jaldrich
Networker
I'm not sure what CPT code to use for this dictation (see below). The physician used 69450 but that sounds like it requires cutting and flapping the ear drum. Any suggestions?
Thanks in advance,
Jennifer
S: The patient is seen in follow-up regarding whitish mass on the left eardrum.
Audiometric testing: Normal hearing in both ears at all frequencies. Tympanometry is A-type curve on both sides.
CT of temporal bone: The whitish mass is strictly related to the left eardrum, with no extension into the middle ear space.
Left ear canal was injected with 1% Xylocaine with 1:100,000 epinephrine. The mass was excised from the surface of the drum. It did not extend into the middle ear space. The drum is left intact. Bleeding is controlled with touching of silver nitrate to the bleeding point on the drum.
A&P: Apparent squamous cyst on the left eardrum. This was excised. I will see her in 1 month.
Thanks in advance,
Jennifer
S: The patient is seen in follow-up regarding whitish mass on the left eardrum.
Audiometric testing: Normal hearing in both ears at all frequencies. Tympanometry is A-type curve on both sides.
CT of temporal bone: The whitish mass is strictly related to the left eardrum, with no extension into the middle ear space.
Left ear canal was injected with 1% Xylocaine with 1:100,000 epinephrine. The mass was excised from the surface of the drum. It did not extend into the middle ear space. The drum is left intact. Bleeding is controlled with touching of silver nitrate to the bleeding point on the drum.
A&P: Apparent squamous cyst on the left eardrum. This was excised. I will see her in 1 month.