tympanoplasty

  1. A

    Wiki 69643 vs 69645

    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 one to use? Here is the op report: Attention was then turned to behind the ear were a 15 blade...
    • AN2114
    • Thread
    • 69643 69645 canal wall down complete mastoidectomy meatoplasty radical tympanoplasty
    • Replies: 1
    • Forum: ENT/Otolaryngology
  2. L

    Wiki Tympanoplasty with temporalis fascia graft

    The doctor harvested a supra auricular temporalis fascia graft and set aside. Later in the procedure he placed the graft trans-canal (tympanoplasty). I came up with 69631 and 15769. Is it correct to bill the harvesting of the graft with this procedure?
  3. A

    Wiki Ossicular chain reconstruction

    I wanted to get an opinion on this op report. I know there is no code for ossicular chain reconstruction or excision of canal cholesteatoma and the closest code would be 69632. The doctor did not repair the tympanic membrane but because of the reconstruction and removal of cholesteatoma, can I...
    • AN2114
    • Thread
    • 69632 cholesteatoma ear modifier 52 ossicular chain reconstruction tympanoplasty
    • Replies: 6
    • Forum: ENT/Otolaryngology
  4. A

    Wiki Myringoplasty and tympanoplasty

    I have an op report and the procedure that was done is an "excision of right tympanic membrane and middle ear cholesteatoma with right gelfoam myringoplasty and then left gelfoam myringoplasty/repair of tympanic membrane perforation." From what I've researched, it looks like the code for the...
  5. J

    Wiki 69641 vs 69643

    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 included in 69641? OPERATIVE PROCEDURE: Canal wall up right tympanomastoidectomy. The patient was...
  6. L

    Wiki Grafts and tympanoplasty

    I am confused on the graft codes during tympanoplasty. I know the graft is included in the code but what if the surgeon takes 2 grafts? He used a temporalis fascia graft and a tragal cartilage graft. Are both included in the tympanoplasty code or can I code for one of them? Would appreciate...
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