Medical Coding

Category - 50,000 Series

A patient with Bartholin’s gland cyst presents to the clinic for incision and drainage of the cyst. Due to the size and area of the cyst, the physician decides to incise the cyst and suture the lateral sides, leaving one side open for drainage. Which of the following codes would represent the physician’s work?
  1. 56420
  2. 56740
  3. 56440
  4. 53060
Explanation
Answer: C - Code 56440 would represent the physician’s work. Code 56440 (Marsupialization of Bartholin’s Gland Cyst) is the correct code because the physician did not simply perform an incision and drainage (which would be reportable with code 56420), but sutured the sides of the cyst to leave it open for drainage. This describes a marsupialization procedure.
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