–$1,004.89

41530 reduces tongue-base volume; 41510 holds the tongue forward by attaching it to the lip.

Compare 41510 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

Office and facility base rates · shared scale starting at $0

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41510 billing questions

When should 41510 be chosen over tongue suspension?

Use 41510 when the surgeon fixes the tongue to the lip. Tongue suspension is a different operation, even when both procedures address airway obstruction.

Does 41510 include postoperative care?

Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

When is an assistant at surgery payable?

Only when the record documents the medical necessity of the assistant.

How is 41510 paid when another procedure is performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

What documentation supports reporting 41510?

The operative report should show that the tongue was secured to the lip and describe the clinical indication, such as glossoptosis contributing to airway obstruction.

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.

RVUs for 41510PPRRVU2026_Oct_nonQPP.csv, line 4,933 (RVU26D)
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