CPT^® 69641, Under Repair Procedures on the Middle Ear

The Current Procedural Terminology (CPT^®) code 69641 as maintained by American Medical Association, is a medical procedural code under the range - Repair Procedures on the Middle Ear.

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Summary

During this procedure, the provider reconstructs the tympanic membrane, or eardrum, to fix a perforation and removes all or a portion of the mastoid. This might involve reconstruction of the ear canal, tympanic membrane repair, and or other surgeries of the middle ear. Reconstruction of the ossicular chain is not included in this procedure.

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Tympanoplasty canal wall down meatoplasty am i correct?

hello , wondering if someone could check my coding here, I am looking at 69641-RT and 15769 H70.11- inner ear coding stumps me :( thanks in advance for any guidance The patient was brought to the ope... [ Read More ]

69641 vs 69643

Hello jmddwilson, Here is a description of each procedure you mention; I underlined the differences: [B]CPT 69641-[/B]The physician [U]makes incisions in the ear canal[/U] to [U]develop a posterior ... [ Read More ]

69641 vs 69643 mastoidectomy tympanoplasty

Can someone explain the difference in 69641 and 69643? I have included part of the op note for details. It seems they are similar but 69643 includes "intact or reconstructed wall", so what is includ... [ Read More ]

Revision Ossiculoplasty

I am stuck on how to code this one. It was scheduled as 69641 but it doesn't appear that was done at all. Any feedback would be appreciated! PREOPERATIVE DIAGNOSIS: Right chronic otitis media with... [ Read More ]

Tympanoplasty with Mastoidectomy

Can anyone tell me if the charge 69990 (Operating Microscope) is included in the procedure 69641 (Tympanoplasty with mastoidectomy)? The CPT book does not list it as a code that includes the microsco... [ Read More ]

Dx for graft

You said you've never been able to get 'paid for the graft' -if you are using a 69641-69646 code, you don't code separately for the graft - if you're talking about a graft that covers the tympanic me... [ Read More ]

Medicare and modifier -78

I have a patient who had drainage of an ear abscess 69020 on 1/7/2011. Seven days later same patient had tympanomastoidectomy, 69641. Medicare will not pay on a -78 modifier for the second procedure... [ Read More ]

69642 or 69637

[b]Your opinion[/b] with further research this is what I found from Codecorrect. what is your take?? There are a couple of dura repair codes: 63707 Repair of dural/cerebrospinal fluid leak, not... [ Read More ]

Post Op debridement or binocular microscopy?

My physician billed 92504 during the 90 day global for 69641 and Tricare paid it . Is this correct??? Sometimes my providers also bill 31237-58 during post op. Would this be correct? It's hard to ... [ Read More ]

Mastoidectomy with temporalis fascia repair

[b]Mastoidectomy Re: CSF Leak[/b] CPT 69670 would be correct, Mastoid Obliteration (separate proc.); this procedure specifically addresses CSF leak. CPT 69641 would not appropriate. Also, the op no... [ Read More ]

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