AAPC - Back to school
Results 1 to 3 of 3

Thread: Coding challenge - Help

  1. #1

    Default Coding challenge - Help

    AAPC: Back to School
    Hi! I work for an ENT specialist center and from time to time I come across a coding challenge that I'm still not satisfied with the end results. If you were the coder how would you code the following surgical procedures that took place on the right side only?

    80% auriculectomy
    radical neck dissection
    parotidectomy w/ sacrifice of the facial nerve
    pectoral skin fasical flap to the temporal bone
    partial mandibulectomy
    ligation of the external branches of the carotid artery
    resection of all of the cartilaginous bony car canal
    complex facial closure 9 x 9 cm.

    And help will be greatly appreciated.

  2. #2


    I am usually pretty good at this, but considering I am going in blind w/o an operative report, here it goes:

    CPT 69155 - Radical excision external auditory canal lesion with neck dissection; this code encompasses the resection of ear canal, neck dissection, parotidectomy w/facial nerve sacrifice as well as the partial mandibulectomy.

    CPT 69120 - Excision external ear; complete amputation; you mentioned 80% but really, what is left????

    CPT 37600 - Ligation; external carotid artery.

    CPT 15732 - Muscle, myocutaneous, or fasciocutaneous flap; head and neck.

    Was any temporal bone was taken? and I would not charge for the complex closure as that is inherent to the flap.

    CT ENT

  3. #3


    Thanks so much for your response! The CPT 69155 was the code I wanted cleared up in my mind and you did a fine job in clarifying this code. I had used several resources to research this code but received conflicting information which encouraged me to turn to the AAPC forum for further guidance. Concerning the removable of the outer ear, only the superior aspect of the ear was left so the patient could continue to wear glasses. Normally the temporal bone is removed but during this particular surgical case it was not. Again, thank you for your help.

Similar Threads

  1. emails from coding challenge
    By cchaffin@umc.edu in forum AAPC Coding Challenge
    Replies: 1
    Last Post: 04-01-2015, 01:07 PM
  2. Coding challenge :)
    By hthompson in forum E/M
    Replies: 1
    Last Post: 06-10-2011, 09:26 PM
  3. Coding Challenge - Help Needed
    By raelewlov in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-12-2007, 09:18 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.