Search all medical codes

Unlisted surgical pathology procedure

CPT4 code

Name of the Procedure:

Unlisted Surgical Pathology Procedure
Common Name(s): None
Medical Term(s): Unlisted Procedure, Non-Specific Surgical Pathology


In medical terms, this procedure refers to any surgical pathology procedure that does not fall under specific, pre-defined categories. It's used for unique or rare cases requiring specialized surgical intervention for diagnosis or treatment.


This procedure is necessary for diagnosing or treating medical conditions not covered by existing, commonly recognized pathology procedures. The aim is to accurately diagnose or manage unusual or complex medical issues.


  • Uncommon or rare medical conditions.
  • Abnormalities not identifiable by standard pathology tests.
  • Unique patient cases requiring specialized surgical intervention.


  • Fasting for 8-12 hours prior to the procedure, if anesthesia is needed.
  • Suspension of certain medications as advised by the healthcare provider.
  • Comprehensive diagnostic assessments (e.g., imaging, blood tests) to guide the procedure.

Procedure Description

  1. The patient is transported to the designated procedure area.
  2. Anesthesia or sedation is administered if required.
  3. Surgical steps tailored specifically to the pathology case are taken, involving precise incisions and possibly the extraction of tissue samples.
  4. Specialized surgical tools and technology may be employed depending on the individual case.
  5. After completion, the surgical area is closed and bandaged.


The duration varies significantly depending on the specific case but typically ranges from 1 to 3 hours.


  • The procedure is performed in a hospital operating room or a specialized surgical center equipped with necessary facilities.


  • Surgeons specializing in pathology.
  • Nurses and surgical assistants.
  • Anesthesiologists, if anesthesia is required.

Risks and Complications

  • Common: Infection, bleeding, pain at the surgical site.
  • Rare: Adverse reactions to anesthesia, unintended damage to adjacent tissues or organs.


  • Accurate diagnosis of unusual medical conditions.
  • Personalized treatment plans based on specific pathological findings.
  • Expected benefits are seen soon after tissue analysis, usually within a week.


  • Monitoring in a recovery room for several hours post-procedure.
  • Pain management typically involves prescribed analgesics.
  • Gentle activity is recommended for the first few days, with total recovery expected within 2-4 weeks.
  • Follow-up appointments for results and any further treatment recommendations.


  • Non-invasive diagnostic imaging (e.g., MRI, CT scans).
  • Biopsies.
  • Laboratory tests but with limitations on specificity and accuracy for rare conditions.
  • Each alternative has its pros and cons in terms of invasiveness, accuracy, and specificity.

Patient Experience

  • The procedure might be associated with temporary discomfort or pain, particularly at the incision site.
  • Anesthesia ensures the patient is comfortable during the surgery.
  • Post-procedure, there may be soreness or mild pain, managed with medication.
  • Support staff help provide comfort and care to ease the patient’s experience.

Medical Policies and Guidelines for Unlisted surgical pathology procedure

Related policies from health plans

Similar Codes