CPT® Code 41112

The CPT® Code 41112 refers to the excision of a lesion located on the anterior two-thirds of the tongue, accompanied by closure of the surgical site. This procedure typically begins with the administration of a local anesthetic, which is injected around and beneath the lesion to ensure patient comfort during the operation. Following anesthesia, a surgical incision is made through the epithelium, extending into the underlying fibrous tissue and muscle. The incision is carefully crafted to encircle the lesion, allowing for its complete excision along with a margin of healthy tissue to ensure that no residual disease remains. After the lesion is removed, it is standard practice to send the excised tissue to a laboratory for pathology examination, which is separately reportable. This procedure is distinct from other related codes; for instance, CPT® Code 41110 involves the excision of a small superficial lesion without the need for closure, while CPT® Code 41113 pertains to the excision of a larger, deeper lesion in the posterior one-third of the tongue, also with suture repair. Additionally, CPT® Code 41114 describes a more complex procedure where a lesion is excised, and a local tongue flap is utilized for repair, involving the elevation and rotation of adjacent myomucosal tissue to cover the defect created by the excision. Overall, CPT® Code 41112 is specifically designed for the excision of deeper lesions in the anterior portion of the tongue, ensuring both removal of the lesion and proper closure of the surgical site.