AMA CPT® Assistant - 2004 Issue 12 (December)

Digestive System/Surgery (December 2004)

December 2004 page 19b Coding Consultation:Questions and Answers Digestive System/ Surgery, 42145 (Q&A) Question Would it be appropriate to report code 42145 for a laser-assisted uvulopalatoplasty procedure? AMA Comment CPT code 42145, Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty), should not be reported for a laser-assisted uvulopalatoplasty procedure because this code is not intended to describe the laser procedure. Currently, the CPT code set does not have a specific code that accurately describes uvulopalatoplasty via laser technique; therefore, CPT code 42299, Unlisted procedure, palate, uvula, should be reported. When reporting an unlisted code to describe a procedure or service, it will...

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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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