CPT® Code 41114

The CPT® Code 41114 refers to the excision of a lesion located on the tongue, specifically involving the use of a local tongue flap for closure. This procedure is performed under local anesthesia, which is administered around and beneath the lesion to ensure patient comfort during the operation. The surgeon makes an incision that penetrates through the epithelium, reaching into the underlying fibrous tissue and muscle. This 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. Following the excision, the removed lesion is sent to a laboratory for pathology examination, which is a separate reportable service. This procedure is distinct from other related codes, such as CPT® 41110, which involves the excision of a small superficial lesion without the need for closure, and CPT® 41112 and CPT® 41113, which pertain to the excision of larger lesions in specific areas of the tongue with suture repair. In contrast, CPT® 41114 specifically utilizes a local tongue flap technique, where adjacent myomucosal tissue is incised, elevated, and rotated to cover the defect left by the excised lesion. The flap is then sutured in place, and the donor site is also closed with sutures, ensuring a functional and aesthetic repair of the tongue.