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Parathyroidectomy

1.Anatomy
2.Medical necessity of Procedure
3.Procedure detail
4.Code selection criteria
5.Important Terminology 

1.Anatomy

The parathyroid glands are small endocrine glands located near or behind the thyroid gland in the neck, and they are responsible for regulating calcium levels in the blood through the production of parathyroid hormone (PTH).

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2.Medical necessity of Procedure

The surgery is usually performed when one or more of the parathyroid glands are overactive, a condition known as hyperparathyroidism.

Overactive parathyroid glands produce too much parathyroid hormone, which can lead to high levels of calcium in the blood (hypercalcemia). This can cause various health issues, such as:

  • Osteoporosis (bone thinning)

  • Kidney stones

3.Procedure detail

Parathyroidectomy is a surgical procedure to remove one or more of the parathyroid glands.

4.Code selection criteria

Go to Parathyroid >Excision , you will get all code for Parathyroidectomy.

The code selection is based on :

  1. Stage of process Intial or recurrent.

  2. Approach

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All Code list description of Parathyroidectomy :

60500 Parathyroidectomy or exploration of parathyroid(s)

[In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then perform parathyroidectomy, which is surgical removal of one or more parathyroid glands as indicated.]

60502 Parathyroidectomy or exploration of parathyroid(s); re-exploration

[The provider  removes one or more of the parathyroid glands, which are small endocrine glands that are behind the thyroid gland. Providers perform the procedure  to treat recurrent or persistent thyroid overactivity or cancer.]

60505 Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach

[The provider examines or removes one  or more of the parathyroid glands, the small endocrine glands, using one of three approaches. Providers typically perform this procedure to treat overactivity of the thyroid caused by a parathyroid adenoma..]

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5.Important Terminology

Parathyroid glands are a set of four small glands situated on the rear of the four corners of the butterfly shaped thyroid gland.

Mediastinum is the middle space left in thoracic cavicty in between the lung.

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Cpt Article related parathyroidectomy : CPT Article

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