I have a patient that is having bilateral ear tubes-to prevent any problems with hyperbaric oxygen therapy. The patient does not have any otorrhea, vertigo, subjective hearing loss, or tinnitus. No recent URI.

I was thinking of Z40.8 but I am not sure.

The patient has Medicare Jurisdiction L and there is not an LCD policy for CPT 69436 with modifier 50.

I would appreciate any help that you can provide.

Cammy Waterhouse, CPC