sienamt
New
Physician excised a salivary stone from Wharton's Duct and performed ductoplasty. Can I code 42330 for the excision and 42500 for the repair? Or is the repair included?
Op Report-
…..using a zero lacriminal probe, I was able to probe the distal portion of Wharton's duct. I then with a pair of fine scissors opened the duct back, so I could just see the end of the stone. I was able with instrumentation to remove the stone and immediately there was a rush of mucoid fluid from Wharton's duct. We cleared the field, I then performed the ductoplasty. Using 6-0 Vicryl suture, I ran a suture first medially suturing the duct's edge to the epithelium of the floor of mouth. I then did this in a similar fashion on the lateral side. I carefully did it anterior and posterior, so that there would be no ability for the scarring close of the duct. I massaged the gland after there was food flow coming from the duct. Patient tolerated this well. She was wakened and taken to recovery without complication.
Op Report-
…..using a zero lacriminal probe, I was able to probe the distal portion of Wharton's duct. I then with a pair of fine scissors opened the duct back, so I could just see the end of the stone. I was able with instrumentation to remove the stone and immediately there was a rush of mucoid fluid from Wharton's duct. We cleared the field, I then performed the ductoplasty. Using 6-0 Vicryl suture, I ran a suture first medially suturing the duct's edge to the epithelium of the floor of mouth. I then did this in a similar fashion on the lateral side. I carefully did it anterior and posterior, so that there would be no ability for the scarring close of the duct. I massaged the gland after there was food flow coming from the duct. Patient tolerated this well. She was wakened and taken to recovery without complication.