Assign the appropriate CPT codes and modifiers. 2. PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media POSTOPERATIVE DIAGNOSES:...

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Assign the appropriate CPT codes and modifiers. 2. PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media POSTOPERATIVE DIAGNOSES:...

Assign the appropriate CPT codes and modifiers.

2.

PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media

POSTOPERATIVE DIAGNOSES: Bilateral chronic otitis media

ANESTHESIA: General mask

NAME OF OPERATION: Bilateral Myringotomy with placement of PE tubes

PROCEDURE: The patient was taken to the operating room and placed in the supine position. After adequate general inhalation anesthesia was obtained, the operating microscope with brought in for full use throughout the case. First, the left and then the right tympanic membrane, was approached. An anterior-inferior radial incision was made in the left tympanic membrane. Suction revealed a substantial amount of mucopurulent drainage. A Sheehy pressure equalization tube was placed in the myringotomy site. Floxin drops were added. The same procedure was repeated on the right side with similar findings noted of mucopurulent drainage. The patient tolerated the procedure well and returned to the recovery room awake and in stable condition.

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Answer 1

Answer #1

Since the surgeon made an incisionn into the tympanic membrane and places PE tubes bilaterally .

it would be better to report the Procedure in CPT terms as tympanostomy.Hence CPT code will be 69436 and modifier 50.

69436-50

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Answer 2

Assign the appropriate CPT codes and modifiers. 2. PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media POSTOPERATIVE DIAGNOSES:...

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Assign the appropriate CPT codes and modifiers. 2. PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media POSTOPERATIVE DIAGNOSES:...

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