CPT® Code 30160

A rhinectomy is a surgical procedure that involves the removal of all or part of the nose, specifically indicated for the treatment of malignant lesions such as invasive squamous or basal cell carcinoma. The term "total rhinectomy" refers to the complete excision of the nasal structure, which may be necessary when the cancer has extensively invaded the tissues of the nose. During the procedure, a nasal endoscope is utilized to thoroughly examine the nasal cavities, allowing the surgeon to identify any visible lesions that may require removal. The surgical approach begins with an incision through the skin and subcutaneous tissue over the area designated for excision, extending down to the underlying cartilage and bone. This careful dissection is crucial for ensuring that all affected tissues are adequately addressed. In some cases, random biopsies may be taken to assess the extent of malignancy, providing critical information for the surgical team. The excised tissues, which may include skin, soft tissue, cartilage, and bone, are sent for frozen section examination to ensure that all cancerous cells have been removed. If malignant tissue is still present at the margins, additional excision is performed until clear margins are achieved. Following the rhinectomy, a reconstructive procedure may be necessary to restore the nasal structure, which can be performed immediately or at a later date, depending on the clinical situation. For cases requiring only partial removal of the nose, the CPT® code 30150 should be used, while CPT® code 30160 is designated for total rhinectomy procedures.