Otolaryngology Coding Alert
Is Graft Inherent in Myringoplasty?
Question: An otolaryngologist performed myringoplasty (69620) and harvested a graft. Can he use another CPT code for the work that he did for harvesting the ear graft, or is it inherent in the myringoplasty?
Virginia Subscriber
Answer: Look at the graft's location. You should only bill for harvesting a graft from an ear other than the one receiving the graft. If the otolaryngologist harvests a graft from the right ear for placement on the right ear during a myringoplasty, include the graft in 69620 (Myringoplasty [surgery confined to drumhead and donor area]). But if the surgeon has to go to the other ear to obtain the graft, you should report 20926 (Tissue grafts, other [e.g., paratenon, fat dermis]) in addition to 69620.
Otolaryngology Coding Alert
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