41145 Tongue removal neck surgery
Also known as: glossectomy with neck dissection, tongue removal with RND, radical glossectomy with neck
Surgical removal of the tongue with comprehensive neck dissection for lymph node metastases.
Clinical Context
Used for tongue cancer with lymph node involvement requiring both glossectomy and neck dissection. Common with advanced T3-T4 cancers with N1-N3 nodal disease.
RVU Breakdown
| Work RVU | 36.98 |
| Practice Expense RVU | 29.96 |
| Malpractice RVU | 5.40 |
| Total RVU | 72.34 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.