Otolaryngology Coding Alert

Reader Question:

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.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.