AAPC - Back to school
Results 1 to 2 of 2

Thread: Silverstein Wick

  1. #1

    Default Silverstein Wick

    AAPC: Back to School
    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. #2

    Default 2nd Request

    Any suggestions?

Similar Threads

  1. Procedure code to replace wick in wound?
    By elljay68 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-23-2012, 11:50 AM
  2. Ear wick supply
    By tkeeton7885 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 08-14-2009, 10:54 AM
  3. Ear wick insertion
    By dsmith06351 in forum Pediatrics
    Replies: 1
    Last Post: 07-16-2008, 10:47 AM
  4. Ear wick
    By jccoder in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-15-2007, 06:50 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.