CPT® Code 41822

1. Indications

The excision of fibrous tuberosities, as indicated by CPT® Code 41822, is performed for specific conditions related to the presence of abnormal growths in the gums. The following are the primary indications for this procedure:

• Presence of Fibrous Tuberosities Growths of fibrous bone tissue that may cause discomfort, pain, or functional impairment in the oral cavity.
• Periodontal Disease Conditions that may be exacerbated by the presence of fibrous tissue, necessitating removal to improve gum health.
• Dental Prosthetic Considerations Situations where fibrous tuberosities interfere with the fitting or placement of dental prosthetics, such as dentures or implants.

2. Procedure

The procedure for excising fibrous tuberosities involves several key steps that ensure the effective removal of the abnormal tissue while minimizing trauma to surrounding structures. The following outlines the procedural steps:

• Step 1: Anesthesia Administration The procedure begins with the administration of local anesthesia to the affected area to ensure patient comfort and minimize pain during the excision process. This step is crucial for allowing the surgeon to operate without causing discomfort to the patient.
• Step 2: Incision Creation Once the area is adequately anesthetized, the surgeon makes a precise incision in the gum tissue overlying the fibrous tuberosity. This incision is carefully planned to provide optimal access to the growth while preserving healthy gum tissue.
• Step 3: Excision of the Growth The fibrous tuberosity is then excised using surgical instruments. The surgeon carefully removes the growth, ensuring that all abnormal tissue is completely taken out to prevent recurrence. This step may involve the use of scalpels or other specialized tools to achieve a clean removal.
• Step 4: Hemostasis and Closure After the excision, the surgeon ensures hemostasis, or control of bleeding, in the surgical site. Once bleeding is managed, the incision is closed using sutures or other closure techniques, depending on the extent of the excision and the surgeon's preference.
• Step 5: Post-Operative Care Instructions Finally, the patient is provided with post-operative care instructions, which may include guidelines on pain management, oral hygiene, and follow-up appointments to monitor healing.

3. Post-Procedure

After the excision of fibrous tuberosities, patients can expect a recovery period that may involve some swelling, discomfort, or minor bleeding. It is essential for patients to follow the post-operative care instructions provided by their healthcare provider to promote healing and prevent complications. This may include recommendations for pain relief, dietary modifications, and maintaining oral hygiene without disturbing the surgical site. Follow-up appointments may be scheduled to assess the healing process and ensure that the excision site is recovering appropriately. Patients should be advised to report any unusual symptoms, such as excessive bleeding or signs of infection, to their healthcare provider promptly.