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A dermoid cyst of the nose is a type of cyst that forms under the skin and is composed of skin tissues, specifically epidermis and dermis. The procedure described by CPT® Code 30124 involves the simple excision of this cyst, which is located in the skin and subcutaneous tissues of the nose. During the procedure, a surgical incision is made directly over the cyst, allowing the surgeon to access the cyst and the surrounding soft tissue. The cyst is then carefully dissected from the surrounding tissues to ensure complete removal. This excision is classified as 'simple' because it does not involve any underlying structures such as bone or cartilage, which would require a more complex surgical approach. The goal of the procedure is to remove the cyst entirely, thereby alleviating any associated symptoms and preventing recurrence. This straightforward approach is essential for maintaining the integrity of the surrounding tissues and ensuring optimal healing post-surgery.
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The procedure described by CPT® Code 30124 is indicated for the removal of a dermoid cyst located on the nose. The following conditions may warrant this excision:
The procedure for excising a dermoid cyst of the nose involves several key steps, which are outlined as follows:
Post-procedure care for a simple excision of a dermoid cyst includes monitoring the surgical site for signs of infection, such as increased redness, swelling, or discharge. Patients are typically advised to keep the area clean and dry, and to follow any specific instructions provided by the surgeon regarding wound care. Pain management may be necessary, and over-the-counter pain relievers can be recommended. Follow-up appointments are essential to assess healing and to remove sutures if non-absorbable sutures were used. Patients should be informed about the signs of complications and when to seek medical attention.
| Short Descr | REMOVAL OF NOSE LESION | Medium Descr | EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS | Long Descr | Excision dermoid cyst, nose; simple, skin, subcutaneous | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 2 | CCS Clinical Classification | 175 - Other OR therapeutic procedures on skin and breast |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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