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Thread: myringotomy, tympanostomy tube

  1. #1
    Join Date
    Apr 2007

    Default myringotomy, tympanostomy tube

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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.
    Jerri, CPC

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