Overview of CPT Code 21070: Incision and drainage of salivary gland
CPT Code 21070 refers to the surgical procedure involving the incision and drainage of a salivary gland, typically performed to relieve symptoms caused by salivary gland infections or obstructions.
When CPT Code 21070 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a salivary gland abscess.
- Severe swelling and pain in the salivary gland area.
- Infection of the salivary gland (sialadenitis) that does not respond to conservative treatment.
- Obstruction of the salivary duct leading to accumulation of saliva.
Symptoms Indicating This Procedure
Patients may report several symptoms that necessitate this procedure.
- Swelling in the jaw or neck area.
- Pain or tenderness in the affected gland.
- Fever and chills.
- Difficulty swallowing or opening the mouth.
- Pus or discharge from the mouth.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Bacterial infections leading to abscess formation.
- Dehydration or reduced saliva production.
- Salivary stones (sialolithiasis) obstructing the duct.
- Autoimmune diseases affecting salivary glands.
- Poor oral hygiene.
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the need for this procedure.
- Ultrasound imaging to visualize the salivary glands.
- CT scan for detailed imaging of the gland and surrounding structures.
- Blood tests to check for signs of infection.
- Culture of any discharge to identify the causative organism.
Procedure Description
The procedure is performed under sterile conditions.
- Patient is positioned comfortably, and the area is cleaned and sterilized.
- Local anesthesia is administered to numb the area.
- An incision is made over the swollen gland to allow drainage.
- Pus or fluid is drained from the gland.
- The area may be flushed with saline to clear any debris.
- The incision may be left open or closed with sutures, depending on the situation.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid eating or drinking for at least 6 hours prior to the procedure.
- Inform the doctor about any medications being taken.
- Discuss any allergies, especially to anesthesia.
- Arrange for transportation home post-procedure.
Recovery and Aftercare
Post-procedure care is crucial for recovery.
- Rest for the first 24 hours after the procedure.
- Apply ice packs to reduce swelling.
- Take prescribed pain medications as needed.
- Keep the incision site clean and dry.
- Follow up with the healthcare provider as instructed.
Possible Complications
While generally safe, there are potential risks.
- Infection at the incision site.
- Persistent pain or swelling.
- Scarring at the incision site.
- Damage to surrounding structures.
- Recurrence of the salivary gland issue.
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Post-Procedure Follow-Up
Monitoring after the procedure is essential.
- Follow-up appointment within 1 week to assess healing.
- Monitor for signs of infection or complications.
- Additional imaging may be required if symptoms persist.
Alternative Treatments
There are non-surgical options available.
- Antibiotics for bacterial infections.
- Hydration and sialogogues to stimulate saliva flow.
- Warm compresses to relieve discomfort.
- Salivary gland massage to help with drainage.
Home Care Tips
Simple tips can aid in recovery at home.
- Stay hydrated to promote saliva production.
- Maintain good oral hygiene to prevent infections.
- Avoid spicy or acidic foods that may irritate the gland.
- Use over-the-counter pain relievers as needed.
Patient Education & Prevention
Education is key to preventing recurrence.
- Stay hydrated to prevent salivary stones.
- Practice good oral hygiene regularly.
- Seek prompt treatment for any signs of infection.
- Discuss any chronic conditions with a healthcare provider.
Billing and Coding Information
CPT Code: 21070
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- LT - Left side
- RT - Right side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $1,500 to $3,000.
- Insurance typically covers the procedure if medically necessary.
- Out-of-pocket costs depend on the insurance plan.
Related CPT Codes
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure is performed to drain infections or obstructions in the salivary gland.
Is this procedure painful?
Local anesthesia is used to minimize pain during the procedure.
How long does recovery take?
Most patients recover within a week, but it may vary.
Will I need to follow a special diet after the procedure?
You may need to avoid certain foods that irritate the gland.
