AMA CPT® Assistant - 2015 Issue 4 (April)

Surgery: Auditory (Q&A) (April 2015)

April 2015 page 11 Surgery: Auditory Question: If a physician performs a myringoplasty and uses a water-insoluble, off-white, nonelastic, porous, and pliable product, would it be appropriate to report code 69620 alone or 69620 appended with modifier 52, Reduced Services? Answer: No, if there was preparation of the perforation edges and a water-insoluble, off-white, nonelastic, porous, pliable product was used as a patch to the drum defect, code 69610, Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch, would be reported. If tissue graft was harvested and edges prepared for the drum...

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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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