CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 41145 RVU and Medicare Payment (2026)
Tongue removal neck surgery — 36.98 work RVU, about $2,416.22 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 36.98
- PE RVU (non-facility)
- 29.96
- PE RVU (facility)
- 29.96
- MP RVU
- 5.4
- Office payment
- $2,416.22
- Facility payment
- $2,416.22
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 41145 in a non-facility setting with national GPCI: (36.98 + 29.96 + 5.4) × $33.4009 ≈ $2,416.22. The same code in a facility setting pays about $2,416.22 because facility PE RVU (29.96) replaces office PE RVU.
What changes by locality
GPCI moves 41145 non-facility payment from $2,187.65 to $3,017.86 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 41145?
36.98. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 41145 in 2026?
About $2,416.22 non-facility ($2,416.22 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (36.98) and malpractice RVU stay fixed; only practice expense changes (29.96 office vs 29.96 facility). That is the entire office-vs-facility payment gap.