41153 Tongue mouth neck surgery
Also known as: composite resection with neck, tongue floor mouth neck dissection, extensive head and neck resection
Surgical resection of tongue and floor of mouth with removal of the neck soft tissues and lymph nodes.
In Plain Language
major tongue, mouth, and neck surgery; extensive head and neck removal; complex cancer surgery
Clinical Context
Used for extensive tongue and floor of mouth cancers requiring en bloc resection with neck dissection. Involves removal of primary tumor and nodal disease.
RVU Breakdown
| Work RVU | 32.75 |
| Total RVU | 32.75 |
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 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 32.75, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 41153?
CPT 41153 (Tongue mouth neck surgery) is a Surgery code. Surgical resection of tongue and floor of mouth with removal of the neck soft tissues and lymph nodes.
What is the wRVU value for CPT 41153?
The work RVU for CPT 41153 is 32.75. 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 41153 used?
Used for extensive tongue and floor of mouth cancers requiring en bloc resection with neck dissection. Involves removal of primary tumor and 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.