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.
In Plain Language
tongue and neck lymph node surgery; tongue removal with lymph node removal; comprehensive tongue cancer surgery
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 |
| Total RVU | 36.98 |
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 36.98, this code ranks in the 96th percentile among Surgery codes — 4.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 41145?
CPT 41145 (Tongue removal neck surgery) is a Surgery code. Surgical removal of the tongue with comprehensive neck dissection for lymph node metastases.
What is the wRVU value for CPT 41145?
The work RVU for CPT 41145 is 36.98. 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 41145 used?
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.
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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.