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Thread: Otolaryngology

  1. #1

    Default Otolaryngology

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    Surgeon performed excision of preauricular congenital pit and cyst due to recurrent facial abscess - all my research has led me to 42815 - any suggestions to the contrary? Thanks, seama barat

  2. #2
    Join Date
    Apr 2007
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    Default

    Seama,
    That would really all depend on the anatomical area that he is excising? more details would be good. it could either be a type I branchial excision, which you would look @ 69145. or it could be a type II, which you would look @ 42815.
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  3. #3

    Default

    Unless the physician describes a branchial cleft cyst and pathology confirms it, you should not bill 42815; you described a pre-auricular (in front of the ear, cheek area) congenital cyst/fistula....you need to look at the integumentary system, 114XX with closure. 1205X, or, depending on if a plasty approach was taken, ie advance flap, rotation flap, look at 14040.

    Jennifer
    CT ENT

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