Results 1 to 5 of 5

Dermoid cyst

  1. #1
    Question Dermoid cyst
    Exam Training Packages
    What is the best code to use for excision of dermoid cyst of the eyebrow that extends into the skull? The perfect code would be 30125, but that is for the nose. Any suggestions? Thank you so much.

  2. #2
    Default
    21030 look at this. Found by cyst, facial bones. A zygoma is the zygomatic process of the temperal bone, also called a zygomatic arch.

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Zygomatic arch is cheekbone
    The zygomatic arch is the cheekbone, so I'm not sure 21030 is the right code either. Also, you mention that it extended into the skull; was any reconstruction needed?

    Can you post the sanitized op report?

    You may have to use the UNlisted craniofacial and maxillofacial procedure code 21299.

    Interesting case!

    F Tessa Bartels, CPC

  4. #4
    Smile Op note
    I looked at 21030 too but like you said, Tessa, that is for the cheekbone.

    Here's what the description of the procedure says: A longitudinal incision was made over the mass just above the left eyebrow. The subcutaneous tissue and cranial fascia were dissected to expose the underlying mass. The mass was embedded in the anterior table of the skull and it was circumferentially dissected and curettaged out of the skull. It did not penetrate through the skull and no dura was visible. The entire mass was incised and curetted out. No residual mass was rendered. The subcutaneous tissue was closed with 2-0 Vicryl and the skin closed with 5-0 Monocryl.

    I'm thinking I may have to use and unlisted code.

    thanks...

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default Unlisted 21299
    Yes, it does look like you'll need to use the unlisted 21299. I'd price it approx same as 30125. Good luck. Let us know how it turns out.

    F Tessa Bartels, CPC

Similar Threads

  1. open excision of cyst AND arthroscopic exc of 2nd cyst
    By gnhobbs@ppmh.org in forum Auditing General Discussion
    Replies: 0
    Last Post: 03-14-2014, 11:58 AM
  2. dermoid cyst
    By KELLI in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-08-2010, 12:14 AM
  3. dermoid tumor
    By KELLI in forum Outpatient Facilities
    Replies: 0
    Last Post: 10-01-2010, 06:00 AM
  4. Laparoscopy with excision of lt.ovarian dermoid
    By cynthiaj54 in forum OB/GYN
    Replies: 6
    Last Post: 05-05-2009, 03:09 PM
  5. Excision Glabellar Dermoid Cyst
    By FTessaBartels in forum Plastic Surgery
    Replies: 0
    Last Post: 10-14-2008, 03:44 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?

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.