How To Use CPT Code 42410

CPT 42410 describes the excision of a tumor from the lateral lobe of the parotid gland without nerve dissection. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 42410?

CPT 42410 involves the removal of a tumor from the lateral lobe of the parotid gland without cutting any nerves. This code is used when a provider performs a surgical procedure to excise a neoplastic growth or tumor from the parotid gland’s lateral lobe.

2. Official Description

The official description of CPT code 42410 is: ‘Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection.’

3. Procedure

1. The provider begins by preparing and anesthetizing the patient.
2. A curvilinear incision is made in front of the ear, extending it to the neck towards the mid jawbone.
3. The provider further dissects the skin and may use a nerve stimulator to identify the trunk of the facial nerve.
4. The lateral lobe of the parotid gland or the neoplastic growth within it is identified and removed without cutting any nerves.
5. The incision is then closed.

4. Qualifying circumstances

CPT 42410 is performed on patients who require the excision of a tumor or neoplastic growth from the lateral lobe of the parotid gland. It is important to note that this procedure does not involve cutting any nerves. The patient must meet the criteria for the excision of a parotid tumor or parotid gland without nerve dissection.

5. When to use CPT code 42410

CPT code 42410 should be used when a provider performs the excision of a tumor or neoplastic growth from the lateral lobe of the parotid gland without cutting any nerves. It is important to accurately document the procedure and ensure that it meets the specific requirements outlined in the code description.

6. Documentation requirements

To support a claim for CPT 42410, the provider must document the following information:

• Patient’s diagnosis necessitating the excision of the parotid tumor or parotid gland
• Details of the procedure, including the incision site and technique used
• Confirmation that no nerve dissection was performed
• Any additional relevant information or findings during the procedure
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 42410, ensure that the procedure performed aligns with the code description. It is important to accurately document the procedure and meet the specific requirements outlined in the code description. Review the documentation thoroughly to ensure accurate coding and billing. Additionally, consider any applicable modifiers or other coding guidelines that may impact reimbursement.

8. Historical information

CPT 42410 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs the excision of a tumor from the lateral lobe of the parotid gland without nerve dissection.
2. A patient undergoes surgery to remove a neoplastic growth from the lateral lobe of the parotid gland without any nerve cutting.
3. A provider performs the excision of a parotid tumor without dissecting any nerves in the lateral lobe of the parotid gland.
4. A patient undergoes a surgical procedure to remove a tumor from the lateral lobe of the parotid gland without any nerve dissection.
5. A provider performs the excision of a neoplastic growth from the lateral lobe of the parotid gland without cutting any nerves.
6. A patient undergoes surgery to remove a tumor from the lateral lobe of the parotid gland without any nerve dissection.
7. A provider performs the excision of a parotid tumor without dissecting any nerves in the lateral lobe of the parotid gland.
8. A patient undergoes a surgical procedure to remove a neoplastic growth from the lateral lobe of the parotid gland without any nerve cutting.
9. A provider performs the excision of a tumor from the lateral lobe of the parotid gland without cutting any nerves.
10. A patient undergoes surgery to remove a neoplastic growth from the lateral lobe of the parotid gland without any nerve dissection.