Overview of CPT Code 21071: Incision and drainage of salivary gland
CPT Code 21071 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 21071 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 that does not respond to antibiotics.
- 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 salivary gland.
- Difficulty swallowing or opening the mouth.
- Fever and chills indicating possible infection.
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 obstructing the duct.
- Chronic conditions such as Sjögren's syndrome.
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the need for this procedure.
- Ultrasound imaging to visualize the salivary gland.
- CT scan for detailed imaging of the gland and surrounding structures.
- Blood tests to check for signs of infection.
- Culture of saliva or pus to identify the causative organism.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably and local anesthesia is administered.
- An incision is made in the skin over the affected gland.
- The abscess or obstructed duct is accessed and drained.
- The area is cleaned and may be packed with gauze if necessary.
- The incision is closed with sutures or left open to drain.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Avoid eating or drinking for at least 6 hours before the procedure.
- Inform the doctor about any medications or allergies.
- Arrange for transportation home post-procedure.
- Follow any specific instructions provided by the healthcare provider.
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, following care instructions.
Possible Complications
While generally safe, there are potential risks involved.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Nerve damage leading to numbness or weakness.
- Recurrence of the abscess or obstruction.
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Post-Procedure Follow-Up
Follow-up care is important to ensure proper healing.
- Schedule a follow-up appointment within 1-2 weeks.
- Monitor for signs of infection or complications.
- Discuss any ongoing symptoms with the healthcare provider.
Alternative Treatments
There are non-surgical options available.
- Antibiotic therapy for bacterial infections.
- Hydration and sialogogues to stimulate saliva flow.
- Warm compresses to relieve discomfort.
- Salivary duct dilation in cases of obstruction.
Home Care Tips
Simple tips can aid in recovery at home.
- Stay hydrated to promote saliva production.
- Avoid spicy or acidic foods that may irritate the gland.
- Practice good oral hygiene to prevent infections.
- Follow all post-operative care instructions provided.
Patient Education & Prevention
Education can help prevent future issues.
- Maintain good hydration to support salivary function.
- Regular dental check-ups to monitor oral health.
- Recognize early signs of salivary gland issues.
- Manage underlying conditions that may affect salivary glands.
Billing and Coding Information
CPT Code: 21071
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $1,500 to $3,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan and deductible.
Related CPT Codes
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
It is performed to drain infections or obstructions in the salivary gland.
Is this procedure painful?
Local anesthesia is used, so discomfort is minimal during the procedure.
How long is the recovery period?
Most patients recover within a week, but follow-up care is essential.
