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Tonsillectomy

  1. #1
    Default Tonsillectomy
    Medical Coding Books
    Do you code tonsillectomies bilaterally ?

  2. #2
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    Stuart Sailfish Chapter
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    Default
    No. The tonsillectomy codes, and adenoidectomy codes for that matter, assume both side surgery. Therefore, it is not appropriate to append modifier 50 to any of the tonsillectomy or adenoidectomy codes (ie, 42820-42836).

    append modifier 52 (reduced services) to the appropriate CPT code when performed unilaterally (eg, unilateral tonsillectomy for suspected cancer).
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA
    772-342-6976
    cfenildo@entsf.com


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