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Need help with Parotidectomy!

Melissa Posted Thu 22nd of January, 2015 10:09:18 AM

Physician performed the following:
1. Left total superficial parotidectomy with facial nerve disection
2. Dermal fat graft from left abdomen
3. Intraoperative facial nerve monitoring

Can we code as 42450-LT and 20926? Are we missing anything? Thanks

SuperCoder Answered Thu 22nd of January, 2015 23:29:59 PM

Code 42450 is not correct for parotidectomy.

Use code 42420-LT, Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve.

Code 20926 is correct for Dermal fat graft from left abdomen.

Thanks !!

Melissa Posted Fri 23rd of January, 2015 15:30:38 PM

Thank you!!

SuperCoder Answered Fri 23rd of January, 2015 16:49:04 PM

You are welcome.

Melissa Posted Mon 26th of January, 2015 10:03:59 AM

The physician would also like to code the Intraoperative facial nerve monitoring 95940. It looks like this is bundled with 42420. Am I missing something?

SuperCoder Answered Mon 26th of January, 2015 10:38:03 AM

Yes you are correct. 94540 is bundled into 42420. 94540 cannot be billed with this code under any circumstances since it is a column 2 code for 42420.

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