Find policies, billing codes, payers, states, and providers
CPT 41007: Intraoral Submental Drainage of Abscess, Cyst, or Hematoma
CPT code 41007 specifies an intraoral incision into the submental space to drain an abscess, cyst, or hematoma. This code captures a focused surgical drainage procedure commonly used by oral and maxillofacial surgeons, otolaryngologists, and emergency surgical teams to manage localized infections or collections in the submental region. Nationally, accurate coding of these procedures affects clinical documentation, clinical pathways for head and neck infections, and procedural reporting for facility and professional billing.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of the clinical context for submental intraoral drainage, typical sites of service, and what to expect in payer coverage patterns. The publication summarizes coding benchmarks, common billing considerations, and potential policy updates that influence reimbursement and claims adjudication for drainage procedures of the submental space.
This summary equips billing managers, surgical departments, and clinical coders with a clear description of the procedure represented by CPT code 41007, how it fits into head and neck surgical services, and the practical areas to evaluate in claims submission and payer communications.
Customize your policy alerts
Sign up for cpt 41007 policy alerts
Get alerted when payer policies referencing 41007 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 41007 describes an intraoral incision into the submental space beneath the chin for drainage of an abscess, cyst, or hematoma. The procedure involves creating an intraoral access point to evacuate infectious or sanguineous material from the submental area.
-
Service type: Surgical drainage procedure
-
Typical site of service: Ambulatory surgical center or hospital operating room; may also be performed in an emergency department setting depending on clinical urgency
Data not available in the input.