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CPT 41113: Excision of Lesion, Posterior One-Third of Tongue
CPT code 41113 designates surgical excision of a lesion from the posterior one-third of the tongue, a procedure relevant to otolaryngology and oral surgery care. Nationally, this code captures operative management for posterior tongue lesions that may be benign or malignant and often requires settings with airway control and specialized surgical expertise. Its use has implications for surgical resource allocation, perioperative care pathways, and coding specificity for head and neck procedures.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and typical sites of service, coding and billing considerations tied to surgical excision of posterior tongue lesions, and national benchmarking where available. The publication summarizes reimbursement benchmarks, common billing modifiers observed on claims, and areas of policy attention such as documentation standards and appropriate site-of-service reporting.
The report is intended for health system billing leaders, surgical clinicians, and compliance staff who need a clear, national-level reference on coding, documentation drivers, and payer considerations associated with CPT code 41113. Data not available in the input is indicated where applicable.
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Billing Code Overview
CPT code 41113 describes excision of a lesion from the posterior one-third of the tongue. This procedure involves surgical removal of a localized lesion located on the back portion of the tongue and is classified as an operative oral/throat surgical service.
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Service type: Surgical excision of tongue lesion
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Typical site of service: Hospital operating room or ambulatory surgical center, or other procedural setting capable of airway management and oral surgery