AAPC - Back to school
Results 1 to 4 of 4

Thread: Mass removal?

  1. #1

    Default Mass removal?

    AAPC: Back to School
    I'm not sure what CPT code to use for this dictation (see below). The physician used 69450 but that sounds like it requires cutting and flapping the ear drum. Any suggestions?
    Thanks in advance,

    S: The patient is seen in follow-up regarding whitish mass on the left eardrum.

    Audiometric testing: Normal hearing in both ears at all frequencies. Tympanometry is A-type curve on both sides.

    CT of temporal bone: The whitish mass is strictly related to the left eardrum, with no extension into the middle ear space.

    Left ear canal was injected with 1% Xylocaine with 1:100,000 epinephrine. The mass was excised from the surface of the drum. It did not extend into the middle ear space. The drum is left intact. Bleeding is controlled with touching of silver nitrate to the bleeding point on the drum.

    A&P: Apparent squamous cyst on the left eardrum. This was excised. I will see her in 1 month.

  2. #2
    Join Date
    Apr 2007

    Default Ear Drum

    I'm inclined to use the 69450. The Encoder also suggest this CPT and after reading the descriptions of the 694xx series I think the 69450 is the closest to the procedure performed.

    Hope this help, any other feedback is always welcome!!

  3. #3
    Join Date
    Apr 2007


    I coded a similar procedure to this just last week. Take a look at 69145 since your physician dictates that the lesion did not extend into the middle ear space. The description for 69145 from Custom Coder reads: The physician removes a lesion from the soft tissues of the auditory canal outside of the ear drum. Hope this helps!

  4. #4


    Thank you to both of you for your responses. I'll definitely check out that other code. It's so nice to have these forums available. It makes me feel much less alone out there in the real world!

Similar Threads

  1. Mass Removal Help coding
    By Thumper72 in forum General Surgery
    Replies: 1
    Last Post: 01-05-2012, 05:26 PM
  2. Knee mass removal
    By ammontagano in forum Orthopaedics
    Replies: 1
    Last Post: 06-09-2011, 07:40 AM
  3. NEED HELP!-Hand Mass Removal
    By Snflwr in forum Orthopaedics
    Replies: 2
    Last Post: 03-02-2011, 08:40 AM
  4. Mass removal
    By akabrand in forum General Surgery
    Replies: 1
    Last Post: 12-21-2010, 10:05 AM
  5. Mass removal code
    By linhtran in forum Outpatient Facilities
    Replies: 1
    Last Post: 08-07-2009, 07:45 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.