CPT^® 69646, Under Repair Procedures on the Middle Ear

The Current Procedural Terminology (CPT^®) code 69646 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 performs a radical or complete reconstruction of the tympanic membrane, or eardrum, to fix a perforation and removes all or a portion of the mastoid. He also reconstructs the ossicular chain to improve conductive hearing. This might involve reconstruction of the ear canal, tympanic membrane repair, and or other surgeries of the middle ear.

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Tymp Coding and Grafts

Harvesting of the graft, whether through the same or separate incisions, used to be included in codes 69631 through 69646. However, the AMA issued further guidance in 2012 stating that a graft harves... [ Read More ]

Tymp Coding and Grafts

First time posting to this site, so bear with me. New doctor to the practice states that a separate incision is always done for grafts (15770) when codes 69631-69646 are performed, I was always taugh... [ Read More ]

69644 vs 69646

69644 is a "canal wall up" approach mastoidectomy. 69646 is a "canal wall down" approach for the mastoidectomy. Both of these codes include ossicular chain reconstruction. From "Otolaryngology Co... [ Read More ]

69644 vs 69646

Hi! I am hoping someone can help me with this. I am trying figure out the specific differences between 69644 and 69646. I know that what CPT and CDR say however when I'm looking at the op report a... [ 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 ]

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 ]

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