No office rate
This composite operation includes unilateral radical neck dissection. 41150 is for the composite tongue, floor-of-mouth, and mandibular resection without radical neck dissection.
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CMS RVU26D · Effective 2026-10-01
41150 Composite resection Medicare reimbursement rates in Virginia
Reports a composite operation removing involved tongue, floor-of-mouth tissue, and mandible, without radical neck dissection, commonly for extensive oral cavity cancer. Compare 41150 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 41150 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
$1885.90–$2158.06
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 41150: Composite tongue, floor-of-mouth, and mandible resection
Reports a composite operation removing involved tongue, floor-of-mouth tissue, and mandible, without radical neck dissection, commonly for extensive oral cavity cancer.
This code describes a composite oral cavity resection that removes involved tongue tissue together with the floor of the mouth and part of the mandible. Head and neck surgeons, including otolaryngologists and oral and maxillofacial surgeons, commonly perform it for extensive cancers involving these connected structures. The operative report should establish the extent and combination of tissue removed; an isolated tongue resection or a lesion excision does not represent this composite procedure.
Report 41150 when the documented operation includes the tongue, floor of mouth, and mandible and is performed without radical neck dissection. The operative note should identify the resected structures and clarify the neck procedure, if any; radical neck dissection changes the applicable composite code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 41150
- 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 RVU29.11 · 50%
- Practice expense (office) RVU24.73 · 43%
- Malpractice RVU4.31 · 7%
523
Medicare services in 2024 · #3520 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.
41150 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
This composite operation includes bilateral radical neck dissection; 41150 describes the composite resection without radical neck dissection.
No office rate
41135 is for complete or total glossectomy without the specified composite floor-of-mouth and mandibular resection. Choose based on the structures actually removed.
No office rate
41130 describes hemiglossectomy, not the composite resection of tongue, floor of mouth, and mandible represented by 41150.
Compare 41150 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
$2158.06
Virginia →
Office / nonfacility
Unavailable
Facility
$1885.90
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41150 billing questions
When is 41150 appropriate instead of a tongue-only resection code?
Use 41150 for the composite removal involving tongue, floor of mouth, and mandible. A tongue-only resection does not meet that extent.
Does 41150 include radical neck dissection?
No. This code represents the composite resection without radical neck dissection; use the applicable composite code when radical neck dissection is performed.
Can modifier 50 be reported for this procedure?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
What documentation supports reporting 41150?
The operative report should identify the tongue, floor-of-mouth, and mandibular resection, and describe whether a radical neck dissection was performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
4,90741135,,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
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