CPT^® 69643, Under Repair Procedures on the Middle Ear

The Current Procedural Terminology (CPT^®) code 69643 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. He may also reconstruct the posterior ear canal wall with cartilage, bone, or synthetic materials. 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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69643 vs 69645

Code [I]69643, Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction,[/I] in... [ Read More ]

69643 vs 69645 69643 69645 canal wall down complete mastoidectomy meatoplasty radical tympanoplasty

Can someone explain the difference between 69643 and 69645? What makes 69645 radical/complete? The description I read of both codes sound identical so what is the main difference to distinguish which ... [ 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 ]

Mastoidectomy with temporalis fascia repair

I have a similar issue with coding as this is the first time I have coded for this surgery . My op note reads**** 1. canal wall down tympanomastoidectomy with repair of temporal bone defect and CSF ... [ 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 ]

69990 Edit

Thanks. Since it's for ASC billing, it would be for the equipment (microscope) use. Which Rev code would be appropriate? I am puzzled as if it should be reported with 490 or a diagnostic one. The ... [ Read More ]

69990 Edit

Can an ASC bill for 69990 (Microsurgical Techniques, requiring the use of a microscope) along with a CPT code in the 69000 series (e.g. 69631, 69633, 69635, 69643, 69645, 69662, and 69210)? Please ad... [ Read More ]

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