Reader Question:
Consider Cholesteatoma Removal Incidental
Published on Wed Oct 31, 2012
Question:
Under general anesthesia, an otolaryngologist explores a chronic otitis media patient's middle ear through a canal incision. During the middle-ear exploration, he removes keratinous debris. May I separately report the debris removal?Mississippi Subscriber
Answer:
No, you shouldn't bill for the debris removal. The debris removal is from a cholesteatoma, a benign tumor filled with desquamating debris. CPT contains no code for this procedure and considers the removal incidental to the middle-ear exploration.
However, you should code for the exploration with 69440 (Middle-ear exploration through postauricular or ear canal incision). Link 69440 to 385.32 (Cholesteatoma of middle ear).