2025 CPT code 41007
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Intraoral incision and drainage of an abscess, cyst, or hematoma of the tongue or floor of mouth in the submental space.
Modifiers may be applicable to 41007 to indicate specific circumstances, such as increased procedural services (22), reduced services (52), or assistant surgeon (80, 81, 82). Refer to current CPT guidelines for modifier usage.
Medical necessity for 41007 is established by the presence of an abscess, cyst, or hematoma in the submental space causing symptoms or posing a risk of complications if left untreated.
After appropriate preparation and anesthesia, the physician makes an intraoral incision to access the submental space. The abscess, cyst, or hematoma is drained, and the area is irrigated with saline. The physician controls any bleeding, removes instruments, and closes the incision if necessary.
In simple words: The doctor makes a cut inside your mouth under your chin to drain a pocket of pus, fluid, or blood.
This procedure involves making an incision inside the mouth to access and drain an abscess, cyst, or hematoma located in the submental space (the area under the chin).
Example 1: A patient presents with a painful swelling under the chin due to a submental abscess. The physician performs an intraoral incision and drainage using code 41007., A patient has a cyst in the submental space causing discomfort. The physician drains the cyst intraorally, using code 41007., Following trauma, a patient develops a hematoma in the submental space. The physician performs an intraoral incision and drainage to evacuate the hematoma, using code 41007.
Documentation should include the location of the abscess, cyst, or hematoma (specifically noting it is in the submental space), the approach used (intraoral), and details of the drainage procedure.
** It is important to distinguish between the submental, submandibular, and masticator spaces when selecting the correct code.Refer to iFrameAI product to validate current code status.
- Specialties:Oral Surgery, Otolaryngology, Maxillofacial Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center