CH. 16: Coding Practice: Auditory System
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1. Impacted cerumen was removed 69210-50
from the left and right ears, using
lavage and suction instrumentation. For code 69210-50, go to CPT index main term Ceru-
After removal, the ear canals were men, subterm Removal, and qualifier with Instrumen-
inspected. No evidence of infection tation. Verify the code in the Removal subcategory
was seen. of the External Ear category in the Auditory System
subsection of the Surgery section. Add modifier -50
(Bilateral Procedure) to the code.
2. Decompression of the left internal 69960-LT
auditory canal was performed for
hearing maintenance in a neurofi- For code 69960-LT, go to CPT index main term Decom-
bromatosis patient. No postopera- pression and subterm Auditory Canal, Internal. Review
tive complications were document- codes in the Temporal Bone, Middle Fossa Approach
ed, and radiological and audiologi- category of the Auditory System subsection in the
cal follow-up will be scheduled. Surgery section, and select the appropriate code. The
procedure statement documents "decompression of
the left internal auditory canal," which provides guid-
ance for code assignment. Add modifier -LT (Left side)
to the code.
3. The patient reported a buzzing 69200-LT
sound from her left ear. Direct ex-
amination identified an insect-like For code 69200-LT, go to CPT index main term Re-
foreign object in the canal. Using a moval, subterm Foreign Body, qualifier Auditory Canal,
cerumen spoon, the object was re- External. Verify the code in the Removal subcategory
moved. of the External Ear category in the Auditory System
subsection of the Surgery section. Add modifier -LT
(Left side) to the code.
4. Using the punch biopsy method, a 69105-RT
specimen was taken from the right
external auditory canal. For code 69105-RT, go to CPT index main term Biopsy
1/4
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1. Impacted cerumen was removed 69210-50
from the left and right ears, using
lavage and suction instrumentation. For code 69210-50, go to CPT index main term Ceru-
After removal, the ear canals were men, subterm Removal, and qualifier with Instrumen-
inspected. No evidence of infection tation. Verify the code in the Removal subcategory
was seen. of the External Ear category in the Auditory System
subsection of the Surgery section. Add modifier -50
(Bilateral Procedure) to the code.
2. Decompression of the left internal 69960-LT
auditory canal was performed for
hearing maintenance in a neurofi- For code 69960-LT, go to CPT index main term Decom-
bromatosis patient. No postopera- pression and subterm Auditory Canal, Internal. Review
tive complications were document- codes in the Temporal Bone, Middle Fossa Approach
ed, and radiological and audiologi- category of the Auditory System subsection in the
cal follow-up will be scheduled. Surgery section, and select the appropriate code. The
procedure statement documents "decompression of
the left internal auditory canal," which provides guid-
ance for code assignment. Add modifier -LT (Left side)
to the code.
3. The patient reported a buzzing 69200-LT
sound from her left ear. Direct ex-
amination identified an insect-like For code 69200-LT, go to CPT index main term Re-
foreign object in the canal. Using a moval, subterm Foreign Body, qualifier Auditory Canal,
cerumen spoon, the object was re- External. Verify the code in the Removal subcategory
moved. of the External Ear category in the Auditory System
subsection of the Surgery section. Add modifier -LT
(Left side) to the code.
4. Using the punch biopsy method, a 69105-RT
specimen was taken from the right
external auditory canal. For code 69105-RT, go to CPT index main term Biopsy
1/4
