How To Use CPT Code 41017

CPT 41017 describes the procedure of extraoral incision and drainage of an abscess, cyst, or hematoma in the submandibular space, which is below the lower jaw. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 41017?

CPT 41017 is used to describe the extraoral incision and drainage of an abscess, cyst, or hematoma in the submandibular space, which is located below the lower jaw. This procedure involves making an incision from outside the mouth to access and drain the affected area.

2. Official Description

The official description of CPT code 41017 is: ‘Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An extraoral incision is made in the lower border of the mandible (lower jaw).
3. The provider dissects the tissue at the edge of the jaw to reach the submandibular space.
4. The abscess, cyst, or hematoma is drained.
5. A drain may be placed at the site of incision.
6. The incision is sutured.

4. Qualifying circumstances

CPT 41017 is performed when there is an abscess, cyst, or hematoma in the submandibular space, which is below the lower jaw. The procedure is typically done by a provider who is qualified to perform surgical interventions. The patient must meet the criteria for the specific diagnosis requiring the incision and drainage.

5. When to use CPT code 41017

CPT code 41017 should be used when performing an extraoral incision and drainage of an abscess, cyst, or hematoma in the submandibular space. It is important to ensure that the procedure is performed in the correct anatomical location and meets the specific requirements outlined in the code description.

6. Documentation requirements

To support a claim for CPT 41017, the provider must document the following information:

• Patient’s diagnosis necessitating the procedure
• Details of the procedure, including the incision location and size
• Description of the abscess, cyst, or hematoma being drained
• Any additional procedures performed, such as drain placement
• Any complications or unexpected findings
• Post-procedure instructions and follow-up plans

7. Billing guidelines

When billing for CPT 41017, ensure that the procedure meets the specific requirements outlined in the code description. It is important to accurately document the procedure and any additional services provided. Review the code range 41000-41019 to ensure the most appropriate code is selected for the specific incision and drainage procedure. Be aware of any bundling or unbundling rules that may apply to the specific case.

8. Historical information

CPT 41017 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs an extraoral incision and drainage to treat an abscess in the submandibular space of a patient.
2. An individual undergoes a procedure for the drainage of a cyst in the submandibular area.
3. A patient with a hematoma in the submandibular space undergoes an extraoral incision and drainage procedure.
4. A provider performs an incision and drainage to treat an abscess in the submandibular area of a patient’s mouth.
5. An individual undergoes a procedure to drain a cyst located below the lower jaw.
6. A patient with a hematoma in the submandibular space undergoes an extraoral incision and drainage procedure.
7. A provider performs an incision and drainage to treat an abscess in the submandibular area of a patient’s mouth.
8. An individual undergoes a procedure to drain a cyst located below the lower jaw.
9. A patient with a hematoma in the submandibular space undergoes an extraoral incision and drainage procedure.
10. A provider performs an incision and drainage to treat an abscess in the submandibular area of a patient’s mouth.