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Silverstein Wick

  1. Default Silverstein Wick
    Medical Coding Books
    Can you help with the coding of the procedure listed below? The physician is wanting to bill cpt codes 69433, 69440, and 69801.

    Meniere's Disease (386.00X)

    The patient was placed in the supine position and preped and draped for the procedure
    The region of the left tympanic membrane was treated with topical phenol just posterior to the umbo of the malleus over the region of the round window. A myringotomy incision was made in this region of the posterior quadrant. A 1.7 mm 30 degree endoscope Was passed to explore the middle ear space. The round window ,the ossicular chain, and eustachian tube were all found to be within normal limits The Silverstein tube was inserted under the Zeiss operating microscope over the round window niche. The Micro wick was inserted through the tube until resistance was met over the round window. Then, 1cc of the compounded gentimycin solution 10mg/cc(obtained by patient from Berts Pharmacy)was directly injected into the middle ear space and onto the micro wick. Patient was maintained with this ear up for 15 minutes. The patient tolerated the procedure well.

    Thank you.

  2. Default 2nd Request
    Any suggestions?

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