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Wiki Otolaryngology

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sbarat

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Surgeon performed excision of preauricular congenital pit and cyst due to recurrent facial abscess - all my research has led me to 42815 - any suggestions to the contrary? Thanks, seama barat
 
Seama,
That would really all depend on the anatomical area that he is excising? more details would be good. it could either be a type I branchial excision, which you would look @ 69145. or it could be a type II, which you would look @ 42815.
 
Unless the physician describes a branchial cleft cyst and pathology confirms it, you should not bill 42815; you described a pre-auricular (in front of the ear, cheek area) congenital cyst/fistula....you need to look at the integumentary system, 114XX with closure. 1205X, or, depending on if a plasty approach was taken, ie advance flap, rotation flap, look at 14040.

Jennifer
CT ENT
 
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