AHA Coding Clinic® for HCPCS - 2011 Issue 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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