Summary & Overview
CPT 41825: Excision of Dentoalveolar Lesion Without Repair
CPT code 41825 denotes the surgical excision of a lesion or tumor arising from a dentoalveolar structure without any subsequent repair. Nationally, this code is used to capture discrete oral surgery procedures that remove pathologic tissue from tooth-supporting structures, and it matters for accurate clinical documentation, appropriate claims submission, and compiling utilization statistics for oral and maxillofacial services. Key payers commonly involved in coverage and payment decisions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This summary outlines what 41825 represents, typical settings where the procedure is performed, and the practical elements payers and providers consider when processing related claims. Readers will learn the clinical context of the code, how it is classified within surgical dental services, and what to expect in payer coverage discussions. The content also identifies common operational topics such as service location, documentation needs, and areas where coding clarity affects claim routing and payment. Data not available in the input is noted where applicable, including specific payer policies, fee benchmarks, and associated ICD-10 diagnoses.
Billing Code Overview
CPT code 41825 describes the excision of a lesion or tumor from a dentoalveolar structure without any repair. This procedure involves removal of abnormal tissue originating in the tooth-supporting structures.
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Service type: Surgical excision of a dentoalveolar lesion
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Typical site of service: Dental/oral surgery setting, ambulatory surgical center, or hospital outpatient department
Clinical & Coding Specifications
Clinical Context
A 45-year-old patient presents to an oral and maxillofacial surgery clinic with a small, well-circumscribed odontogenic tumor located within the alveolar process adjacent to a non-restorable molar. After clinical and radiographic evaluation (panoramic radiograph and cone-beam CT), the surgeon plans an excisional procedure to remove the lesion from the dentoalveolar structure without primary repair of the surgical site. The procedure is performed in an outpatient ambulatory surgery center under local anesthesia with IV sedation. Intraoperative steps include mucosal incision, elevation of a full-thickness flap as needed, conservative curettage and excision of the lesion or tumor from the alveolus and surrounding bone, hemostasis, and packing without definitive closure or complex reconstruction. Recovery occurs in the PACU with standard discharge instructions and scheduled follow-up to monitor healing and pathology results.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the excision requires substantially greater work, time, or technical difficulty than usual for 41825. |
23 |