AAPC - Back to school
Results 1 to 4 of 4

Thread: parapharyngeal space lipoma resection? HELP!!!

  1. #1

    Default parapharyngeal space lipoma resection? HELP!!!

    AAPC: Back to School
    I have researched and can not find a CPT code for Resection of lipoma of the parapharyngeal space.
    Lipoma was attached to external carotid artery, lingual artery, hypoglossal nerve, spinal accessory nerve & internal jugular vein. Tumor was dissected free in the pre-styloid compartment of the parapharyngeal space. Stylomandibular ligament was released to gain access to tumor.
    The tumor was essentially contained within the pre-styloid compartment of the parapharyngeal space and was firmly attached to the skull base.
    Any suggestions...

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 21556?

    Just a suggestion .. 21556

    F Tessa Bartels, CPC, CEMC

  3. #3

    Default parapharyngeal space resection

    Hi Janel,
    I'm having the exact same problem! My surgery sounds exactly the way you described yours....resection of benign nerve sheath tumor from parapharyngeal space. My provider wants to use a skull base code 61605, but I thought you always had to use an Approach plus a definitive... not just one. Plus, he doesn't crack any bone or anything.
    I noticed someone replied with code 21556, but I don't think that is enough for this procedure. I was looking at 64792, or 21554-22. What did you end up using??


  4. #4
    Join Date
    Apr 2007
    High Point, NC


    Look at CPT 38555 and see if this fits your procedure.
    Cindy Gallimore, CPC, CENTC

Similar Threads

  1. transcervical approach to parapharyngeal space tumor
    By gbaynham in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 03-17-2015, 06:12 AM
  2. Parapharyngeal Space Mass excision
    By gbaynham in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 12-17-2013, 08:27 AM
  3. Resection of right trapezius lipoma
    By mls5502 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-23-2010, 11:19 AM
  4. parapharyngeal mass
    By cturner in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 07-22-2010, 07:07 AM
  5. biopsy right carotid space and right parotid space.
    By Shirleybala in forum Interventional Radiology
    Replies: 1
    Last Post: 05-11-2009, 01:09 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?


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.