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Also New To Ent

  1. #1
    Default Also New To Ent
    Medical Coding Books
    I am also new to ENT, what dx would you use for removal of retained ear tubes?


    Thanks

  2. #2
    Default
    You would usually use the same diagnosis as the reason why you put it in
    Rhonda Buckholtz, CPC, CPC-I, CGSC, COBGC, CEPDC, CENTC
    Vice President, ICD-10
    AAPC
    800-626-2633 ext 183
    814-673-7177
    Fax: 814-217-0447
    rhonda.buckholtz@aapc.com

  3. #3
    Location
    Augusta chapter
    Posts
    17
    Default
    69424, but if new tubes are put in after the removal of the old ones it is 69436 which includes the removal..also if it is just a removal and any patches are used, don't forget to code them..Hope this helps

    It really depends on what else the Dr. does.

  4. #4
    Location
    Augusta chapter
    Posts
    17
    Wink Ent
    Will the tubes be removed under general anesthesia or without. Gen'l is coded 69424, but if there is a paper patch, don't forget to also code that or if new tubes are put in then the removal is included. If no anesthesia, you could possibly code as 69210 a foreign body. I really depends on what the Dr. does after the tube removal and why it is being removed. Hope this helps..

    I work ENT

  5. #5
    Default
    A retained tube can never be coded as a foreign body
    Rhonda Buckholtz, CPC, CPC-I, CGSC, COBGC, CEPDC, CENTC
    Vice President, ICD-10
    AAPC
    800-626-2633 ext 183
    814-673-7177
    Fax: 814-217-0447
    rhonda.buckholtz@aapc.com

  6. #6
    Default
    thank you all for your response. I am coding 69424 and 69610 for the patch. I was just having a hard time finding a dx for retained ear tubes.

    thanks

  7. #7
    Location
    Stuart Sailfish Chapter
    Posts
    867
    Default
    385.83 would be the Dx code.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  8. Default dx code V53.09
    385.83 is for foreign body and would not be used in this scenario. For removal of the tubes, I use V53.09 - fitting and adjustment (which includes removal of).
    LaSeille Willard, CPC

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