2025 CPT code 41008
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Intraoral incision and drainage of an abscess, cyst, or hematoma in the submandibular space.
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.
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.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: Unknown.RVUs vary based on geographic location, practice expense, and other factors.
- Global Days : Unknown.The global period will depend on payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.The code encompasses the entire procedure.
- Fee Schedule : Fee schedules vary by payer and geographic location. Refer to payer-specific fee schedules for historical data.
- Specialties:Oral and Maxillofacial Surgery, Dentistry
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Outpatient)