Camille Posted Mon 30th of December, 2019 17:37:34 PM
In the last sentence of this Op Note excerpt from a Tympanoplasty with Mastoidectomy procedure, the surgeon describes decompressing the fascial nerve due to swelling during the surgery. QUESTION: IS DECOMPRESSION OF THE FACIAL NERVE SEPARATELY REPORTABLE AS THE SWELLING IS RESULTING FROM THE PROCEDURE? "The cholesteatoma was dissected specifically off these areas and the tensor tympani tendon was resected. Cholesteatoma was also taken totally off the stapes footplate as the superstructure was eroded it was removed as well after separating the stapedial tendon. The cholesteatoma matrix was taken off the fallopian canal and there is a defect that was noted. As the procedure progressed there is a small amount of swelling occurring at that area so I decompress her from the geniculate ganglion to the second genu using a right angle pick and flaking off the bone of the fallopian canal. " THANK YOU VERY MUCH!
SuperCoder Answered Tue 31st of December, 2019 05:32:53 AM
Thank you for the Question.
QUESTION: IS DECOMPRESSION OF THE FACIAL NERVE SEPARATELY REPORTABLE AS THE SWELLING IS RESULTING FROM THE PROCEDURE?
Yes, as per NCCI edit you can bill Decompression of the facial nerve with Tympanoplasty with Mastoidectomy procedure codes. This procedure is separately billable. Kindly correlate with your documentation.
Hope this Helps!