Medical Coding

Category - Medicine

A 58-year-old patient with decreased hearing decided to undergo bilateral cochlear device implantation in order to restore the gradual decline of his hearing, and prevent total deafness. Due to the position of the device and the size of the patient’s mastoid bone that was partially occluding the patient’s inner ear, the physician performed a modified mastoidectomy. A mastoidectomy was necessary for the completion of the cochlear device implantation procedure. The physician used an operating microscope throughout the cochlear implantation. How would you code for the procedure?
  1. 69930, 69505, 69990
  2. 69930, 69501, 69900
  3. 69930
  4. 69930-50, 69900
Explanation
Answer: D - You would code this procedure with 69930-50 (Bilateral Cochlea Device Implantation, With or Without Mastoidectomy).You would use this code because it refers to the cochlear device implantation procedure and it includes the mastoidectomy. The two procedures do not need to be reported separately. Code 69900 also needs to be included on the report to indicate that the physician used an operating microscope to aid in the procedure.
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