Coding Clarification: Insertion and Removal of Tympanostomy Tubes

August 2026 page 7 Coding Clarification: Insertion and Removal of Tympanostomy Tubes In its Final Rule in 2025 for calendar year 2026, the Centers for Medicare & Medicaid Services (CMS) established a separate payment for the Healthcare Common Procedure Coding System (HCPCS) add-on code G0561 , Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with a tympanostomy tube delivery device, unilateral (list separately in addition to 69433 ) (do not use in conjunction with 0583T ) . This code describes unilateral tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

The article discusses CPT and HCPCS reporting topics for tympanostomy tube procedures, with attention to differences in procedure technique, anesthesia, and setting. It also covers removal-related terminology and other services that may arise in connection with these procedures. The content is intended for professionals involved in medical coding, billing, and otolaryngology practice.

Why This Topic Matters

Tympanostomy procedures can involve different techniques, settings, and related services, making this clarification relevant to professionals reviewing documentation and reporting considerations.

Article Sections

  1. Tympanostomy Tube Insertion

    This section covers office-based tympanostomy tube insertion and the coding topics associated with different delivery systems and anesthesia approaches.

  2. Tympanostomy Tube Removal

    This section addresses tube removal in different procedural settings and discusses terminology relevant to removal coding.

  3. Related Services and Concurrent Procedures

    This section covers binocular microscopy and other services or procedures discussed in connection with tympanostomy tube removal.

What You Will Learn

  • Coding topics associated with office-based tympanostomy tube insertion
  • How anesthesia approach and delivery-system context are addressed in the article
  • Removal-related coding topics across different procedural settings
  • Related services and concurrent procedures discussed for tympanostomy tube removal

Who Should Read This

  • Medical coders
  • Billing and revenue cycle professionals
  • Otolaryngology clinicians and practice staff

Codes Discussed

Modifiers Discussed


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