tci E/M Coding Alert - 2020 Issue Q4

Reader Questions: Report E/M in This Tongue Packing Encounter

Question: Our practice saw a patient who had bitten her tongue and lip following a dental procedure where she was administered local anesthetic. The provider packed the tongue and lip using a topical powder which subsequently stopped the bleeding. What’s the CPT® code for this? Illinois Subscriber Answer: There are no existing codes in the CPT® manual that you should report for the packing of a bleeding lip and/or tongue. Your closest option, code 42960 (Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple), is typically designated for instances of postsurgical bleeding of the soft palate, throat, tonsils...

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