CPT^® 42962, Under Other Procedures on the Pharynx, Adenoids, and Tonsils

The Current Procedural Terminology (CPT^®) code 42962 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Pharynx, Adenoids, and Tonsils.

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Summary

The provider uses surgical means to control bleeding in the mouth and throat within 24 hours (primary) or up to two weeks (secondary) after surgery such as a tonsillectomy.

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MODIFIERS
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42960 or 42961 or 42962 for cautery of palate

Surgery done in OR under endotracheal anesthesia. Patient taken to OR from ER and Discharged same day from Recovery same day. So, the patient was not admitted but was in the OR with ENT surgeon to ... [ Read More ]

Need CPT for throat surgeries starting with laryngoscopy/bx and I&D with 2 follow up visits on separate days for bleed in pharynx and additional bx

Day One: 42720 for I&D abscess, 31536-51 Microdirect Laryngoscopy If doc uses a scope) along with Later on Day One: 42960/42961 for oropharyngeal hemorrhage. (Add modifier 78) Day Two: 42962-78 Cont... [ Read More ]

Clarification of post tonsillectomy bleed

I have a post op global/modifier issue I would like to add here. Medicare part b will not pay for complications treated in the ED, bedside or in the office. You cannot bill medicare part b patients ... [ Read More ]

Clarification of post tonsillectomy bleed

[QUOTE="wisibyusha, post: 466199, member: 619871"] You said the operative report which indicates the patient is taken to OR for surgical intervention so the appropriate code would be 42962 by appendi... [ Read More ]

Clarification of post tonsillectomy bleed

[QUOTE="fwnewbie, post: 466214, member: 618502"] Got my book out and I don't understand why you would question using 42962. 42961 would only be used if the patient was admitted due to the complicatio... [ Read More ]

Clarification of post tonsillectomy bleed

Got my book out and I don't understand why you would question using 42962. 42961 would only be used if the patient was admitted due to the complications, and a return to OR in is the only option for ... [ Read More ]

Clarification of post tonsillectomy bleed

You said the operative report which indicates the patient is taken to OR for surgical intervention so the appropriate code would be 42962 by appending modifier 78.... [ Read More ]

Clarification of post tonsillectomy bleed 42960 42961 post tonsillectomy bleed tonsillectomy

I just want to make sure I'm using the correct cpt code because I have read a few different things so I am a little confused which code to use. From my understanding code 42960 is for a post tonsillec... [ Read More ]

Inpatient Consults/ICU Care /Postop within global period

I am new to this ENT specialty. Several of our physicians do many surgeries and spend significant time doing follow-up in ICU or other post-op follow-up visits....Typically for complications of surger... [ Read More ]

Post-Tonsillectomy Bleed

I'm sure this question has been posted before, but I can't seem to find any references to it. For CPT codes 42960 and 42962, what is the correct dx code? I've seen codes selected that pertain to the... [ Read More ]

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