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The CPT® Code 41250 refers to the surgical procedure for the repair of a laceration measuring 2.5 cm or less, specifically located in the floor of the mouth and/or the anterior two-thirds of the tongue. This procedure involves several critical steps to ensure proper healing and minimize complications. Initially, the laceration is thoroughly irrigated to cleanse the wound, and debridement is performed as necessary to remove any devitalized tissue. Following this, a layered closure technique is employed using sutures, which is essential for optimal wound healing. The tissues surrounding the laceration are undermined with surgical instruments such as scissors or a scalpel, which helps to reduce tension on the wound edges during closure. To control any bleeding that may occur during the procedure, chemical agents or electrocautery techniques are utilized. The closure process begins with the deepest layers of tissue, which are secured with absorbable sutures, ensuring that the knots are buried to prevent irritation or discomfort. The superficial layer is then closed with careful attention to the alignment and eversion of the wound edges, which is crucial in preventing a depressed scar formation. In cases where there is a deep or through-and-through laceration of the tongue, a more complex three-layer closure is performed. This involves closing the muscular mucosa first, followed by the inferior mucosa, and finally, sutures are placed around the side or tip of the tongue to secure the superior aspect, completing the closure. The use of CPT® Code 41250 is appropriate for lacerations of the floor of the mouth and/or the anterior two-thirds of the tongue that are 2.5 cm or less in length, distinguishing it from other codes that apply to different lengths or complexities of lacerations.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 41250 is indicated for the repair of lacerations that are 2.5 cm or less in length, specifically located in the floor of the mouth and/or the anterior two-thirds of the tongue. The following conditions may warrant this surgical intervention:
The procedure for the repair of a laceration as described by CPT® Code 41250 involves several detailed steps to ensure effective closure and healing of the wound:
Post-procedure care following the repair of a laceration using CPT® Code 41250 typically includes monitoring for signs of infection, ensuring proper wound healing, and managing any discomfort. Patients may be advised to maintain good oral hygiene and avoid certain foods that could irritate the surgical site. Follow-up appointments may be necessary to assess the healing process and to remove any non-absorbable sutures if used. Additionally, patients should be informed about the signs of complications, such as increased swelling, redness, or discharge from the wound, which would require immediate medical attention.
| Short Descr | REPAIR TONGUE LACERATION | Medium Descr | RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG | Long Descr | Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 2 | CCS Clinical Classification | 32 - Other non-OR therapeutic procedures on nose, mouth and pharynx |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | GJ | "opt out" physician or practitioner emergency or urgent service | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
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