The physician performed an antral puncture with removal of cyst from the left maxillary sinus. Attempts were unsuccessful through the nose. The canine fossa using a scalpel and a inch drill punch was performed through the anterior wall of the left maxillary sinus. This allowed the endoscope to be passed through the front of the sinus visualizing the maxillary sinus in front of it. A curved biting forcep was then passed through the nose into the sinus and under endoscopic guidance through the antral puncture the cyst was grasped and removed. Would it be proper to code as CPT 31267 and CPT 31233 with a 59 modifier?
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Tag Archives: Cyst
Is it proper to code CPT 31233 (approach) and 31267 (cyst removal) together?
The physician performed an antral puncture with removal of cyst from the left maxillary sinus. Attempts were unsuccessful through the nose. The canine fossa using a scalpel and a inch drill punch was performed through the anterior wall of the left maxillary sinus. This allowed the endoscope to be passed through the front of the sinus visualizing the maxillary sinus in front of it. A curved biting forcep was then passed through the nose into the sinus and under endoscopic guidance through the antral puncture the cyst was grasped and removed. Would it be proper to code as CPT 31267 and CPT 31233 with a 59 modifier?
ICD 10 code for an ACL bone cyst
Hi!
I am looking for some help. I have searched high and wide for an ACL bone cyst diagnosis code. They keep coming up with synovial cyst or baker’s cyst. My PA swears this is different from the two. Any help would be great on this one.
Thanks!
Kim Newton, CPC
sebaceous cyst i&d vs excision
Can anyone help me with this. I want to make sure I am on the right track. I have a provider meeting next week and I seem to be getting mixed directions when it comes to proper coding for a sebaceous cyst incision and drainage vs. excision
if the provider makes an incision ( no excision-no margins) removes the contents and the sac if the sebaceous cyst. . Do I code the I &D 10060, 10061 or do I code the benign excision codes according to size and location of the lesion 11400-11446. There seems to be some confusion on this matter. I have a provider meeting coming up where we will be discussing this and I would like to get to the bottom of this. thank Lyndzee Toone, CPC (family practice)
dermoid ovarian cyst?
i am wondering about the dermoid ovarian cyst code?
without any further information from the provider, which catogeroy does it fall under? and ovarian cyst ( N83.29,- or the D27.9? please advice
without any further information from the provider, which catogeroy does it fall under? and ovarian cyst ( N83.29,- or the D27.9? please advice
Failed cyst removal
I’m stuck on what to code for a procedure:
The patient presents to the office for a scalp cyst excision. The area was prepped, local anesthetic injected and an incision was created over the cyst however blunt dissection failed to reveal a cyst. The incision was sutured closed and the patient instructed to follow up with neurologists.
Would you code an excision with a modifier or an E&M code?
Unroofing of Pilonidal cyst
Would this be CPT 10080?
Procedure: Unroofing of pilonidal
Indications: male post status post excision and primary closure of pilondial in Feb. Part of the wound open and healed secondarily. Recently developed pain and purulent drainage from the area.
Findings: tiny pocket with granulation
Procedure: …probe was placed into the opening and extended for about 5 mm. The overlying skin was incised with probing. A tiny pocket was identified and this was also unroofed and granulation cauterized. Bleeding points were stopped with cautery. Local anesthetic was infiltrated throughout the area and a dressing applied.
TIA
KM
Removal of Cyst
I have a Provider who likes to remove cyst by excision, regardless of the medical necessity factors. If the patient wants it removed, it gets removed. During the E/M, it’s documented as cyst and defers treatment for another day. Some Providers perform an excisional biopsy and send for Pathology and code it as benign w/Nodule (D49.5), as they "truly don’t know it’s a cyst or not", they rather have the Path confirm the diagnosis. While others code it as benign excision and use L72.0(cyst). Just trying to see if anyone has any advice. Just trying to keep it consistent, with the amount of Providers as we have. I’m sure it’s more of an internal policy, then it is against coding guidelines or medical necessity. Thanks in advance for any help!
Hand/Fingers – Excision cyst (tendon sheath), Excision Osteophytes (phalanx)
I would greatly appreciate help with references for the following operative scenario. I have been given codes, 26160 and 26110 (these bundle), I find references that suggest use of 26160 (excision of cyst off tendon sheath) and 26236 (osteophyte removal).
For the operative case below would it be considered over-coding to code: 26235, f7; 26236, 51, f7; 26160, 59, 51,f7
I have researched myself to the point of total confusion – thank you to those more experienced than me and taking time to help a fellow coder out !!
TECHNIQUE:
Patient was taken to the operating suite and after the induction of adequate general anesthetic the right upper extremity was prepped and draped in the usual sterile fashion. An Esmarch was used to exsanguinate the limb and the tourniquet was inflated to 250 mmHg. At this point in time an L shaped incision was made over the distal aspect of the right long finger have a large 1.5 x 1.5 cm lesion consistent with probable mucoid cyst. A radially based flap was elevated and dissection was carried down to the extensor sheath. There was a complex multi lobulated cystic lesion that was carefully excised off the extensor insertion and distal interphalangeal joint capsule radially. This was sent for pathologic identification. We carefully retracted the extensor mechanism and perform a distal interphalangeal joint arthrotomy with debridement of large dorsal osteophytes of both the base of the distal phalanx and the head of the middle phalanx. This was all sent for pathologic confirmation. The wound was then thoroughly irrigated. It was loosely closed with 4-0 nylon. Xeroform, 4 x 4’s, and a compression wrap was applied to the right long finger. The patient tolerated this procedure well and went to recovery room in stable.
Ganglion cyst inj with amniotic tissue
Hello,
My provider did a ganglion injection with Amniotic tissue and umbilical stem cells. Normally, I code 20612 with medication but this isn’t "medication". Anyone know or have ideas how to code this? Is there another cpt or HCPCS i should bill?
thank you in advance.