Question: One of our ER physicians performed this on an infant with acute suppurative OM. He used a 25-gauge sterile needle and aspiration. I do not think that I can code this as there was no incision and it was not done under a microscope? Any other input appreciated. Thanks.
Ohio Subscriber
Answer: In this case the incision was done with the needle. Report code 69420 (Myringotomy including aspiration and/or eustachian tube inflation) to describe the service performed.