Don't have a TCI SuperCoder account yet? Become a Member >>

Otolaryngology Coding Alert


69433 vs. 69436: Look at Anesthesia

Question: Does the description of 69436 (Tympanostomy [requiring insertion of ventilating tube], general anesthesia) mean that an anesthesiologist's services are included in the physician's service?

Kansas Subscriber

Answer: No. Code 69436 doesn't include anesthesia services. The anesthesiologist should bill his own code for that according to the time the patient was anesthetized.

The inclusion of -general anesthesia- in 69436's descriptor is meant to differentiate it from tympanostomy not requiring general anesthesia. For office-based tympanostomy using local or topical anesthesia, the appropriate code is 69433 (Tympanostomy [requiring insertion of ventilating tube], local or topical anesthesia). When a physician performs tympanostomy in an operating room using general anesthesia, you instead report 69436.

You might be interested in
CPT® Code 69436 Details
Get specific details about Incision Procedures on the Middle Ear
Other Articles in this issue of

Otolaryngology Coding Alert

View All