41114 Excision of tongue lesion
Also known as: radical glossectomy, tongue cancer surgery, glossectomy with lymph node dissection
Surgical excision of a tumor of the tongue requiring radical dissection and neck lymph node removal.
In Plain Language
major tongue cancer surgery; tongue removal with lymph node surgery; extensive cancer tongue surgery
Clinical Context
Used for advanced tongue cancer requiring radical glossectomy with neck dissection. Common with T3-T4 squamous cell carcinomas with lymph node involvement.
RVU Breakdown
| Work RVU | 8.60 |
| Total RVU | 8.60 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 8.60, this code ranks in the 53rd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 41114?
CPT 41114 (Excision of tongue lesion) is a Surgery code. Surgical excision of a tumor of the tongue requiring radical dissection and neck lymph node removal.
What is the wRVU value for CPT 41114?
The work RVU for CPT 41114 is 8.60. This code is primarily used by Oral and Maxillofacial Surgery, Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 41114 used?
Used for advanced tongue cancer requiring radical glossectomy with neck dissection. Common with T3-T4 squamous cell carcinomas with lymph node involvement.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.