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Susan Posted Thu 17th of July, 2014 20:31:10 PM

My doctor is going to excise and/or pull a protruding bone. The patient had a cleft palate repair years ago and now there is a small piece of bone that is protruding from the palate up into the nasal floor. Doctor believes he can just pull out in surgery but may have to make and exicison and grind down the bone. Can you help me with a CPT code?? I was thinking either 21026 which is more complicated than what he will do or a 11440/11441. Thank you for your time.

SuperCoder Answered Fri 18th of July, 2014 04:33:13 AM

The most close CPT that matches with the procedure that you have mentioned is 42120. It represents "Resection of palate or extensive resection of lesion". Since, your provider is planning to excise the bone that is an extension of palate, you may try this code after discussing it with your provider.

Otherwise, you will have to use the Unlisted code 42299 "Unlisted procedure, palate, uvula".

Thanks !!

Susan Posted Fri 18th of July, 2014 18:24:20 PM

Thank you!! I never thought about the unlisted code as an option. I will run those by my Dr. Thanks again!!

SuperCoder Answered Sat 19th of July, 2014 14:50:57 PM

You are welcome!!

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