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'Does anyone know how to bill bilateral tympanotomy with Jahn tube inserttion'?

Marla Posted Fri 30th of November, 2012 14:55:37 PM

'A Jahn tube is not a standard pressure equilization tube. It involves creating a notch in the posterior inferior canal wall after a tympanomeatal flap was elevated'.

SuperCoder Answered Tue 04th of December, 2012 21:16:27 PM

I will still code it to 69433/69436.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.

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