CPT® Code 60281

The excision of a thyroglossal duct cyst or sinus, specifically coded as CPT® 60281, refers to a surgical procedure aimed at removing a recurrent cyst or sinus that originates from the thyroglossal duct. This duct is a remnant of embryonic development that typically involutes as the thyroid gland forms. However, when this involution does not occur, it can lead to the formation of cysts, which are fluid-filled sacs that appear as small lumps in the midline of the neck. In some cases, the duct may persist and create a sinus that opens onto the skin surface. The Sistrunk procedure is a well-established surgical technique used to excise these cysts and sinuses, significantly reducing the likelihood of recurrence. The procedure involves making a midline incision in the neck, carefully dissecting the tissue to reach the hyoid bone, and ensuring that the hypoglossal nerve is protected during the operation. The central portion of the hyoid bone is removed along with a cuff of tongue tissue that follows the cyst or sinus tract. This meticulous approach helps to prevent the formation of new cysts. After the excision, the wound is typically closed with absorbable sutures, and the skin is secured using Derma-Bond or Steri Strips, eliminating the need for suture removal. A light pressure dressing is then applied around the neck to support the healing process.