Otolaryngology Coding Alert
69310 vs. 69140: Look for Reconstruction
Question: An otolaryngologist performs a canaloplasty with osteoma excision to treat stenosis due to the osteoma. Should I report 69140 or 69310? Answer: Provided documentation supports a canaloplasty, such as drilling the bony canal or attaching skin grafts, you should assign 69310 (Reconstruction of external auditory canal [meatoplasty] [e.g., for stenosis due to injury, infection] [separate procedure]). This code involves reconstructing the external auditory canal.
Virginia Subscriber
If the otolaryngologist did not reconstruct the canal and simply excised the osteoma, you should report 69140 (Excision exostosis[es], external auditory canal). To remove an exostosis, the surgeon normally makes an incision into the external ear canal, removes the osteoma and replaces the skin.
Otolaryngology Coding Alert
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Cyst Excision: 11440 or 40810?
Reviewed on May 12, 2015
Question: Which CPT code should I use for surgical [...] - Act as a Co-Surgery Team to Ensure 62.5% Payment
ENT's portion requires specification, individual documentation When your otolaryngologist works as a co-surgeon on a [...] - Test Your Thyroidectomy Dissection Coding Skills
Functional, selective, radical refer to the same procedure Nine codes and five terms can challenge [...] - Reader Questions:
Report Fungal Sinusitis With Combination of Codes
Question: Is there is a specific diagnosis code for fungal sinusitis?
Tennessee Subscriber Answer: Although looking [...] - Reader Questions:
Check With Payer for AuD Credentialing
Question: The February 2007 Otolaryngology Coding Alert article on billing audiological diagnostic tests states that [...] - Reader Questions:
69310 vs. 69140: Look for Reconstruction
Question: An otolaryngologist performs a canaloplasty with osteoma excision to treat stenosis due to the [...] - Reader Questions:
Before Coding Replacement, Check POS
Question: What code should we use for replacing a Blom-Singer prosthesis?
Wyoming Subscriber
Answer: You may report [...] - Reader Questions:
Make Sure Note Shows Microdissection
Question: When an assistant surgeon does microdissection and the otolaryngologist performs a complete mastoidectomy, should [...] - Reader Questions:
42825 Sometimes Involves Suture
Question: An otolaryngologist performs a tonsillectomy and a primary closure of a tonsillar fossae. Should [...]
