AAPC - Back to school
Results 1 to 7 of 7

Thread: Myringotomy

  1. #1
    Join Date
    Apr 2007

    Default Myringotomy

    AAPC: Back to School
    Is This Correct.

    Bilateral Myringostomy With Insertion Of Pe Tubes.


    Daniel, Cpc

  2. #2


    69436-50 should cover both myringotomy and the placement of tubes.

  3. #3
    Join Date
    Apr 2007


    Thanks for the response.

    Two questions.

    I code for a family practice, but were starting to exapand and bring on Specialist. So with that said. My strenghth is in E/M coding. Any tips on building my skills on ENT procedures.Outside of seminar's. Can you give me any direction.

    Also, educate me on this. Why wouldn't you code the myringotomy CPT 69421 with the insertion of the PE tubes which is 69436. The code you suggested.
    Is the CPT 69421 included on the CPT 69436.

    Daniel, CPC

  4. #4
    Join Date
    Apr 2007
    Bradenton, Fl


    Hi Daniel,

    To answer your second question:

    Yes, it is included in 69436.

    Myringotomy is the incision of the tympanic membrane. Tympanostomy tubes are placed in the opening made by the incision.

    Here's a quote out of my coding book....

    Coders may be confused by the terminology when the physician documents a "myringotomy for insertion of ventilating tubes." For coding purposes, this describes a tympanostomy (code 69433-69436).

    I hope this helps you understand!
    Angie Olson, CPC

  5. #5


    What type of specialist is joining the practice?

  6. #6
    Join Date
    Apr 2007

    Default 4 Are Coming On Board.

    Ortho, ENT, Podiatry, Uro.
    These are the specialty.
    Need to strengthen my skills in this area. Primarly dealing with outpatient surgeries. The realury office visits, and minor procedures are not a problem.

  7. #7


    If the surgeries are in an ASC setting, you'll probably want to review the Modifiers Approved for Ambulatory Surgery Center Hospital Outpatient Use in Appendix A of your CPT manual. They differ from physician's modifiers. A good software program might help, too. There are several out there. Orthopaedic Alert is a good monthly journal for keeping up with Ortho coding. Becoming familiar with CCI and AMA edits and familiarizing yourself with your carrier contracts will ensure you apply the correct edits. The American Academy of Orthopaedic Surgeons puts out the Complete Global Service Data for Ortho Surgery which you'll use if a carrier follows their guidelines for ortho surgery. Attending local AAPC chapter meetings and networking can be very helpful, too. Just some ideas off the top of my head.

Similar Threads

  1. Myringotomy
    By jrs3181 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 09-11-2015, 07:40 AM
  2. Myringotomy
    By Verna in forum ENT/Otolaryngology
    Replies: 5
    Last Post: 10-29-2013, 02:33 PM
  3. myringotomy tympanostomy?
    By alysn1drlnd in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 04-23-2013, 11:50 AM
  4. Myringotomy ? Please help
    By bella2 in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 06-19-2009, 12:36 PM
  5. Myringotomy 69420
    By jdd111168 in forum Pediatrics
    Replies: 2
    Last Post: 02-26-2008, 10:06 AM

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.