ASK the EDITOR

A 10 year old patient with recurrent penetrating nasal dermoid with dermal sinus presents for repair. The patient was given orotracheal anesthesia and was prepped for surgery. Excision of extensive nasal dermoid was performed down to the right septum. Nasal mucoperisteal flaps were advanced to the septum to reconstruct the defect that had been created by removal of the sinus and the flaps were bilaterally advanced, elevated and rotated. What CPT code(s) should we report for this procedure? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This Ask the Editor article is about CPT reporting for a pediatric nasal dermoid repair involving excision and reconstruction. It is aimed at coders and billing staff who need to understand the procedural scope, the surgical components involved, and the type of coding guidance presented for this kind of case.

Why This Topic Matters

Articles like this help coding professionals evaluate how complex nasal repair procedures are framed for CPT reporting and support more accurate code selection in similar surgical cases.

Article Sections

  1. Clinical scenario and coding question

    Introduces a pediatric nasal dermoid repair case with associated reconstruction and frames the coding question posed to the editor.

  2. Recommended CPT reporting

    Presents the CPT coding guidance discussed for the procedure and notes the procedural components considered in the recommendation.

What You Will Learn

  • How a nasal dermoid repair case is presented for CPT coding discussion
  • Which procedural elements are relevant to the coding question
  • How editorial coding guidance addresses excision and reconstruction in this scenario
  • What type of CPT reporting issue the article is intended to clarify

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • ENT surgery coders
  • Compliance professionals

Codes Discussed


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The AHA Coding Clinic for HCPCS includes:

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