AAPC - Back to school
Results 1 to 2 of 2

Thread: Coding Adenoidectomy and Tympanostomy Together

  1. #1
    Join Date
    Apr 2007
    Salisbury, MD

    Unhappy Coding Adenoidectomy and Tympanostomy Together

    AAPC: Back to School
    Okay, I need some help. Should their be a modifier attached to the 69436, other than bilateral when these are done at some surgical session?

    42830 (Adenoidectomy)
    69436-50 (bilateral Tympanostomy (requiring insertion of ventilating tube).

    Problem: EncoderPro says need modifier 51 to 69436, but these are 2 different organ systems, so wouldn't 59 be more appropriate.

    Also, if you go to CMS CCI code edits, these 2 are not listed together?

    Help. Claim is being denied when modifier 59 is being added to 69436.

    Please add rationale..Thanks

  2. #2
    Join Date
    Apr 2007


    no modifier is needed, except the 50 for bilateral

Similar Threads

  1. Transnasal Adenoidectomy
    By jflynn in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 12-03-2013, 01:46 PM
  2. Endoscopic Adenoidectomy
    By debra145 in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 11-14-2012, 08:51 AM
  3. Tympanostomy
    By ercoder65 in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 02-14-2011, 04:08 PM
  4. ENT Adenoidectomy/tympanostomy
    By lbusby2 in forum General Surgery
    Replies: 1
    Last Post: 12-04-2009, 03:11 PM

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.