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Thread: 69200 and Fungal removal

  1. #1
    Join Date
    Apr 2007
    Location
    San Antonio
    Posts
    15

    Default 69200 and Fungal removal

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    Our office is having a heated discussion as to whether a fungal infection, removed via suction, is considered under CPT 69200 or included as an E/M. I feed it is included as an E/M but the physicians argue that the fungus is not a normal circumstance in the ear and wants a more definite answer. Any info from anyone would be greatly appreciated.

  2. #2

    Default

    Suction is an accepted removal method for 69200. If this is what your physicians are removing (see video), I would agree with them.

    Caution: the video is graphic

    http://www.youtube.com/watch?v=NPprTcXQjSw&NR=1

  3. #3
    Join Date
    Apr 2007
    Location
    San Antonio
    Posts
    15

    Default

    Thank you. But, the question is not whether to use 69200 it is rather does "fungal" classify as a foreign body???? I appreciate your response.

  4. #4

    Default

    It could be argued that the airborne pathogens, fungal spores, are foreign bodies like dust and dirt. They are not what we typically think of when we code a foreign body of the ear.

    Keep us posted on what you decide.

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