How To Use CPT Code 42665

CPT 42665 describes the ligation of a salivary duct through an intraoral incision. 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 42665?

CPT 42665 can be used to describe the ligation of a salivary duct through an incision made inside the mouth. This procedure is performed to treat conditions such as excessive salivation or to reduce the size of a salivary gland before tumor removal.

2. Official Description

The official description of CPT code 42665 is: ‘Ligation salivary duct, intraoral.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An intraoral incision is made to access the salivary duct.
3. The provider takes care to preserve the integrity of facial nerves.
4. The salivary duct is ligated, or tied off, to address the patient’s condition.
5. The incision is closed with stitches.

4. Qualifying circumstances

CPT 42665 is performed when a patient requires ligation of a salivary duct. This procedure is typically indicated for conditions such as excessive salivation or as a preparatory step before tumor removal. The patient must be appropriately prepped and anesthetized, and the provider must take care to preserve the integrity of facial nerves during the procedure.

5. When to use CPT code 42665

CPT code 42665 should be used when a provider performs the ligation of a salivary duct through an intraoral incision. It is important to ensure that the procedure meets the specific criteria outlined in the official description.

6. Documentation requirements

To support a claim for CPT 42665, the provider must document the following information:

• Patient’s condition necessitating the ligation of the salivary duct
• Details of the intraoral incision made
• Steps taken to preserve the integrity of facial nerves
• Confirmation of the ligation of the salivary duct
• Description of the closure of the incision with stitches

7. Billing guidelines

When billing for CPT 42665, ensure that the procedure meets the specific criteria outlined in the official description. It is important to accurately report the ligation of the salivary duct through an intraoral incision. Review the documentation requirements and ensure that all necessary information is included in the claim.

8. Historical information

CPT 42665 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performs the ligation of a salivary duct through an intraoral incision to address a patient’s excessive salivation.
2. An individual undergoes the ligation of a salivary duct as a preparatory step before the removal of a salivary gland tumor.
3. A patient with a salivary gland disorder undergoes the ligation of a salivary duct through an intraoral incision to alleviate symptoms.
4. A provider performs the ligation of a salivary duct to reduce the size of a salivary gland before further treatment.
5. An individual undergoes the ligation of a salivary duct through an intraoral incision to address a chronic salivary gland condition.
6. A provider performs the ligation of a salivary duct to alleviate symptoms of excessive salivation in a patient.
7. An individual undergoes the ligation of a salivary duct through an intraoral incision as part of their treatment plan for a salivary gland disorder.
8. A provider performs the ligation of a salivary duct to reduce the size of a salivary gland before a surgical procedure.
9. An individual undergoes the ligation of a salivary duct through an intraoral incision to address recurrent salivary gland issues.
10. A patient with a salivary gland condition undergoes the ligation of a salivary duct to improve their overall oral health.