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CPT 41826: Excision of Dentoalveolar Tumor or Lesion, Simple Repair
CPT code 41826 identifies the surgical excision of a tumor or lesion arising from dentoalveolar structures with a simple repair of the resultant site. This code is used for localized oral surgical procedures that remove pathological tissue from tooth-supporting areas and close the defect with straightforward techniques. Nationally, accurate coding for dentoalveolar lesion excision matters for clinical documentation, appropriate payment, and tracking of oral surgical care patterns.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a national perspective on billing and clinical context rather than state-specific rules.
Readers will find: concise clinical context for when 41826 applies; typical sites of service and service type; common payer coverage considerations and the list of payers included in the analysis; and what to expect in related billing practice such as typical modifiers and related coding areas (where available). Data not available in the input is noted where relevant, and the piece focuses on clarifying the code's clinical meaning and administrative implications for national stakeholders including payers, providers, and billing teams.
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Billing Code Overview
CPT code 41826 describes the excision of a tumor or lesion from a dentoalveolar structure with a simple repair of the site. This procedure involves removal of a localized oral lesion originating in the tooth-supporting (dentoalveolar) tissues and straightforward closure of the defect.
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Service type: Surgical excision of dentoalveolar tumor/lesion with simple repair
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Typical site of service: Dental or oral surgery setting, ambulatory surgery center, or hospital outpatient department