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Need a procedure code

  1. #1
    Default Need a procedure code
    Medical Coding Books
    I need help in coding a procedure out physicians do in the office. How would you code procedure where the physician injects Decadron into the middle ear? They do this to help with dizziness.

    We were once told that we would bill a myringotomy (69420) with Decadron (J1100). Is this correct? It just does not seem right to me.

    Thanks
    Anita Hudson, CPC
    Scott and White Bryan/College Station
    ajhudson@sw.org

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    hmmm...something seems funny - I've never ever heard of an injection "into the ear" ...
    I know decadron helps with dizziness.. and I know shots of it are given, but I've never heard of the shot being given in the ear!!!

    I think there is a misunderstanding of the documentation, and I believe that it should be questioned with the provider! I believe the shot was given, for dizziness (due to middle ear issues)... but I think it was given elsewhere...not in the ear!

    It would be interesting to see the documentation for the service provided. Seems to me a 69420/21 is the removal of fluid - not the injection of it... and, it's typically done under local or general anesthetic.

    I'm at a loss...shrugs, sorry not much help
    Donna, CPC, CPC-H

  3. #3
    Location
    Tuscaloosa, AL
    Posts
    92
    Default
    Did your physician make an incision and then "drop" the decadron into the inner ear? You may need to code 69801. This has a 90 day global period so subsequent treatments during this time period are included with the initial procedure.

    Jerri

  4. Default
    This sounds like a microwick with infusion of Decadron. This is billed 69801 with a 90 day global. Depending on the carrier, you would also code for the tube 69436 and the injection.

  5. Default
    if it was just an injection and not an insicion or "dropped" into the ear, how would you code it?

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