Otolaryngology Coding Alert

Reader Question:

Assign 30125 for Complex Removal of Nasal Palatine Cyst

Question: A procedure report states the following: “An incision was made around the mucosal portion of the protrusion in the palatal area in the retro/central incisor region. The cyst was then entered and there was an acute flow of brownish liquid which was suctioned. All mucosal epithelium was curetted from the interior of the cyst along the bone.” The cyst was sent for pathology. I’m considering this to be excision via cutterage of a nasal palatine cyst. What procedure code applies? 

Kansas Subscriber

Answer: The correct choice is 30125 (Excision dermoid cyst, nose; complex, under bone or cartilage). Your surgeon’s note of accessing “from the interior of the cyst along the bone” supports this code. 

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