41140 Removal of tongue
Also known as: total glossectomy, whole tongue removal, complete tongue resection
Surgical removal of the entire tongue (total glossectomy) with or without neck dissection.
In Plain Language
removing entire tongue; total tongue surgery; complete tongue removal
Clinical Context
Used for extensive tongue cancer involving most of the tongue or T4 lesions. Requires reconstruction and has significant functional implications.
RVU Breakdown
| Work RVU | 28.42 |
| Total RVU | 28.42 |
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 28.42, this code ranks in the 91st percentile among Surgery codes — 3.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 41140?
CPT 41140 (Removal of tongue) is a Surgery code. Surgical removal of the entire tongue (total glossectomy) with or without neck dissection.
What is the wRVU value for CPT 41140?
The work RVU for CPT 41140 is 28.42. 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 41140 used?
Used for extensive tongue cancer involving most of the tongue or T4 lesions. Requires reconstruction and has significant functional implications.
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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.