AN2114
Guru
I need some advice about how to code a kenalog injection in the ear canal. The only kenalog injection code I have is the 11900 but that is for lesions. The only thing I'm finding online is to use code 69801 but I don't know if that code is actually appropriate with the procedure that was done. The patient previously had a reconstruction of the auditory canal and this procedure was for removing packing from the auditory canal and steroid injection. Is there a cpt code for either the kenalog injection in the ear canal or removal of packing from the ear canal? Below is the op report.
The patient was brought back to the operating room under the care of the anesthesia team. The patient was placed under general anesthesia and intubated. The bed was then turned 180 degrees. The patient was prepped and draped in a normal sterile fashion. The operating microscope was brought in the left ear was evaluated. There were noted to be 4 Schindler packs in the EAC which were grasped with an alligator and removed. There was noted to be an area inferior of healing granulation tissue. The ear canal was then irrigated and noted to be largely patent with the tympanic membrane identified and found to be without abnormality. A small area of granulation tissue was cauterized inferiorly with silver nitrate. The ear canal was then injected with kenalog. The EAC was then filled with dexamethasone ointment and a cotton ball was placed. This completed the procedure. The patient was returned to the care of the anesthesia team. The patient was extubated and sent to PACU in stable condition.
The patient was brought back to the operating room under the care of the anesthesia team. The patient was placed under general anesthesia and intubated. The bed was then turned 180 degrees. The patient was prepped and draped in a normal sterile fashion. The operating microscope was brought in the left ear was evaluated. There were noted to be 4 Schindler packs in the EAC which were grasped with an alligator and removed. There was noted to be an area inferior of healing granulation tissue. The ear canal was then irrigated and noted to be largely patent with the tympanic membrane identified and found to be without abnormality. A small area of granulation tissue was cauterized inferiorly with silver nitrate. The ear canal was then injected with kenalog. The EAC was then filled with dexamethasone ointment and a cotton ball was placed. This completed the procedure. The patient was returned to the care of the anesthesia team. The patient was extubated and sent to PACU in stable condition.