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2025 CPT code 41008

Intraoral incision and drainage of an abscess, cyst, or hematoma in the submandibular space.

Consult the most current CPT coding guidelines for surgical procedures and incision and drainage codes.

Modifiers may be applicable depending on the circumstances of the procedure.Consult the most current CPT guidelines for proper modifier use.

Medical necessity is established when a patient presents with symptoms consistent with an abscess, cyst, or hematoma in the submandibular space that requires incision and drainage to relieve symptoms, prevent infection, or address potential complications.

The physician or qualified healthcare professional is responsible for preparing the patient, administering anesthesia (if necessary), performing the incision and drainage, ensuring proper hemostasis (stopping bleeding), applying sterile saline, and closing the incision. Post-operative care may also be included depending on payer guidelines.

IMPORTANT Consider codes 41000-41009 for other intraoral incisions and drainage based on the specific location in the mouth.Codes 41015-41018 are used for extraoral incision and drainage.

In simple words: The doctor makes a small cut inside your mouth under your jaw to drain a pocket of pus, fluid-filled sac, or blood clot.

This procedure involves making an incision inside the mouth in the submandibular area (below the lower jaw) to drain an abscess, cyst, or hematoma.After appropriate preparation and anesthesia, an intraoral incision is made over the affected area. The abscess, cyst, or hematoma is opened and drained. Sterile saline is applied, and the incision is closed.

Example 1: A patient presents with a painful, swollen area under the jaw, diagnosed as a submandibular abscess. The physician performs an intraoral incision and drainage., A patient has a submandibular hematoma following a dental procedure. An intraoral incision is made to evacuate the hematoma, and the area is irrigated and closed., A patient has a recurrent submandibular cyst that requires incision and drainage. The physician performs the procedure, and post-operative care instructions are provided.

** Always ensure accurate documentation to support medical necessity and proper coding.Consult with a coding specialist if uncertainties arise.

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