How To Use CPT Code 69650

CPT 69650 describes a procedure known as stapes mobilization, which is performed to increase mobility and improve hearing in the middle ear. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 69650?

CPT 69650 is a code used to describe the procedure of stapes mobilization. This procedure involves applying pressure to the stapes bone in the middle ear to enhance its mobility and improve the patient’s hearing ability.

2. Official Description

The official description of CPT code 69650 is: ‘The provider applies pressure to the stapes bone of the middle ear to increase mobility and improve hearing.’

3. Procedure

1. The procedure begins with the patient being appropriately prepped and anesthetized.
2. The provider creates an incision in the posterior ear canal through the ear canal opening.
3. Using microscopic visualization, the provider moves the skin flap and posterior eardrum forward.
4. If necessary, a portion of the bony canal may be removed using a curette or drill.
5. The provider identifies and applies pressure to the incus and stapes bones, specifically focusing on the stapes if it is fixated.
6. The canal skin flap and eardrum are repositioned, and the ear canal is packed.

4. Qualifying circumstances

Stapes mobilization is performed on patients who require increased mobility of the stapes bone in the middle ear to improve their hearing. This procedure is typically performed by a qualified healthcare professional who has the necessary expertise and training in otolaryngology. It is important to note that the procedure should only be performed when medically necessary and appropriate for the patient’s condition.

5. When to use CPT code 69650

CPT code 69650 should be used when the provider performs the stapes mobilization procedure to increase mobility and improve hearing in the middle ear. It is important to ensure that the procedure is medically necessary and appropriate for the patient’s condition before using this code.

6. Documentation requirements

To support a claim for CPT 69650, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for stapes mobilization
• Details of the procedure, including the specific steps performed
• Date and duration of the procedure
• Any complications or adverse events that occurred during or after the procedure
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 69650, it is important to ensure that the procedure meets the necessary criteria for reimbursement. The procedure should be performed by a qualified healthcare professional and be medically necessary for the patient’s condition. It is also important to follow any specific billing guidelines provided by the payer or insurance company. Additionally, it is important to review any bundling or unbundling rules that may apply to this procedure.

8. Historical information

CPT 69650 was added to the Current Procedural Terminology system on January 1, 2002. Prior to that, it was included as part of the code for tympanoplasty with mastoidectomy. There have been no updates to the code since its addition.

9. Examples

1. A qualified otolaryngologist performing stapes mobilization to improve hearing in a patient with otosclerosis.
2. A patient with conductive hearing loss undergoing stapes mobilization by an experienced ear, nose, and throat surgeon.
3. A stapes mobilization procedure being performed on a pediatric patient with congenital hearing impairment.
4. A patient with a history of chronic ear infections receiving stapes mobilization to restore hearing function.
5. A stapes mobilization procedure being performed as part of a comprehensive treatment plan for a patient with middle ear dysfunction.
6. An otolaryngologist performing stapes mobilization on a patient with a previous failed stapedectomy.
7. A patient with a traumatic injury to the middle ear undergoing stapes mobilization to improve hearing.
8. A stapes mobilization procedure being performed on a patient with a history of recurrent ear infections and hearing loss.
9. An experienced otolaryngologist performing stapes mobilization on a patient with otitis media and conductive hearing loss.
10. A patient with otosclerosis undergoing stapes mobilization to restore hearing function.