tci E/M Coding Alert - 2023 Issue Q1

Reader Questions: Look for ‘Postoperative Period’ as a Key Phrase

Question: A patient returns to our office for debridement two weeks after undergoing tympanoplasty with mastoidectomy (69641). Can I bill CPT® code 69220 for the postoperative cleaning following the tympanic membrane reconstruction? Washington Subscriber Answer: First, ask yourself if the two procedures are related. In this case, the post-op debridement is related to the initial procedure, so your next move is to look at the specific code’s global period to determine whether 69220 (Debridement, mastoidectomy cavity, simple (eg, routine cleaning)) is billable. You will find that 69641 (Tympanoplasty with mastoidectomy … without ossicular chain reconstruction) has a...

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