2025 CPT code 41825
(Active) Effective Date: N/A Revision Date: N/A Surgery - Excision, Destruction Surgery Feed
Excision of lesion or tumor from dentoalveolar structures without repair.
Modifiers may be applicable depending on the circumstances of the procedure.Consult current modifier guidelines for specifics.
The procedure should be medically necessary to address a symptomatic lesion or tumor.It should not be performed solely for cosmetic reasons or for the preparation of dentures unless there is a medical necessity.Specific payer policies should be consulted.
The dentist or oral surgeon identifies the lesion or tumor, makes the necessary incision, and excises the growth.Post-operative care instructions are typically provided.
In simple words: The doctor removes a growth (lesion or tumor) from the gums or jawbone without doing any additional repair work.
This CPT code describes the surgical excision of a lesion or tumor located within the dentoalveolar structures (teeth and their supporting tissues, including bone and soft tissues).The procedure involves removing the lesion or tumor without subsequent repair of the site.The lesion or tumor may be located in the mucosa or bone. This code is distinct from codes that include repair (41826, 41827).
Example 1: A patient presents with a benign lesion on the gingiva. The dentist performs an excision of the lesion without repair, using local anesthesia.Code 41825 is appropriate., A patient presents with a small, benign tumor in the alveolar bone.Surgical removal is performed, and no repair is needed. Code 41825 applies.Imaging and biopsy may have been performed beforehand., A patient presents with an exostosis (benign bony growth) causing ulceration in the mouth. Excision of the exostosis is done without repair for symptomatic relief. 41825 is the appropriate code.Note that this might not be covered by all insurers.
* Detailed operative report describing the procedure, including location, size, and nature of the lesion/tumor.* Preoperative and postoperative photographs or imaging.* Histopathological report confirming the diagnosis (if biopsy was performed).* Documentation of medical necessity (e.g., symptomatic lesion).
** Coverage and reimbursement for this code may vary depending on the specific diagnosis, payer policies, and medical necessity documentation.Always consult relevant payer guidelines and coding manuals for the most up-to-date information.
- Revenue Code: P6C (Medicare Fee Schedule: MINOR PROCEDURES - OTHER)
- RVU: Information not available in provided source.Consult current Medicare fee schedules or other relevant payment databases for RVU data.
- Global Days : Information not provided.Global period will vary based on payer and other factors.
- Payment Status: Active (subject to payer-specific policies and coverage criteria)
- Modifier TC rule: No specific information available in source data regarding technical component (TC) modifiers for this code.
- Fee Schedule : Information not provided in the source data.Consult historical fee schedules for this code.
- Specialties:Oral and Maxillofacial Surgery, Dentistry
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center