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2025 CPT code 41114

Excision of lesion of tongue with closure; with local tongue flap.

Refer to current CPT coding guidelines for proper use and reporting of this code.

Modifiers may be applicable depending on the specific circumstances of the procedure.

Medical necessity must be established based on the diagnosis, the size and nature of the lesion, and the impact on the patient's function and quality of life.

The physician is responsible for preparing the patient, administering anesthesia, excising the lesion, creating and transposing the local tongue flap for closure, and ensuring proper wound healing.

IMPORTANT:Do not report 41114 in conjunction with 41112 or 41113.Consider codes 41100 and 41105 for tongue biopsies. Code 41110 describes tongue lesion excision without closure. Codes 41112-41114 cover excision of a tongue lesion with closure.

In simple words: The doctor removes a damaged area from your tongue and uses a piece of healthy tissue from nearby to close the hole. This helps your tongue heal properly.

This procedure involves the excision of a lesion from the tongue and closure using a local tongue flap.The provider prepares and anesthetizes the patient, then makes an elliptical incision around the tongue lesion. The lesion, along with a small margin of healthy tissue, is removed and may be sent for pathological analysis. A flap of tissue from another part of the tongue is then used to cover the excision site, and the donor site is also closed.

Example 1: A patient presents with a benign tumor on the lateral border of the tongue.The surgeon excises the tumor and closes the defect with a local tongue flap., Following trauma, a patient has a laceration on their tongue requiring excision of the damaged tissue and closure using a local tongue flap., A patient with a precancerous lesion on the tongue undergoes excision and reconstruction with a local tongue flap.

Documentation should include the location and size of the lesion, the method of excision, the type of flap used for closure, and any pathology reports.Photographs may also be beneficial. The medical necessity of the procedure should be clearly documented.

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