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Official Description

Destruction of lesion (except excision), dentoalveolar structures

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 41850 involves the destruction of a lesion located within the dentoalveolar structures, which include the gums and the supporting bone of the teeth. A lesion refers to any abnormal tissue or growth that may be present in the oral cavity, particularly in the area of the gums. The term 'destruction' indicates that the lesion is treated through methods that eliminate or damage the tissue without the need for surgical excision, meaning that no incision is made to remove the lesion. This can include various techniques such as laser therapy, cryotherapy, or chemical agents, which are designed to effectively address the lesion while minimizing trauma to the surrounding healthy tissue. The focus of this procedure is to manage the lesion in a way that promotes healing and preserves the integrity of the dentoalveolar structures.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 41850 is indicated for the treatment of lesions affecting the dentoalveolar structures. These lesions may present in various forms and can be symptomatic or asymptomatic. The following conditions may warrant the use of this procedure:

  • Gingival Lesions Lesions that occur on the gums, which may include fibromas, papillomas, or other benign growths that require removal to alleviate discomfort or prevent further complications.
  • Localized Infections Areas of infection that manifest as lesions in the gum tissue, necessitating destruction to eliminate the infected tissue and promote healing.
  • Pre-cancerous Lesions Lesions that have the potential to develop into cancer, requiring intervention to prevent progression.

2. Procedure

The procedure for CPT® Code 41850 involves several key steps to ensure effective treatment of the lesion without excision. The following procedural steps are typically followed:

  • Step 1: Assessment The clinician begins by thoroughly assessing the lesion, including its size, location, and characteristics. This assessment is crucial for determining the most appropriate method of destruction and ensuring that the procedure is tailored to the specific needs of the patient.
  • Step 2: Anesthesia Local anesthesia may be administered to the patient to minimize discomfort during the procedure. This step is essential for ensuring that the patient remains comfortable and relaxed throughout the treatment.
  • Step 3: Application of Destruction Method The clinician then applies the chosen method of destruction to the lesion. This could involve the use of laser technology, which precisely targets the lesion while sparing surrounding healthy tissue, or other techniques such as cryotherapy or chemical agents that effectively destroy the lesion without the need for incision.
  • Step 4: Post-Procedure Care After the destruction of the lesion, the clinician provides instructions for post-procedure care. This may include recommendations for oral hygiene, dietary modifications, and any necessary follow-up appointments to monitor healing and ensure that the lesion has been adequately addressed.

3. Post-Procedure

Following the procedure associated with CPT® Code 41850, patients can expect a recovery period that may vary depending on the method used for lesion destruction. Generally, post-procedure care includes maintaining good oral hygiene to prevent infection and promote healing. Patients may be advised to avoid certain foods that could irritate the treated area and to follow any specific instructions provided by the clinician. Monitoring for any signs of complications, such as increased pain, swelling, or unusual discharge, is also important. Follow-up appointments may be scheduled to assess the healing process and ensure that the lesion has been effectively treated.

Short Descr TREATMENT OF GUM LESION
Medium Descr DESTRUCTION LESION DENTOALVEOLAR STRUCTURES
Long Descr Destruction of lesion (except excision), dentoalveolar structures
Status Code Restricted Coverage
Global Days 000 - Endoscopic or 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 Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6D - Minor procedures - other (non-Medicare fee schedule)
MUE 2
CCS Clinical Classification 29 - Oral and Dental Services
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).
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.
GC This service has been performed in part by a resident under the direction of a teaching physician
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
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