CPT^® 69801, Under Incision and/or Destruction Procedures on the Inner Ear

The Current Procedural Terminology (CPT^®) code 69801 as maintained by American Medical Association, is a medical procedural code under the range - Incision and/or Destruction Procedures on the Inner Ear.

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Summary

The provider makes a surgical incision into the labyrinth (the inner ear) and instills or perfuses one or more drugs, such as a steroid or an antibiotic, through the tympanic membrane.

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Denial for 69801/50 modifier

I would appeal the denial and show the payer that the 50 modifier is a proper modifier for 69801 when performed on both ears. Or like our very kind gyn onc visitor has recommended, ask the payer in th... [ Read More ]

Denial for 69801/50 modifier

Not an ENT coder, but since no one else chimed in, I will. -50 does show as a valid modifier for 69801. My guess is either: 1) The carrier policy for bilateral is to bill twice, once with -RT and on... [ Read More ]

Denial for 69801/50 modifier

I am getting denials from BCBS stating 50 modifier is not appropriate. Anyone else having this issue?... [ Read More ]

Kenalog injection in the ear canal

I think that this is an unlisted external ear procedure since it was the ear canal that was injected. You may want to equate it to 69801 in box 19 for pricing. Check with your surgeon, it may be a %, ... [ Read More ]

Kenalog injection in the ear canal 11900 69801 auditory ear canal kenalog injection steroid injection

I need some advice about how to code a kenalog injection in the ear canal. The only kenalog injection code I have is the 11900 but that is for lesions. The only thing I'm finding online is to use code... [ Read More ]

Steroid injection in Ear Canal kenalog injection steroid injection

I need some advice about how to code a kenalog injection in the ear canal. The only thing I'm finding online is to use code 69801 but I don't know if that code is actually appropriate with the procedu... [ Read More ]

Coding intratympanic dexamethasone injection hearing loss intratympanic dexamethasone injection

How should I be coding an intratympanic dexamethasone injection for sudden hearing loss and vertigo? I have the CPT code 69801, is there anything else I should be reporting in conjunction to that code... [ Read More ]

CPT 69631 with 69424

69631 can not be billed with 69424 for the same ear. As per a notation in the CPT book on page# 467, 'Do not report code 69424 in conjunction with 69205, 69210, 69420, 69421, [U]69433-69676[/U], 69710... [ Read More ]

Modifier 58

Actually, ENTcoderConnecicut, 69801 is now a zero global day procedure. An example when Oto uses 58 is when a staged procedure is performed, eg: a resection of a lipoma (soft tissue tumor) of the che... [ Read More ]

Modifier 58

For ENT best example I can think of, is the 69801-58. Basically it's 3 injections and they are staged over a few weeks. Also we use laterality for the 69801. So either 69801-RT-58 or 69801-LT-... [ Read More ]

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