AAPC - Back to school
Results 1 to 5 of 5

Thread: Need a procedure code

  1. #1

    Default Need a procedure code

    AAPC: Back to School
    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.

    Anita Hudson, CPC
    Scott and White Bryan/College Station

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    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
    Join Date
    Apr 2007
    Tuscaloosa, AL


    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.


  4. #4


    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. #5


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

Similar Threads

  1. denial ER claim billing an EM code and procedure code
    By kmg745511 in forum Emergency Department
    Replies: 2
    Last Post: 11-09-2014, 08:55 AM
  2. Unlisted code vs Open Procedure Code
    By christinnagle in forum Orthopaedics
    Replies: 1
    Last Post: 03-30-2011, 12:06 PM
  3. Need help with a procedure code
    By sharon cpc in forum OB/GYN
    Replies: 2
    Last Post: 02-18-2011, 10:31 AM
  4. Need help w/procedure code
    By mrolf in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-02-2010, 05:32 PM
  5. Help with procedure code
    By CC5657 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-02-2008, 10:59 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.