What is the CPT code for temporalis fascia graft?
Code 69631 To repair the tympanic membrane perforation, a graft is harvested either from the temporalis fascia or other tissue. Occasionally a graft is used from material other than fascia. The graft harvest through a separate incision and placement is additionally reportable.
What is temporalis fascia graft?
Temporalis fascia, placed as an underlay graft, is commonly used to repair tympanic membrane perforations. The size of 20 temporalis fascia grafts was measured when fresh, after flattening and allowing them to dry, and finally after rehydrating the grafts with 0.9 per cent saline solution.
Does 69631 include graft?
The March 2007 CPT Assistant indicated that code 69631 includes the work of harvesting the graft material. Therefore, code 69631 should be reported regardless of whether the graft was harvested through the same incision or a separate incision.
What is a fascial graft?
fascia graft a graft of fibrous tissue, usually taken from the external investing fascia of the lower limb (fascia lata). fascicular graft a nerve graft in which bundles of nerve fibers are approximated and sutured separately.
What replaced CPT code 20926?
For 2020, code 20926 will be deleted and replaced with five new codes (15769–15774) in the Integumentary System, Other Flaps and Grafts subsection.
When was CPT 20926 deleted?
2020
In 2020, CPT code 20926 is deleted, and you have to search for the replacement codes to the integumentary system section. The new cpt codes are based on the site or location for grafting procedures.
What is the difference between Myringoplasty and tympanoplasty?
Myringoplasty refers to grafting of the tympanic membrane without inspection of the ossicular chain. Tympanoplasty entails grafting of the tym- panic membrane with inspection of ossicu- lar chain with/without reconstruction of the middle ear hearing mechanism.
Where is the temporalis fascia?
The temporoparietal fascia (TPF) lies under the skin and subcutaneous tissue over the temporal fossa. It is also known as the superficial temporal fascia. It is continuous with the superficial musculoaponeurotic system that is inferior to the zygomatic arch.
When can you swim after tympanoplasty?
After three to four months, water can be allowed to enter the ear and the patient can even return to swimming. No Nose Blowing, Swimming, Change in Altitude or Airplane Flights until cleared by your doctor to prevent pressure from disrupting the healing of the tissue graft.
How do you code bilateral cerumen removal?
For bilateral impacted cerumen removal, report code 69210 with modifier 50, Bilateral Procedure, appended.
What is fascia lata?
The fascia lata (FL) is a fascial plane that surrounds the deep tissues of the thigh. It varies in thickness throughout its course from the hip to the leg. It receives fibers from gluteus maximus and tensor fascia lata (TFL) laterally.
What CPT code replaced 19304?
Code 19304 for subcutaneous mastectomy has been deleted. To report breast reduction or tissue removal for gynecomastia, see 19300, mastectomy for gynecomastia. For breast tissue removal for breast-size reduction for other than gynecomastia, use 19318, reduction mammoplasty.
Is the tympanoplasty with temporalis fascia graft correct?
The doctor harvested a supra auricular temporalis fascia graft and set aside. Later in the procedure he placed the graft trans-canal (tympanoplasty). I came up with 69631 and 15769. Is it correct to bill the harvesting of the graft with this procedure?
Do you need a CPT code for tympanoplasty?
Coding Tip: Tympanoplasty procedures may require the use of a graft in order to repair the tympanic membrane. The harvesting of the graft does not warrant a separate CPT code if the graft was obtained through the same incision used for access to the tympanic membrane or middle ear. Otherwise, a graft harvest code may be reported. Code 69633
Is it appropriate to report a separate code for a tympanic graft?
Therefore, it would not be appropriate to report a separate code for the fascial graft. The August 2008 CPT Assistant discussed the repair of a tympanic membrane perforation, wherein a graft is harvested from either the temporalis fascia or other locations (ie, vein, periosteum, or conchal cartilage perichondrium).
Where is the Trans canal of a tympanoplasty?
Here is the op report: Attention was then turned to behind the ear were a 15 blade… The doctor harvested a supra auricular temporalis fascia graft and set aside. Later in the procedure he placed the graft trans-canal (tympanoplasty). I came up with 69631 and 15769.
