CPT^® 42960, Under Other Procedures on the Pharynx, Adenoids, and Tonsils

The Current Procedural Terminology (CPT^®) code 42960 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Pharynx, Adenoids, and Tonsils.

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Summary

The provider control bleeding in the mouth and throat within 24 hours (primary) or from 24 hours up to two weeks (secondary), after a surgical procedure such as a tonsillectomy; the procedure is uncomplicated and does not require hospital admission.

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Have a question about CPT Code 42960 ? Start a discussion here

42960 or 42961 or 42962 for cautery of palate

Surgery done in OR under endotracheal anesthesia. Patient taken to OR from ER and Discharged same day from Recovery same day. So, the patient was not admitted but was in the OR with ENT surgeon to ... [ Read More ]

Need CPT for throat surgeries starting with laryngoscopy/bx and I&D with 2 follow up visits on separate days for bleed in pharynx and additional bx

Day One: 42720 for I&D abscess, 31536-51 Microdirect Laryngoscopy If doc uses a scope) along with Later on Day One: 42960/42961 for oropharyngeal hemorrhage. (Add modifier 78) Day Two: 42962-78 Cont... [ Read More ]

Can 42960 be used for control of a non post-op hemorrhage?

42960 is for the oropharynx - if the documentation just says 'tongue lesion', I don't believe that would qualify. Without having reviewed documentation, I would go with 41599 - [I]Unlisted procedure,... [ Read More ]

Can 42960 be used for control of a non post-op hemorrhage?

The patient is not post-op. In the office the provider cauterized a bleeding tongue lesion. Would it be correct to code 42960? Diagnosis is Hemangiona and Hemorrhage... [ Read More ]

Clarification of post tonsillectomy bleed

I have a post op global/modifier issue I would like to add here. Medicare part b will not pay for complications treated in the ED, bedside or in the office. You cannot bill medicare part b patients ... [ Read More ]

Clarification of post tonsillectomy bleed

[QUOTE="fwnewbie, post: 466214, member: 618502"] Got my book out and I don't understand why you would question using 42962. 42961 would only be used if the patient was admitted due to the complicatio... [ Read More ]

Clarification of post tonsillectomy bleed

Got my book out and I don't understand why you would question using 42962. 42961 would only be used if the patient was admitted due to the complications, and a return to OR in is the only option for ... [ Read More ]

Clarification of post tonsillectomy bleed 42960 42961 post tonsillectomy bleed tonsillectomy

I just want to make sure I'm using the correct cpt code because I have read a few different things so I am a little confused which code to use. From my understanding code 42960 is for a post tonsillec... [ Read More ]

42960 during a 90 day post op

I have a patient returning the of office for a hemorrhage repair from T & A and is under the 90 day global. Can we bill 42960?... [ Read More ]

Post-Tonsillectomy Bleed

I'm sure this question has been posted before, but I can't seem to find any references to it. For CPT codes 42960 and 42962, what is the correct dx code? I've seen codes selected that pertain to the... [ Read More ]

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