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Ear tube removal with ear patch

Melissa Posted Fri 24th of October, 2014 10:46:09 AM

Hello, New to Otolaryngotomy, need help....our physician would like to bill these procedures together. The encoder shows they are bundled. Does anyone have any current information that allows 69424 and 69610 together? Thanks

SuperCoder Answered Fri 24th of October, 2014 10:57:15 AM

You should only code the 69610. You may not report tube removal 69424 (Ventilating tube removal requiring general anesthesia) -- whether unilateral or bilateral -- with bilateral tympanic membrane repair. The Correct Coding Initiative (CCI) bundles 69424 with 69610. The rationale is that the physician must remove the tubes prior to repairing the membrane. Therefore, tube removal is a standard component of membrane repair.

Hope this helps.

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