CPT code 42107 captures surgical excision of a lesion on the palate or uvula with closure using a local flap. This oral and maxillofacial procedure addresses benign or malignant lesions and includes both resection and immediate local-tissue reconstruction. Nationally, accurate reporting of CPT code 42107 supports correct procedural classification, facilitates appropriate reimbursement for combined excision-plus-reconstruction services, and aids in tracking utilization of oral cavity surgical interventions.

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 settings for the procedure, and a summary of expected documentation elements tied to the combined excision and flap closure. The publication outlines common modifiers used with similar procedures (listed separately), typical sites of service such as outpatient surgical suites or hospital outpatient departments, and notes where input data was not provided.

This report is designed to help billing managers, clinical coders, and policy analysts understand the clinical intent of CPT code 42107, the procedural components it represents, and the operational contexts in which it is commonly performed. Data not available in the input is explicitly identified where applicable.