Results 1 to 9 of 9

Myringotomy & tubes 69436

  1. Question Myringotomy & tubes 69436
    Exam Training Packages
    Can you billed for the tube supply (L8699) with the Myringotomy & tube procedure (69436) or is it considered bundled with the cpt code? I am
    facility billing.

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    in an ASC setting, we use the L8699 to report tubes.

  3. Default
    thank you.

  4. #4
    Location
    Albany, New York
    Posts
    456
    Default
    I code Amb Surg in a hospital setting
    We do not code L8699 for the tubes in addition to the placement of them.

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Quote Originally Posted by magnolia1 View Post
    I code Amb Surg in a hospital setting
    We do not code L8699 for the tubes in addition to the placement of them.
    Magnolia...why not? Do your contracts not allow for reimbursement?

    I have 1 of my 11 ASC's that has chosen not to bill them because they dont feel the reimbursement is worth it.

  6. #6
    Location
    Albany, New York
    Posts
    456
    Smile
    As for devices, prosthetics, certain drugs, etc., the HCPCS codes are attached to those charges via Chargemaster.

    As for the second part of your question, I can only surmise that reimbursement (or I should say lack there of) is the reason the powers that be have opted not to assign a HCPCS to this charge.

  7. #7
    Default
    The tympanostomy tubes themselves, as a supply, are not separately reportable as they are considered an integral part of the procedure. The reimbursement is included in the practice expense of the non facility RVU for the tympanostomy tubes. Even if performed in the office.

  8. #8
    Default Myringotomy tubes
    2618216km ... You indicated that the tubes were not seperately payable. Where did you find that information. Im getting quite a few in with the L8699. Not sure whether to deny or pay..

  9. #9
    Default PE Tubes
    In the ASC setting, OPPS rules include payment for non-passthru items inclusive to the reimbursement for the primary CPT.

    Also, if they were separately reportable, it would not be with L8699 "Prosthetic implant, not otherwise specified". The PE tubes do not serve any kind of prosthetic function. Separate reporting could only be limited to HCPCS A4649 "Surgical supply, miscellaneous".

Similar Threads

  1. unilateral myringotomy/bilateral tubes
    By GRANNAN in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 06-27-2012, 03:47 PM
  2. 69424 & 69436-50
    By Rip in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 06-23-2012, 02:37 AM
  3. 69436 & 92502
    By misbell in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 08-24-2011, 11:55 AM
  4. How do you report myringotomy tubes in place?
    By Gingerdan in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 05-07-2010, 02:17 PM
  5. 69436-50 or 69436 lt & 69436 rt
    By codedog in forum Outpatient Facilities
    Replies: 3
    Last Post: 12-22-2009, 08:02 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?

Login

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.