THEN and NOW: Temporalis Fascial Graft (December 2012)

December 2012 page 11 THEN and NOW: Temporalis Fascial Graft The March 2007 (p 9) and August 2008 (p 4) editions of the CPT Assistant discussed the reporting of code 69631, Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction, with harvesting of a temporalis fascial graft through the same or separate incision. This information has been updated and the following clarification is provided in this Then and Now. THEN The March 2007 CPT Assistant indicated that code 69631 includes the work of harvesting the graft material. Therefore, code 69631 should...

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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

This article reviews a coding clarification from CPT Assistant concerning temporalis fascial graft harvesting in ear surgery reporting. It explains the general topic of how updated guidance relates to prior guidance, and it is relevant to professionals working with CPT-based otolaryngology and surgical coding.

Why This Topic Matters

The article highlights an official CPT Assistant update that affects how coders interpret a procedure involving graft harvesting and related ear surgery reporting. It is useful for understanding how published guidance can change over time and influence code selection in ENT coding workflows.

Article Sections

  1. December 2012 page 11

    Publication and issue information for the CPT Assistant item.

  2. Then and Now: Temporalis Fascial Graft

    Overview of the coding topic and the relationship between earlier and updated CPT Assistant guidance.

  3. Then

    Summary of the earlier CPT Assistant position addressed by the update.

  4. Now

    Summary of the later CPT Assistant clarification and the general convention it references.

What You Will Learn

  • The article’s subject matter and historical coding context.
  • How CPT Assistant updates may modify prior guidance.
  • The general reporting issue involving graft harvesting in ear surgery coding.
  • The publication source and timeframe of the clarification.

Who Should Read This

  • Medical coders
  • Coding auditors
  • ENT surgery coding professionals
  • Compliance staff
  • Revenue cycle professionals

Codes Discussed


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