CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 41155 RVU and Medicare Payment (2026)
Tongue jaw & neck surgery — 43.19 work RVU, about $2,613.29 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 43.19
- PE RVU (non-facility)
- 28.61
- PE RVU (facility)
- 28.61
- MP RVU
- 6.44
- Office payment
- $2,613.29
- Facility payment
- $2,613.29
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 41155 in a non-facility setting with national GPCI: (43.19 + 28.61 + 6.44) × $33.4009 ≈ $2,613.29. The same code in a facility setting pays about $2,613.29 because facility PE RVU (28.61) replaces office PE RVU.
What changes by locality
GPCI moves 41155 non-facility payment from $2,374.22 to $3,300.11 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 41155?
43.19. 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 41155 in 2026?
About $2,613.29 non-facility ($2,613.29 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 (43.19) and malpractice RVU stay fixed; only practice expense changes (28.61 office vs 28.61 facility). That is the entire office-vs-facility payment gap.