CPT® Code 41135

A glossectomy is a surgical procedure that involves the removal of a portion of the tongue, specifically less than one-half, which is referred to as a partial glossectomy. This procedure is primarily indicated for the treatment of tongue cancer, but it may also be performed to alleviate obstructions in the lower pharynx, address injuries to the tongue, or manage other medical conditions affecting the tongue. During the procedure, an incision is made in the tongue to excise the lesion along with a margin of healthy tissue surrounding it. The resulting defect in the tongue is typically repaired using sutures. In cases where the excision is more extensive, additional reconstructive techniques such as a skin graft or a free flap graft may be necessary to adequately repair the defect. It is important to note that a hemiglossectomy, which involves the removal of one side or half of the tongue, is a related procedure coded separately under CPT® Code 41130. In conjunction with the partial glossectomy, a unilateral radical neck dissection (RND) is performed, which involves the meticulous dissection and excision of lymph node groups from levels I to V, along with the removal of surrounding structures such as the sternocleidomastoid muscle, internal jugular vein, and submandibular gland on the affected side. This comprehensive approach is essential for managing malignancies of the tongue and ensuring thorough treatment of the affected area.