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2025 CPT code 41112

Excision of a lesion from the anterior two-thirds of the tongue, with closure.

Consult the official CPT® coding manual for the most up-to-date coding guidelines for this procedure.

Modifiers may be applicable depending on the circumstances of the procedure. Refer to the CPT® guidelines for appropriate modifier use (e.g., 51 for multiple procedures, 22 for increased procedural services, etc.).

Medical necessity for code 41112 is established when a lesion on the anterior two-thirds of the tongue requires excision for diagnostic or therapeutic purposes (e.g., to remove a suspicious lesion or a benign lesion causing functional impairment). The documentation must support the clinical indication for the procedure.

The surgeon is responsible for performing the excision, ensuring complete removal of the lesion, and meticulously closing the incision to minimize scarring and promote healing. They may also order and interpret the results of any pathological analysis performed on the excised tissue.

IMPORTANT:Use 41110 if the wound is not closed. Use 41113 for lesions in the posterior one-third of the tongue.Use 41114 if a local tongue flap is used for closure.

In simple words: The doctor cuts out a diseased area on the front two-thirds of the tongue and stitches the area closed.A sample of the removed tissue may be sent to a lab for testing.

This procedure involves the surgical excision of a lesion located in the anterior two-thirds of the tongue.The surgeon makes an incision around the lesion, removes it completely, and then closes the incision using sutures.The excised tissue may be sent for pathological analysis.

Example 1: A patient presents with a benign tumor (fibroma) on the anterior two-thirds of their tongue. The surgeon performs an excision with primary closure, removing the tumor completely and closing the incision.Code 41112 is reported., A patient presents with a suspicious ulcer on the tip of their tongue.A biopsy initially shows precancerous cells, which indicates that complete surgical excision is necessary.The lesion is excised, and the wound is closed with sutures. Pathology results are pending. Code 41112 is reported., A patient with a history of oral cancer has a recurrence of a small tumor on the anterior portion of their tongue. The surgeon performs a precise excision with primary closure to minimize recurrence risk and maintain optimal function. The excised tissue is submitted for pathological analysis. Code 41112 is reported.

* Operative report detailing the procedure, including the location and size of the lesion, type of excision, and closure method.* Preoperative and postoperative photographs documenting the lesion and the surgical site.* Pathology report confirming complete lesion removal and its nature (benign or malignant).* Anesthesia record.

** Always refer to the most current CPT® guidelines and payer-specific guidelines for accurate coding and reimbursement.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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