Results 1 to 4 of 4

Submandibular mass CPT

  1. #1
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default Submandibular mass CPT
    New Call-to-action
    Help please.
    Has any one come across this scenario and what would the appropriate CPT to bill be??

    Procedure is: Excision of left submandibular mass with facial nerve monitoring.

    I am led to 42440 but that specifically states excision of the gland...

    TIA
    KAM

  2. Default Submandibular Mass
    Check CPT codes 21555, 21552,21556, 21554 if these fit your scenario as submandibular is in the neck, thorax area. Also the nerve monitoring cannot be billed separately by the surgeon.

  3. #3
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default
    Quote Originally Posted by mkacmar View Post
    Check CPT codes 21555, 21552,21556, 21554 if these fit your scenario as submandibular is in the neck, thorax area. Also the nerve monitoring cannot be billed separately by the surgeon.
    Thank you for your response! I agree with the range of codes you provided. I appreciate the help.

    KAM

  4. #4
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default Billing 21556 for RT and LT side
    Could I get some help regarding billing for CPT 21556.
    Doctor is going to perform an excision, CPT 21556, on both the left and the right side. I know you cannot use modifier 50, and you cannot use modifiers RT and LT so I am not sure how to bill for the procedure(s).
    The MUE is 3 so I can bill it multiple times correct? Would I just bill 21556 twice on two separate lines? Bill it one line with 2 units? Or would I add the size of the right mass to the size of the left mass and bill only one CPT in accordance to the sum of the size of the mass?

    TIA
    KM

Similar Threads

  1. right submandibular mass
    By pravintc in forum General Surgery
    Replies: 0
    Last Post: 02-28-2016, 09:07 PM
  2. excision submandibular mass
    By pravintc in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-25-2016, 01:05 AM
  3. CPT needed for Reposition of submandibular ducts
    By annamb2 in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 03-10-2014, 01:10 PM
  4. infection of submandibular space
    By ggparker14 in forum Diagnosis Coding
    Replies: 3
    Last Post: 11-30-2011, 08:36 AM
  5. submandibular question
    By Jamie Dezenzo in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 05-19-2009, 06:17 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.