AMA CPT® Assistant - 2009 Issue 3 (March)

Surgery/Nervous System (March 2009)

March 2009 page 10 Surgery: Nervous System, 69990 (Q&A) Question: Is it ever appropriate to report code 69990, Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure), more than once during the same operative session (eg, bilateral procedure 69436-50)? Answer: No. Code 69990, Microsurgical techniques, requiring use of operating microscope, should be reported only once per operative session. Code 69990 not only represents the work of setting up, calibrating, positioning, and adjusting the operating microscope when brought into the surgical field, but it also represents the circumstance where microsurgical technique is...

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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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