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Marsupialization of a sublingual salivary cyst, commonly referred to as a ranula, is a surgical procedure aimed at treating mucoceles that develop in the floor of the mouth. These cysts typically arise due to trauma to the sublingual gland or duct, obstruction of the duct, or infection of the gland. When the gland or duct is damaged, mucous can escape and accumulate in the soft tissues of the floor of the mouth, leading to the formation of a cyst. The procedure involves exposing the cyst, excising its roof, and suturing the wall of the cyst to the surrounding mucosa. This technique allows the cyst to heal from the inside out, promoting proper recovery and minimizing the risk of recurrence. Unlike excision procedures, where the entire cyst is removed, marsupialization preserves the cyst's structure while facilitating drainage and healing, making it a less invasive option for managing sublingual salivary cysts.
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The procedure of marsupialization of a sublingual salivary cyst (ranula) is indicated for the following conditions:
The marsupialization procedure involves several key steps to ensure effective treatment of the cyst:
After the marsupialization procedure, patients can expect a recovery period that may involve some discomfort and swelling in the area. Post-operative care typically includes instructions for oral hygiene to prevent infection and promote healing. Patients may also be advised to avoid certain foods that could irritate the surgical site. Follow-up appointments are essential to monitor the healing process and ensure that the cyst is resolving as expected. Any signs of complications, such as increased pain, swelling, or signs of infection, should be reported to the healthcare provider promptly.
| Short Descr | DRAINAGE OF SALIVARY CYST | Medium Descr | MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA | Long Descr | Marsupialization of sublingual salivary cyst (ranula) | 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) | 2 - Payment restriction for assistants at surgery does not apply 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 | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 33 - Other OR therapeutic procedures on nose, mouth and pharynx |
| 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). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 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) | SG | Ambulatory surgical center (asc) facility service |
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| Pre-1990 | Added | Code added. |
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