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removal of tympanostomy tube and insertion of new tube

Bill Posted Tue 03rd of June, 2014 16:15:32 PM

Can I bill for the removal of tympanostomy tube if this is done during the same session as Bilateral tympanostomy tube insertion? The patient had an old non-functional tube on the right which was removed and then bilateral tubes were inserted. Can I bill "69436-50" and "69424-59-RT" ??

SuperCoder Answered Wed 04th of June, 2014 20:23:42 PM

You should not bill for tube removal (69424) in addition to tube placement (such as 69436, Tympanostomy [requiring insertion of ventilating tube], general anesthesia), according to CPT's parenthetical instruction following 69424. Tympanostomy includes removal of any previously placed tube. The surgeon cannot place a new tube without first removing an existing tube.

Important: Code 69436 is a unilateral code. If the otolaryngologist performs the removal and replacement on both sides, you can report a bilateral procedure with modifier 50 (Bilateral procedure): 69436-50.

Bill Posted Thu 05th of June, 2014 08:24:45 AM

thank you, I missed that parenthetical comment!

SuperCoder Answered Thu 05th of June, 2014 11:08:04 AM

You are welcome always!

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