Summary & Overview
CPT 41822: Excision of Fibrous Soft Tissue Over Dentoalveolar Tuberosity
CPT code 41822 represents the surgical removal of fibrous soft tissue over a dentoalveolar tuberosity, a targeted oral soft-tissue excision. Nationally, this code is relevant to oral and maxillofacial surgeons, dental specialists, and facilities billing for outpatient oral surgery. Proper coding of 41822 supports accurate clinical documentation, claims processing, and service classification for tuberosity-region soft-tissue procedures.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis addresses payer coverage patterns and billing considerations common across major national payers.
Readers will learn the clinical context for CPT code 41822, typical sites of service, and what to expect in terms of documentation and coding classification. Where available, benchmarks and policy updates relevant to outpatient oral surgery billing are summarized. If payer-specific policy details or utilization data are required, those items are noted as not present in the input. The content is designed to support administrators, coding professionals, and clinicians who need a concise reference for the clinical and billing identity of 41822.
Billing Code Overview
CPT code 41822 describes a surgical procedure in which the provider removes fibrous soft tissue over a dentoalveolar tuberosity. This procedure is an oral/maxillofacial soft-tissue excision focused on the tuberosity region of the alveolar ridge.
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Service type: Surgical soft-tissue excision in the oral cavity
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Typical site of service: Dental or oral surgery clinic, ambulatory surgical center, or hospital outpatient department
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Clinical & Coding Specifications
Clinical Context
A 45-year-old patient presents to an oral and maxillofacial surgery clinic with localized soft-tissue overgrowth and tenderness over a maxillary dentoalveolar tuberosity that is interfering with prosthetic appliance fit. Clinical exam reveals a fibrous ridge prominence on the buccal aspect of the tuberosity with areas of ulceration from denture contact. Conservative measures (denture adjustment, topical therapy) have failed and the dentist refers the patient for removal of the fibrous soft tissue over the dentoalveolar tuberosity. The provider reviews medical history, obtains informed consent, and performs preoperative evaluation including review of anticoagulation status and imaging as needed. The procedure is performed in an ambulatory oral surgery or dental clinic setting under local anesthesia with or without sedation. Hemostasis is achieved, specimen discarded or sent for pathology per intraoperative judgment. Postoperative instructions address analgesia, oral hygiene, and follow-up for suture removal or prosthesis refit. Billing captures the specific procedure code 41822 for removal of fibrous soft tissue over a dentoalveolar tuberosity, with modifier selection reflecting professional component, bilateral procedures, or circumstances such as increased services or reduced services as clinically appropriate.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services |