2025 CPT code 41827
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Excision of lesion or tumor of the dentoalveolar structures with complex repair.
Modifiers may be applicable. Common modifiers include 22 (Increased Procedural Services), 51 (Multiple Procedures), and 59 (Distinct Procedural Service), among others.
Medical necessity must be established for the excision and complex repair.Documentation should clearly indicate the reason for the procedure, such as symptoms, functional impairment, or risk of malignancy.
The provider locates the lesion or tumor, makes an incision, and removes it from the surrounding structures. This may involve removal from the mucosa or bone. Bleeding is controlled, instruments are removed, and the incision is closed using complex repair techniques like grafting or complex suturing.
In simple words: Removal of a growth or abnormal tissue from the mouth and gums area, followed by a complex procedure to fix the area, which could involve grafting or intricate stitching.
Excision of a lesion or tumor from a dentoalveolar structure and repair of the site using a complex repair procedure, like grafting or complex suturing.Dentoalveolar structures include the teeth and the supporting structures that surround the teeth, including soft tissues and bone. A tumor is an abnormal tissue mass that can be malignant or benign, mainly caused by abnormal tissue growth.
Example 1: A patient presents with a benign tumor on the gingiva. The surgeon excises the tumor and performs a complex gingival graft to repair the surgical site., A patient has a lesion on the hard palate. The surgeon excises the lesion and uses a rotational flap to close the defect, which is considered a complex repair., A patient with a cyst in the mandible requires excision. After removing the cyst, the surgeon performs a bone graft to reconstruct the mandible, representing a complex repair.
Documentation should include the size and location of the lesion or tumor, the type of complex repair performed (e.g., type of graft, type of suture technique), and any complications encountered. Photographs of the lesion/tumor pre and post-excision may also be beneficial.
- Revenue Code: P5E - AMBULATORY PROCEDURES - OTHER
- Specialties:Oral Surgery, Maxillofacial Surgery, Periodontics
- Place of Service:Office, Ambulatory Surgical Center, Hospital