Can someone please assist with coding of PPS mass? My physician coded as 61605 however no mention of osteotomy. He did a neck dissection level II for access. The neck was incised, fascia reflected anteriorly & superiorly off of SCM muscle medially to the internal jugular vein. Jugular vein was then reflectected and the vagus was identified. We identified the accessory nerve & hypoglossal was superior to both of these nerves, sweeping across the jugular vein. The fibrofatty tissue within level two was dissected off the neurovascular structures and sent off as level 2 for permanent sectioning. They continued the dissection deep to submandibular gland & anterior to internal carotid. The parapharyngeal space mass was identified, was a shiny pearly light encapsulated lesion. Was circumferentially dissected around the parapharyngeal mass and mass completely excised in one piect. We then re-identified all fo the cranial nerves and verified that these were all intact. ..... proceded with closure of dermis, epidermis.
Thoughts?????
Thoughts?????