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Thread: Tympanostomy w/MAC

  1. #1

    Default Tympanostomy w/MAC

    AAPC: Back to School
    When the anesthetic is listed as MAC for a tympanostomy w/tube, would you bill code 69433 or 69436? Is MAC considered a local or would it be more like general? Thanks,


  2. #2
    Join Date
    Apr 2007



    You would use code 69436 if surgery was performed under MAC. MAC is not a local anesthesia, patients are in a type of "twilight" state for the procedure, and are not fully awake. Therefore you would use the 69436 code.
    Eileen Roland, CPC
    Stow, OH

  3. #3


    That's what I thought but wanted to double check. Thanks-Sue
    Sue Vermette, CPC

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