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CPT 42335: Sialolithotomy, Removal of Salivary Gland Stone
CPT code 42335 denotes sialolithotomy, the surgical removal of a salivary gland stone. This procedure addresses obstructive sialadenitis, pain, and infection risk caused by sialoliths and is an important, though infrequent, surgical intervention in oral and maxillofacial practice. Nationally, proper coding ensures accurate claims processing, appropriate site-of-service reporting, and tracking of procedural utilization for surgical and dental services.
Key payers referenced in analyses typically include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for 42335, typical sites of service, and common practice patterns. The publication presents benchmarks for utilization and reimbursement where available, summarizes relevant billing and documentation considerations, and highlights policy updates that affect coverage and payment across major national payers.
This report is intended for billing professionals, surgical and dental practice administrators, and policy analysts seeking concise information on the clinical purpose of CPT code 42335, payer coverage landscape, and operational implications for outpatient surgical services. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 42335 describes sialolithotomy, the surgical removal of a stone (sialolith) from a salivary gland. This procedure is performed to relieve ductal obstruction, infection risk, and pain associated with salivary gland stones.
Service Type: Surgical removal of salivary gland stone
Typical Site of Service: Ambulatory surgical center or hospital outpatient department, and occasionally office-based surgical settings depending on complexity and anesthesia needs.