AHA Coding Clinic® for HCPCS - 2011 Quarter 3; ASK the EDITOR
Endoscopic marsupialization, nasopharyngeal cystic mass
A 64 year old patient with bilateral chronic obstructive sinus disease and septal deviation presents for removal of a nasopharyngeal cystic mass. The patient, who is a CPAP user, was recommended for surgical intervention of this mass. The patient was given intravenous sedation followed by topical and local anesthesia. Following septoplasty and sinus surgery, the nasopharynx was examined by inserting the scope into both nasal cavities. A mucosal covered mass was noted in the superoposterior portion of the nasopharynx. The mass was injected with a local anesthetic and an ear knife was used to incise the mass on the left border and expose the interior of the cyst. The anterior face of the cystic mass was marsupialized and the same procedure was then repeated on the right side. How should we report the “marsupialization” of a nasopharyngeal cystic mass performed endoscopically? ...
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Article Overview
This article covers a surgical coding question involving endoscopic treatment of a nasopharyngeal cystic mass, performed alongside other nasal and sinus procedures. It is aimed at coding professionals who need to understand the scope of the procedure discussion, the anatomic context, and the coding framework referenced in the article.
Why This Topic Matters
Procedures in the nasopharynx can overlap with other nasal and sinus operations, so coders need clear guidance on how the article frames the service and which CPT family is implicated.
What You Will Learn
- The clinical setting for an endoscopic nasopharyngeal cystic mass procedure
- How the article frames the coding question for reporting the service
- The CPT code set referenced in the discussion
- The relationship of the procedure to accompanying nasal and sinus surgery
Who Should Read This
- Medical coders
- Coding auditors
- ENT billing staff
- Physician coders
Codes Discussed
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