$243.66
Use this code for incision-based division of the lingual frenulum. The other code describes excision of that tissue.
On this page
CMS RVU26D · Effective 2026-10-01
41010 Tongue-tie release Medicare reimbursement rates in Utah
Reports surgical division of a restrictive lingual frenulum, commonly for an infant whose limited tongue movement interferes with latch or feeding. Compare 41010 office and facility rates across CMS payment localities in Utah.
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 41010 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$200.05
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$98.33
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
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.
Oral surgery
About 41010: Lingual frenulum incision
Reports surgical division of a restrictive lingual frenulum, commonly for an infant whose limited tongue movement interferes with latch or feeding.
This procedure releases the tissue band beneath the tongue by incision to improve tongue mobility. A pediatrician, otolaryngologist, oral surgeon, or other qualified clinician may perform it, often in an office or outpatient setting. A common clinical situation is an infant with a restrictive lingual frenulum and difficulty latching during breastfeeding.
Select this code when the service is an incision-based release, rather than excision of the frenulum or a more involved frenoplasty. The record should identify the restriction and its functional effect, the site treated, and the release performed. CMS assigns a 10-day minor-procedure 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% multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.
CMS billing rules for 41010
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.08 · 17%
- Practice expense (office) RVU5.07 · 80%
- Malpractice RVU0.16 · 3%
33
Medicare services in 2024 · #5599 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.
41010 compared with similar codes
Office rates for Utah, from the same CMS release.
$344.37
This code covers a straightforward incision-based lingual release; the other describes frenoplasty, a surgical revision of the frenum.
$95.65
Both describe incision-based frenulum release, but this code concerns the lingual frenulum beneath the tongue; the other concerns a labial frenulum.
Compare 41010 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.
1 of 1 payment localities
Utah →
Office / nonfacility
$200.05
Facility
$98.33
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 41010 in Utah.
PPRRVU2026_Oct_nonQPP.csv
4,889
- Code
- 41010
- Physician work
- 1.08
- Practice expense
- 5.07
- Malpractice
- 0.16
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.08 | × 1.000 | 1.0800 |
| Practice expense | 5.07 | × 0.940 | 4.7658 |
| Malpractice | 0.16 | × 0.898 | 0.1437 |
| Total RVUs | 5.9895 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$200.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.08 | 1 |
| Practice expense | 5.07 | 0.94 |
| Malpractice | 0.16 | 0.898 |
(1.08 × 1 + 5.07 × 0.94 + 0.16 × 0.898) × $33.4009 = $200.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.08 | 1 |
| Practice expense | 1.83 | 0.94 |
| Malpractice | 0.16 | 0.898 |
(1.08 × 1 + 1.83 × 0.94 + 0.16 × 0.898) × $33.4009 = $98.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
41010 billing questions
How does this differ from excision of the lingual frenulum?
This code describes an incision-based release. Use the excision code when the frenulum is surgically removed rather than simply divided.
When is a frenoplasty code a better fit?
A frenoplasty describes a surgical revision of the frenum, such as a more involved reshaping. This code is for incision-based release of the lingual frenulum.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 be used for release on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
When can an assistant-at-surgery service be paid?
CMS allows assistant-at-surgery payment only when the record documents medical necessity.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures 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 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.
4,88641008,,Drainage of mouth lesion,A,,3.37,8.55,,3.47,,0.49,12.41,7.33,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,88741009,,Drainage of mouth lesion,A,,3.62,8.86,,3.81,,0.48,12.96,7.91,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,8884100F,,Biphos thxpy vein ord/recvd,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
4,88941010,,Incision of tongue fold,A,,1.08,5.07,,1.83,,0.16,6.31,3.07,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89041015,,Drainage of mouth lesion,A,,3.98,7.86,,3.95,,0.45,12.29,8.38,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89141016,,Drainage of mouth lesion,A,,4.09,9.83,,5.09,,0.56,14.48,9.74,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,89241017,,Drainage of mouth lesion,A,,4.09,9.70,,4.98,,0.55,14.34,9.62,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985