How To Use CPT Code 0583T

CPT 0583T describes a specific procedure involving tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0583T?

CPT 0583T is a code that represents a procedure known as tympanostomy. This procedure involves the insertion of a ventilation tube into the tympanic membrane (eardrum) using an automated tube delivery system. Additionally, iontophoresis local anesthesia is applied to provide anesthesia during the procedure.

2. Official Description

The official description of CPT code 0583T is the following: ‘Tympanostomy (requiring insertion of ventilating tube), using an automated tube delivery system, iontophoresis local anesthesia.’

3. Procedure

1. The procedure begins with the provider examining the patient’s ears using a standard otoscope.
2. After the examination, the provider places a headset equipped with single-use earplugs on the patient’s head.
3. Electrodes within the earplugs deliver iontophoresis local anesthesia to the tympanic membrane, achieved by the application of constant low-voltage direct electrical current.
4. After approximately 10 minutes, the earplugs are removed.
5. The automated tube delivery system is then used to make an incision in the tympanic membrane and insert a pre-loaded ventilation tube in a single automated motion.
6. The provider ensures the proper placement of the ventilation tube before sending the patient home.

4. Qualifying circumstances

CPT code 0583T should be used for patients requiring tympanostomy with the insertion of a ventilation tube. This procedure is performed to relieve pressure or drain pus from an infection in the middle ear. It is important to note that CPT code 0583T should not be reported in conjunction with other specific codes, such as 69209, 69210, 69420, 69421, 69433, 69436, 69990, 92504, or 97033.

5. When to use CPT code 0583T

CPT code 0583T should be used when performing tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia. It is important to review the specific guidelines and notes associated with this code to ensure accurate reporting.

6. Documentation requirements

To support a claim for CPT code 0583T, the following documentation should be included:

• Patient’s medical record indicating the need for tympanostomy with the insertion of a ventilation tube
• Details of the specific automated tube delivery system used
• Date and time of the procedure
• Documentation of the use of iontophoresis local anesthesia
• Confirmation of proper placement of the ventilation tube

7. Billing guidelines

When billing for CPT code 0583T, ensure that the procedure meets the specific requirements outlined in the code description. It is important to avoid reporting this code in conjunction with other specified codes. Additionally, if the procedure is performed on both ears, the modifier 50 should be added to indicate a bilateral procedure.

8. Historical information

CPT code 0583T was added to the Current Procedural Terminology system on January 1, 2020. As of now, there have been no updates or changes to this code since its addition.

9. Examples

1. A provider performs tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia for a patient with chronic middle ear infections.
2. During the procedure, the provider inserts a ventilation tube into the tympanic membrane of a child with recurrent ear infections, using an automated tube delivery system and iontophoresis local anesthesia.
3. A patient with persistent fluid buildup in the middle ear undergoes tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia.
4. For a patient with eustachian tube dysfunction, the provider performs tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia.
5. A provider performs tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia for a patient with chronic otitis media.
6. During the procedure, the provider inserts a ventilation tube into the tympanic membrane of a child with recurrent ear infections, using an automated tube delivery system and iontophoresis local anesthesia.
7. A patient with persistent fluid buildup in the middle ear undergoes tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia.
8. For a patient with eustachian tube dysfunction, the provider performs tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia.
9. A provider performs tympanostomy with the insertion of a ventilation tube using an automated tube delivery system and iontophoresis local anesthesia for a patient with chronic otitis media.
10. During the procedure, the provider inserts a ventilation tube into the tympanic membrane of a child with recurrent ear infections, using an automated tube delivery system and iontophoresis local anesthesia.