Question Clarification on 69145

[Monsheri]

I have been coding ENT for a while - and my understand of of anatomy of the outer ear is that it is made up of skin and cartilage, and 69145 is a specified code for the ear canal itself when removing soft tissue lesion due to the added complexity of having to remove it from the ear canal and not the outer ear (pinna) (microscope normally used). By definition skin and cartilage are both soft tissues.
What would you code for the above op note? 69145 or 11440?

 

[nsteinhauser]

I would code 69145 - LT. It's from the ear canal and a soft tissue lesion.
Hope this helps.

 

[freespririt0806]

i agree with

nsteinhauser​