Melissa Posted Thu 22nd of January, 2015 10:09:18 AM
Physician performed the following:
1. Left total superficial parotidectomy with facial nerve disection
2. Dermal fat graft from left abdomen
3. Intraoperative facial nerve monitoring
Can we code as 42450-LT and 20926? Are we missing anything? Thanks
SuperCoder Answered Thu 22nd of January, 2015 23:29:59 PM
Code 42450 is not correct for parotidectomy.
Use code 42420-LT, Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve.
Code 20926 is correct for Dermal fat graft from left abdomen.
Melissa Posted Fri 23rd of January, 2015 15:30:38 PM
SuperCoder Answered Fri 23rd of January, 2015 16:49:04 PM
Melissa Posted Mon 26th of January, 2015 10:03:59 AM
The physician would also like to code the Intraoperative facial nerve monitoring 95940. It looks like this is bundled with 42420. Am I missing something?
SuperCoder Answered Mon 26th of January, 2015 10:38:03 AM
Yes you are correct. 94540 is bundled into 42420. 94540 cannot be billed with this code under any circumstances since it is a column 2 code for 42420.