How To Use CPT Code 69424

CPT 69424 describes the removal of a ventilating tube from the ear with the patient under general anesthesia. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 69424?

CPT 69424 can be used to describe the removal of a ventilating tube from the ear when the patient is under general anesthesia. This code is used when the provider pulls out and retracts a previously secured middle ear tube with a grasping device. The procedure is typically performed as an aftercare service following a related surgery.

2. Official Description

The official description of CPT code 69424 is the removal of a ventilating tube from the ear with the patient under general anesthesia. It is important to note that for a bilateral procedure, modifier 50 should be added to the code. Additionally, code 69424 should not be reported in conjunction with codes 69205, 69210, 69420, 69421, 69433-69676, 69710-69745, or 69801-69930.

3. Procedure

1. The patient is prepped and draped in a usual sterile fashion.
2. General anesthesia is induced using an appropriate anesthetic agent.
3. The provider pulls out and retracts a previously secured middle ear tube with a grasping device.
4. The procedure is typically performed as an aftercare service following a previously performed related surgery.

4. Qualifying circumstances

CPT 69424 is performed when there is a need to remove a ventilating tube from the ear under general anesthesia. It is important to note that this code should not be reported with codes 69205, 69210, 69420, 69421, 69433-69676, 69710-69745, or 69801-69930.

5. When to use CPT code 69424

CPT code 69424 should be used when a provider is removing a ventilating tube from the ear with the patient under general anesthesia. It is important to follow the guidelines and not report this code in conjunction with other specified codes.

6. Documentation requirements

To support a claim for CPT 69424, the provider must document the following information:

• Indication for the removal of the ventilating tube
• Details of the procedure, including the use of general anesthesia
• Date and time of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 69424, ensure that the procedure is performed with the patient under general anesthesia. It is important to note that this code should not be reported with other specified codes. Follow the guidelines and modifiers as necessary for bilateral procedures.

8. Historical information

CPT 69424 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition. It is important to stay updated with any changes or revisions to the code in the future.

9. Examples

1. A patient undergoes the removal of a ventilating tube from the ear under general anesthesia as part of their aftercare following a previous surgery.
2. A provider performs the removal of a ventilating tube from the ear under general anesthesia for a patient who no longer requires the tube.
3. During a surgical procedure, a provider removes a ventilating tube from the ear under general anesthesia to address complications or improve the patient’s condition.
4. A patient with a history of middle ear issues undergoes the removal of a ventilating tube from the ear under general anesthesia as part of their ongoing treatment plan.
5. A provider performs the removal of a ventilating tube from the ear under general anesthesia for a patient who has experienced recurrent infections.
6. Following a successful treatment plan, a provider removes a ventilating tube from the ear under general anesthesia to complete the patient’s care.
7. A patient with a ventilating tube in place undergoes the removal procedure under general anesthesia due to the tube no longer being necessary.
8. A provider performs the removal of a ventilating tube from the ear under general anesthesia to address complications or improve the patient’s hearing.
9. A patient with a history of chronic ear infections undergoes the removal of a ventilating tube from the ear under general anesthesia to prevent further complications.
10. During a routine check-up, a provider determines that a patient’s ventilating tube needs to be removed under general anesthesia to ensure proper healing.