CPT^® 42806, Under Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils

The Current Procedural Terminology (CPT^®) code 42806 as maintained by American Medical Association, is a medical procedural code under the range - Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils.

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Summary

The provider obtains a biopsy from a patient with an unknown primary lesion of the nasopharynx, the part of the throat behind the nose.

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Excisional removal of nasopharyngeal mass

Cpt 42831 is for removal of the adenoids (in their entirety). So you cannot bill 42831 if the adenoids were not removed. Since this is a full excision of the mass (not just a biopsy sample), you wou... [ Read More ]

Excisional removal of nasopharyngeal mass

My surgeon removed a benign mass from the nasopharynx, method was by adenoid curette. The order was placed for adenoidectomy with nasopharynx bx, and submitted as a 42831, however the adenoids were n... [ Read More ]

Endoscopic Nasopharynx Biopsy

42804 and 42806 are biopsies performed under direct vision and not endoscopically, CPT 31237 is appropriate for a nasopharyngoscopy with biopsy. Jennifer CT ENT... [ Read More ]

Endoscopic Nasopharynx Biopsy

Why not use Code 42804 or 42806 instead?... [ Read More ]

coding help - what code to use

Would need more detail to narrow things (CPTs, ICD-9s), but here is a start for possible CPTs! :) 42800, 42802, 42804, 42806, 42808.... [ Read More ]

Nasopharyngeal mass

Hi, in response to your question regarding endoscopic biopsy of nasopharyngeal mass, use CPT 31237; I would not use CPT 42804 nor 42806, they are indirect visualization and are not performed endoscopi... [ Read More ]

Nasopharyngeal mass

Q. What are the appropriate codes to report when a physician performs a nasal [B][I]endoscopy and obtains multiple biopsies of the nasopharyngeal tissue [/I][/B]in conjunction with a tonsillectomy and... [ Read More ]

nasopharynx help

Help ENT coders!!! Op note reads: nasal endoscopy was performed. The right inferior turbinate was hypertrophic and causing some encroachment on the airway which would hamper biopsy. This was therefo... [ Read More ]

help please - Hello all

Hi Jamie...... Unfortunately, this has to be coded as "Unlisted" (42999).... Your suggestion would not be appropriate because the biopsy was done via the scope. Therefore the approach would be the f... [ Read More ]

help please - Hello all

Hello all, Procedure: Direct nasopharyngoscopy with nasopharyngeal biopsy Would this be unlisted rather 92511/42806? note reads: Using a 0-degree nasal endoscope, endoscopy was performed. The pati... [ Read More ]

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