How To Use CPT Code 41827

CPT 41827 describes the excision of a lesion or tumor from the dentoalveolar structures, along with a complex repair procedure. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 41827?

CPT 41827 can be used to describe the excision of a lesion or tumor from the dentoalveolar structures, such as the teeth and the supporting structures surrounding them. This code also includes a complex repair procedure, which may involve grafting or complex suturing, to repair the site after the excision.

2. Official Description

The official description of CPT code 41827 is: ‘Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. Using appropriate instruments, the provider locates the exact site of the lesion or tumor.
3. An incision is made to access the lesion or tumor.
4. The provider carefully removes the lesion or tumor from the surrounding dentoalveolar structures, which may include the mucosa or the bone.
5. Bleeding is checked and any instruments are removed from the site.
6. The provider performs a complex repair procedure, such as grafting or complex suturing, to close the intraoral incision.

4. Qualifying circumstances

CPT 41827 is used when a patient requires the excision of a lesion or tumor from the dentoalveolar structures, along with a complex repair procedure. The lesion or tumor can be either malignant or benign. The procedure is performed by a qualified provider who is skilled in performing complex repair procedures, such as grafting or complex suturing.

5. When to use CPT code 41827

CPT code 41827 should be used when a provider performs the excision of a lesion or tumor from the dentoalveolar structures and also performs a complex repair procedure, such as grafting or complex suturing, to repair the site. This code should not be used for nonexcisional destruction procedures or for cases where a simple repair procedure is performed.

6. Documentation requirements

To support a claim for CPT 41827, the provider must document the following information:

• Patient’s diagnosis and the need for the excision and complex repair procedure
• Details of the excision procedure, including the location and size of the lesion or tumor
• Details of the complex repair procedure performed, such as grafting or complex suturing
• Date of the procedure and the time spent performing the excision and repair
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 41827, ensure that the excision of the lesion or tumor from the dentoalveolar structures is performed along with a complex repair procedure, such as grafting or complex suturing. It is important to use the appropriate CPT code based on the specific procedure performed. Additionally, be aware of any specific guidelines or modifiers that may apply to accurately report the procedure.

8. Historical information

CPT 41827 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A dentist performs the excision of a benign tumor from the dentoalveolar structures and performs a complex repair procedure using grafting.
2. An oral surgeon removes a malignant lesion from the dentoalveolar structures and performs a complex suturing procedure to repair the site.
3. A maxillofacial surgeon excises a tumor from the dentoalveolar structures and performs a complex repair procedure involving both grafting and complex suturing.
4. A periodontist removes a lesion from the dentoalveolar structures and performs a complex repair procedure using bone grafting.
5. An oral and maxillofacial surgeon excises a tumor from the dentoalveolar structures and performs a complex repair procedure involving mandibular osteotomy.
6. A dentist removes a lesion from the dentoalveolar structures and performs a complex repair procedure using a combination of grafting and complex suturing techniques.
7. An oral surgeon excises a tumor from the dentoalveolar structures and performs a complex repair procedure involving both grafting and bone graft.
8. A maxillofacial surgeon removes a lesion from the dentoalveolar structures and performs a complex repair procedure using complex suturing techniques.
9. A periodontist excises a tumor from the dentoalveolar structures and performs a complex repair procedure involving both grafting and complex suturing.
10. An oral and maxillofacial surgeon removes a lesion from the dentoalveolar structures and performs a complex repair procedure using bone grafting.