Surgitron replaces the traditional scapel/knife, the lesion is still being removed without closure; I would feel comfortable with using CPT 41110. Looking at the ICD9CM Procedural, they describe the procedure as excision or destruction of lesion or tongue tissue. Unfortunately, CPT cannot keep up with modern technology and falls short of meeting the needs of precision coding, remember, coding is not alway black and white, yes, there are the "unlisted" procedure codes, but truly, this is a judgment call, and as I stated, I could back up my decision in using CPT 41110.
Jennifer
CT ENT