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myringotomy, tympanostomy tube

  1. #1
    Default myringotomy, tympanostomy tube
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    2 year old, physician creates myringotomy in ear, suctions fluid and places a tympanostomy tube in eardrum. Bilateral procedure. Would I assign codes 69436 (50) and 69421 (50). Bilateral procedures, would I also assign (51) to 69421 for multiple procedures? Diagnosis is chronic otitis media with effusion - would I use 381.3. Any help appreciated. AB

  2. #2
    Tuscaloosa, AL
    The CPT would be 69436-50 if performed under general anesthesia or 69433-50 if local or topical anesthesia. 69421 is not reported separately. 381.3 is correct for chronic OM with effusion.

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