2025 CPT code 41113
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Excision of lesion of tongue with closure; posterior one-third.
Modifiers may be applicable to this code in certain circumstances. Refer to current CPT coding guidelines for modifier usage.
Medical necessity should be supported by documentation indicating the presence of a lesion requiring surgical excision, along with any associated symptoms and diagnostic findings. The documentation should clearly justify the need for the procedure.
The physician is responsible for preparing the patient, administering anesthesia, performing the excision, closing the wound, and ensuring proper handling of the excised tissue for pathological analysis if necessary.
In simple words: The doctor removes a growth or sore from the back part of your tongue and then stitches the area closed.
This procedure involves the excision of a lesion located in the posterior one-third of the tongue, followed by closure of the surgical site.The posterior one-third of the tongue is considered part of the oropharynx. After adequate anesthesia, an incision is made around the lesion. The lesion is completely removed. The incision is then closed with sutures. The excised tissue may be sent for pathological analysis.
Example 1: A patient presents with a suspicious lesion on the back of their tongue. After examination and appropriate imaging, the decision is made to excise the lesion for diagnostic and therapeutic purposes. Code 41113 is used as the lesion is located in the posterior one-third of the tongue, and the site is closed with sutures., A biopsy reveals a cancerous lesion on the posterior portion of the tongue. The surgeon performs an excision of the lesion and closes the surgical site. Code 41113 is reported., A patient with a painful, ulcerated lesion on the back of their tongue undergoes excision and closure of the wound. The lesion is located in the posterior one-third of the tongue. Code 41113 is reported.
Documentation should include the location of the lesion (posterior one-third of the tongue), the size and nature of the lesion, the method of excision, the type of closure, and whether the specimen was sent for pathological analysis.
- Specialties:Otolaryngology, Oral Surgery, General Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center