tci Part B Insider - 2013 Issue 34

Reader Question: Examine Your Choices for Ear Canal Lesion Debridement

Question: The physician used suction and cup forceps to debride an ear canal lesion (the procedure did not require sutures). He obtained hemostasis with phenylephrine or silver nitrate. The operating microscope was used. What should I code for this procedure? Nebraska Subscriber Answer: There is no procedure code for debridement of the external ear. The only debridement code that is in the area of the external ear involves debridement of a mastoidectomy cavity, which means the patient would need to have had a prior mastoidectomy before a physician could perform a mastoidectomy debridement (69220, Debridement, mastoidectomy cavity, simple [e...

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