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Plunging Ranula Excision

Kashonna Posted Mon 17th of June, 2019 16:39:36 PM
Patient was diagnosed with a plunging ranula. Our provider is wanting to bill 42408 for the excision of sublingual salivary cyst (ranula); however, our provider did not perform excision by making an incision in the oral cavity. Instead, he made an incision below the angle of the patient’s mandible. What code would be appropriate to bill for this type of approach?
SuperCoder Answered Tue 18th of June, 2019 04:33:37 AM

Hi Kashonna,


Thanks for your question.


In this case, code 42408 (Excision of sublingual salivary cyst, ranula), is appropriate since the cyst which the provider excised is on the floor of the mouth. This code describes removal of a sublingual or salivary cyst beneath the tongue and the approach is not mentioned. It means if provider removes ranula by any approach, then this code (42408) is appropriate to bill.


Unlike skin lesion excision codes, oral lesion excision codes have the wound closure built in, so there is never any need to report a separate code for closure.


Please feel free to write if you have any question.




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