AAPC - Back to school
Results 1 to 3 of 3

Thread: 42810 vs 21013

  1. #1
    Join Date
    Apr 2007

    Default 42810 vs 21013

    AAPC: Back to School
    AFTER reading operative report I tend to want to code this as 42810 ,but doc office coder say they are billing 21013, difference of opinion, if I am wrong , please let me know

    PREOPERATIVE DIAGNOSIS: 2-cm right postauricular mass.

    POSTOPERATIVE DIAGNOSIS: 2-cm right postauricular mass – first arch branchial cleft cyst.

    PROCEDURE PERFORMED: Excision of right postauricular mass.

    OPERATIVE PROCEDURE: was given adequate preop sedation and brought to the operating room, where was placed in a supine position and placed under general endotracheal anesthesia. The head was turned to the left exposing the right side of the head. There was a 2 cm x 2 cm mass posterior to the right auricle between the hairline and the auricle. It was movable. It was spongy in texture. A vertical incision was made along the hairline and dissection over the mass was done; it was a cyst, which was dissected free of the subcutaneous tissue and had a small tract, which went in the direction of the external auditory canal and then ended. The mass extended all the way to the periosteum. It was completely removed. Small bleeders were electrocoagulated with suction Bovie cautery with an estimated blood loss of 1 to 2 cc and the wound was closed in layers with 4-0 Vicryl and a 6-0 monochromic was used to close the skin. No drains were utilized. .

  2. #2
    Join Date
    Apr 2007


    path report came out as first brancial cleft cyst

  3. #3


    My money is on your code, 42810, Trent. Maybe the provider coder got hung up on "mass" or didn't read the report?

Similar Threads

  1. CPT code 21013
    By mercyolson in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 12-14-2015, 09:05 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.