$221.86–$260.41
41110 describes tongue lesion excision without closure. Choose 41114 when the excision is extensive and the wound is closed.
On this page
CMS RVU26D · Effective 2026-10-01
41114 Tongue excision Medicare reimbursement rates in Virginia
Reports extensive removal of a tongue lesion involving more than one-third of the tongue when the surgical wound is closed. Compare 41114 office and facility rates across CMS payment localities in Virginia.
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 41114 in Virginia?
Virginia 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
$532.34–$607.71
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.
Oral surgery
About 41114: Extensive tongue lesion excision
Reports extensive removal of a tongue lesion involving more than one-third of the tongue when the surgical wound is closed.
Code 41114 describes removal of a substantial tongue lesion with closure when the excision involves more than one-third of the tongue. The service may address a sizable benign or suspicious lesion requiring therapeutic removal rather than a diagnostic sample alone. Otolaryngologists and oral and maxillofacial surgeons commonly perform it in an operating room or other surgical setting, with the excised tissue typically submitted for histologic examination.
Select this code when the operative report supports the extent of the lesion and excision, the portion of tongue involved, and closure of the surgical site. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; CMS does not permit co-surgeon or team-surgery payment for this service.
CMS billing rules for 41114
- 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 RVU8.60 · 52%
- Practice expense (office) RVU6.56 · 40%
- Malpractice RVU1.26 · 8%
67
Medicare services in 2024 · #5172 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.
41114 compared with similar codes
Office rates for Virginia, from the same CMS release.
$334.59–$391.04
41112 is the closure code for lesions in the anterior two-thirds of the tongue; 41114 is for an extensive excision involving more than one-third.
$359.66–$419.37
41113 identifies closure of a lesion in the posterior one-third of the tongue. 41114 describes the extensive excision level.
No office rate
41120 describes partial glossectomy. Use 41114 when the documented service is extensive lesion removal with closure, rather than partial removal of the tongue.
Compare 41114 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$607.71
Virginia →
Office / nonfacility
Unavailable
Facility
$532.34
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41114 billing questions
How does 41114 differ from 41112 or 41113?
41114 describes an extensive excision involving more than one-third of the tongue. Codes 41112 and 41113 distinguish closure cases by the tongue region involved.
When is 41114 preferable to 41110?
Use 41114 for an extensive lesion excision with closure. Code 41110 describes tongue lesion excision without closure.
Should a tongue biopsy code be used for definitive lesion removal?
A biopsy code describes diagnostic tissue sampling. When the service removes the lesion, select the excision code supported by the operative extent and closure.
What should the operative report document?
Document the lesion's site and extent, how much of the tongue was involved, the tissue removed, and closure of the operative wound.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this service.
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.
4,89941110,,Excision of tongue lesion,A,,1.52,5.06,,1.83,,0.21,6.79,3.56,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90041112,,Excision of tongue lesion,A,,2.76,7.11,,3.62,,0.38,10.25,6.76,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90141113,,Excision of tongue lesion,A,,3.21,7.38,,3.69,,0.43,11.02,7.33,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90241114,,Excision of tongue lesion,A,,8.60,6.56,NA,6.56,,1.26,16.42,16.42,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90341115,,Excision of tongue fold,A,,1.75,5.66,,1.99,,0.25,7.66,3.99,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,90441116,,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