AAPC - Back to school
Results 1 to 5 of 5

Thread: Excision of sinus????

  1. #1

    Default Excision of sinus????

    AAPC: Back to School
    Hoping someone out there in the AAPC world will have to helpful input with this one (for both ICD-9 and CPT)....

    Draining sinus left neck adjacent to carotid endarterectomy scar.

    Excision of sinus.

    The patient is brought to the operating room after the attainment of sufficient MAC anesthesia. He was pretreated with antibiotics and prepped and draped in the usual sterile fashion.

    We made an incision right over the sinus. This patient is very thin and the sinus is right over the bulb of the carotid. My concern was that this may have extended down into the carotid. We excised this area of skin change and the carotid artery was directly beneath this area. There was really no coverage from previous structures over the carotid repair. Went ahead and washed it out with Betadine and then took some subcutaneous tissues on both sides and with 4-0 Vicryl with a limited footprint from foreign body, we closed the subcutaneous tissues over the carotid and then closed the skin with two interrupted sutures of 4-0 Vicryl. The patient tolerated the procedure quite well. Sterile dressing was applied. We used anesthesia with a quarter percent solution of Marcaine with epinephrine. The patient tolerated the procedure well.

  2. #2
    Join Date
    Apr 2007
    Richmond, IN


    Some of the Doctors I code for mean a fistula created from an infection but they dictate sinus. Hope this helps a little!

  3. #3


    Quote Originally Posted by Melissa Rufenbarger View Post
    Some of the Doctors I code for mean a fistula created from an infection but they dictate sinus. Hope this helps a little!
    I agree, or they dictate the sinus tract.

  4. #4
    Join Date
    Apr 2007
    Johnson City


    I would consider code range 21555-21552
    Melissa Jewett, CPC

  5. #5


    I'd go w/ 1142x & 1204x. Or you might be able to do something with one of the more complicated wound closure codes, some of which include excisional preparation, w/ the persistent postop fistula dx (998.6). In ICD if you look up Sinus, draining it says see fistula.

Similar Threads

  1. Umbilical sinus excision
    By syed111 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-04-2014, 05:27 AM
  2. Excision of Sinus Tract
    By GSCoder07 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-20-2013, 09:45 AM
  3. excision of abdominal sinus
    By cwest in forum General Surgery
    Replies: 0
    Last Post: 10-20-2011, 08:14 AM
  4. Excision of sinus tract
    By courtney_stutler in forum General Surgery
    Replies: 1
    Last Post: 03-02-2010, 12:50 PM
  5. Excision of Sinus tract
    By dpumford in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 02-12-2009, 12:16 PM

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.