AMA CPT® Assistant - 2018 Issue 2 (February)

Surgery: Auditory System (Q&A) (February 2018)

February 2018 page 11d Surgery: Auditory System Question: Auditory procedures, such as placement of tympanostomy tubes (69433, 69436), are performed using microscopic visualization. Is it appropriate to report code 69990 separately for these procedures even though the equipment listed in the code descriptor of 69990 is for microsurgery? These auditory procedures do not involve microsurgery. Answer: No, auditory procedures for placement of tympanostomy tubes, as described by codes 69433 and 69436, are overwhelmingly performed using the operating microscope. It affords magnification, illumination, and depth perception not available with an otoscope. Clinically, the use of the operating microscope is considered...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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