CPT^® 21235, Under Repair, Revision, and/or Reconstruction Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21235 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Head.

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Summary

The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.

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Cartilage graft with tympanoplasty, denied

[QUOTE="nickelclaw, post: 514202, member: 256517"] Hello, per the Coding Desk Reference description of 69633 graft is included even if harvested. I would only bill 69633. 21235 would be for reconstruc... [ Read More ]

Cartilage graft with tympanoplasty, denied

Hello, per the Coding Desk Reference description of 69633 graft is included even if harvested. I would only bill 69633. 21235 would be for reconstruction of nose or ear with graft Happy coding!... [ Read More ]

Cartilage graft with tympanoplasty, denied

[QUOTE="LadyT, post: 513946, member: 11879"] I need some help. I have billed CPT 21235 with CPT 69633 because the provider made a separate incision but it is being denied because the ICD 10 does not s... [ Read More ]

Cartilage graft with tympanoplasty, denied

I need some help. I have billed CPT 21235 with CPT 69633 because the provider made a separate incision but it is being denied because the ICD 10 does not support the procedure. Should these two CPT co... [ Read More ]

Nasal surgery

Dr. performed a septoplasty with nasal valve collapse and inferior turbinate reduction, also open reduction nasal bone fracture,.. codes given by dr., 30520 30465 30140 and 21235/ all paid except... [ Read More ]

rib graft 21235

You cannot use 21235 because that is for harvesting and placing cartilage graft and your doctor is carving and prepping a rib graft. 21230 has lay description and clinical responsibility from Codify ... [ Read More ]

rib graft 21235

i have a question about billing a rib graft to repair valve collapse, it the doctor does not actually harvest it, here is my doctors response I've not been able to find a code for homologous donor ri... [ Read More ]

rib graft 21235

69705/69706 Misuse of column 2 ?

We also billed 69706/59 with 69436/5950 and have been denied by BCBSIL any suggestions would be appreciated. I read edits and a modifier is allowed if I understood correctly. We billed 69631/LT 6... [ Read More ]

canalplasty

hi looking for some verification here, i am not sure if canalplasty was done, pt did not have stenosis. What i am seeing is 15120 21235 harvest 69145 excision of the lesion in canal thanks in advance... [ Read More ]

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