Wiki myringotomy, tympanostomy tube

[annettebec]

2 year old, physician creates myringotomy in ear, suctions fluid and places a tympanostomy tube in eardrum. Bilateral procedure. Would I assign codes 69436 (50) and 69421 (50). Bilateral procedures, would I also assign (51) to 69421 for multiple procedures? Diagnosis is chronic otitis media with effusion - would I use 381.3. Any help appreciated. AB

 

[jthweatt]

The CPT would be 69436-50 if performed under general anesthesia or 69433-50 if local or topical anesthesia. 69421 is not reported separately. 381.3 is correct for chronic OM with effusion.