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tci General Surgery Coding Alert - 2016 Issue 10
Reader Question: Separately Bill 2-Stone Removal
Question: Our surgeon removed two stones from the parotid gland. He inserted a sialoendoscope and used a basket to retrieve the first stone. He was unable to remove the second, larger stone endoscopically, so he made an incision and performed a sialolithotomy. How should we code this?
Georgia Subscriber
Answer: You should report two separate procedures for the different approach and removal of two distinct stones.
CPT® does not provide a code to report endoscopic stone removal from the parotid gland, so you’ll need to use an unlisted code such as 42699 (Unlisted procedure, salivary glands or ducts)...
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