AMA CPT® Assistant - 2008 Issue 3 (March)

Surgery: Digestive System (March 2008)

March 2008 page 15-end Surgery: Digestive System, 42820, 42821, 42825, 42826 (Q&A) Question: May a code from either the 42820 - 42821 or the 42825 - 42826 series be reported for partial ablation of tonsil tissue using a laser? Answer: Because the whole tonsil was not removed using the laser, modifier 52, Reduced services should be appended to the appropriate tonsillectomy code (ie, 42820, 42821, 42825, 42826), consistent with the procedure performed (ie, tonsillectomy and adenectomy or tonsillectomy [primary or secondary] alone) and the patient's age. Surgery: Digestive System, 42820, 42821, 42825, 42826 (Q&A). CPT® Assistant. 2008...

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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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