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A revision mastoidectomy is a surgical procedure aimed at addressing complications related to the mastoid air cells, which are small, air-filled spaces located within the mastoid process of the temporal bone, situated behind the ear. This procedure is specifically indicated for patients who have experienced recurrent infections or other issues that necessitate the removal of infected or diseased tissue within the mastoid area. During the surgery, an incision is made behind the ear to access the mastoid bone, allowing the surgeon to inspect the remaining mastoid air cells and determine the extent of the necessary revision. The goal of the revision mastoidectomy is to effectively manage conditions such as recurrent cholesteatoma, which is an abnormal skin growth in the middle ear that can lead to further complications if not treated. The procedure can vary in its extent, resulting in either a modified radical mastoidectomy or a radical mastoidectomy, depending on the severity of the condition and the structures involved. In the case of a modified radical mastoidectomy, the procedure preserves critical structures such as the tympanic membrane and middle ear components while removing the infected air cells and parts of the external auditory canal to facilitate proper drainage and healing.
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The revision mastoidectomy is performed for specific indications related to the health and functionality of the ear and surrounding structures. The following conditions may warrant this surgical intervention:
The procedure for a revision mastoidectomy involves several critical steps to ensure effective removal of infected tissue and preservation of vital structures. The following outlines the procedural steps:
After the revision mastoidectomy, patients are typically monitored for any immediate complications. Post-procedure care may include pain management, instructions for wound care, and follow-up appointments to assess healing. Patients may experience some swelling and discomfort, which is expected and can be managed with prescribed medications. It is essential to follow the surgeon's guidelines regarding activity restrictions and signs of potential complications, such as increased pain, fever, or drainage from the incision site. Full recovery may take several weeks, during which time patients should avoid activities that could strain the surgical site.
| Short Descr | REV MSTDC RSLT MOD RAD MSTDC | Medium Descr | REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC | Long Descr | Revision mastoidectomy; resulting in modified radical mastoidectomy | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 24 - Mastoidectomy |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |
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