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Tube Removal without Anesthesia

  1. #1
    Default Tube Removal without Anesthesia
    Medical Coding Books
    If tubes are removed without difficulty in the office using the operating microscope, what code does everyone recommend using? In another thread, 69210 was recommended but someone else said that the tubes are not considered "foreign bodies" so wouldn't be appropriate. Should I just code an E/M w/92504 or can someone recommend something better? Thanks

  2. #2
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    Quote Originally Posted by SUEV View Post
    If tubes are removed without difficulty in the office using the operating microscope, what code does everyone recommend using? In another thread, 69210 was recommended but someone else said that the tubes are not considered "foreign bodies" so wouldn't be appropriate. Should I just code an E/M w/92504 or can someone recommend something better? Thanks

    I will get back to you tommorow at the office, I know there is a code.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  3. #3
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    69200 with DX code 385.83 retained PE tube.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  4. #4
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    Thanks so much for the help!

  5. #5
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    Your Welcome
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  6. #6
    Smile
    It is not considered a foreign body because it was placed for a reason. You are correct in billing an E/M and 92504 if it was used to remove the tube.

  7. #7
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    per the CPT crosscoder....for removal of tubes (69424), the diagnosis code 385.83 Retained foreign body middle ear is one of the recommended diagnoses, therefore I disagree with the statements that indicate that the tubes themselves are not foreign bodies.

  8. #8
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    So do I, Technically the tubes are foreign bodies.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

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