41115 Excision of tongue fold
Also known as: frenum excision, frenotomy, tongue tie removal
Surgical excision of the lingual frenum (tongue tie) with release of the tongue base.
In Plain Language
removing tongue tie; tongue base release; frenum removal
Clinical Context
Used for ankyloglossia or restricted lingual frenum causing functional impairment. May be combined with other tongue procedures or performed alone.
RVU Breakdown
| Work RVU | 1.75 |
| Total RVU | 1.75 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.75, this code ranks in the 11th percentile among Surgery codes — 4.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 41115?
CPT 41115 (Excision of tongue fold) is a Surgery code. Surgical excision of the lingual frenum (tongue tie) with release of the tongue base.
What is the wRVU value for CPT 41115?
The work RVU for CPT 41115 is 1.75. This code is primarily used by Oral and Maxillofacial Surgery, Pediatric Surgery, Otolaryngology. It has a 10-day global period.
When is CPT 41115 used?
Used for ankyloglossia or restricted lingual frenum causing functional impairment. May be combined with other tongue procedures or performed alone.
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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.