CPT® Code 60000

The procedure described by CPT® Code 60000 refers to the incision and drainage of an infected thyroglossal duct cyst. The thyroglossal duct is a structure that is present during fetal development, facilitating the descent of the thyroid gland from the base of the tongue to its final anatomical position in the neck. Typically, this duct disappears after the thyroid gland has settled into place. However, in some individuals, remnants of the thyroglossal duct persist, resulting in the formation of cystic cavities in the neck. These cysts can accumulate fluid or mucus, leading to infection and subsequent swelling in the neck area. During the procedure, the physician palpates the enlarged area to identify the site of greatest fluctuance, which indicates the presence of fluid within the cyst. An incision is then made over this area to access the cyst cavity, allowing for drainage of the infected material. Blunt finger dissection may be employed to break up any loculations within the cyst, ensuring complete drainage. In some cases, the cyst cavity may be packed with gauze or a drain may be placed to facilitate further drainage. It is important to note that incision and drainage is not commonly performed due to the potential for scarring, which can complicate future infections. Instead, the preferred treatment options typically include antibiotic therapy and surgical excision of the cyst to prevent recurrence and complications.