tci Outpatient Facility Coding Alert - 2018 Issue 8

Reader Question: Identify Key Differences Between Salivary Duct, Gland Procedures

Question: I’m trying to code a report for a probe dilation of Stenson’s duct due to obstructive sialadenitis, but I am struggling to understand the difference between codes 42300 and 42650. New York Subscriber Answer: Without the operative report, it’s impossible to definitively conclude the correct CPT® code. However, based on the information given, it would not appear that 42300 (Drainage of abscess; parotid, simple) is the correct option. You should report 42300 in situations where the abscess affects the parotid gland and the provider performs an incision and drainage (I&D) of the site affected...

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