tci Outpatient Facility Coding Alert - 2017 Issue 10

Reader Question: Choosing Between 41010 and 41520? Focus on the Incision

Question: I'm having trouble distinguishing between codes 41010 and 41520. In what circumstances should I use each code? New Jersey Subscriber Answer: Each of these are surgical procedures on the lingual frenum. Similarly, each procedure involves an incision into the lingual frenum. The way to differentiate the two via an operative report is to examine both the type of incision and the reason for the incision. The physician will opt to perform 41010 (Incision of lingual frenum [frenotomy]) as a means of offering the patient a greater range of motion within the tongue. Physicians will most often perform this...

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