READER QUESTIONS:
Report +69990 1x for Microsurgery
Published on Fri Jan 08, 2010
Question: When my ENT uses a microscope during a procedure, what guidelines can I use for choosing between 92504 and +69990? Is there a rule governing how many times you can report the add-on code 69990? Nevada Subscriber Answer: You can use 92504 (Binocular microscopy [separate diagnostic procedure]) when your ENT is just looking through the microscope to assist in a procedure, usually in the office. However, +69990 (Microsurgical techniques, requiring use of operating microscope [List separately in addition to code for primary procedure]) is only for microdissection and involves a large operating microscope usually found hanging from the ceiling in the operating room. So, if the operating microscope is being used to place a tube in a myringotomy incision, your ENT doesn't meet the definition for +69990. To claim +69990, the procedure note must demonstrate that your ENT performed microsurgery and did more than just look through the microscope [...]
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