41135 Tongue and neck surgery
Also known as: tongue floor of mouth resection, glossectomy with jaw resection, composite resection
Surgical removal of a portion of the tongue with associated removal of floor of mouth, jaw bone, or neck lymph nodes.
In Plain Language
removing tongue and jaw tissue; major tongue and mouth surgery; tongue surgery with bone removal
Clinical Context
Used for advanced tongue cancer with invasion into floor of mouth or mandible. Requires composite resection with possible reconstruction.
RVU Breakdown
| Work RVU | 29.39 |
| Total RVU | 29.39 |
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 29.39, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 41135?
CPT 41135 (Tongue and neck surgery) is a Surgery code. Surgical removal of a portion of the tongue with associated removal of floor of mouth, jaw bone, or neck lymph nodes.
What is the wRVU value for CPT 41135?
The work RVU for CPT 41135 is 29.39. 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 41135 used?
Used for advanced tongue cancer with invasion into floor of mouth or mandible. Requires composite resection with possible reconstruction.
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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.