How To Use CPT Code 69700

CPT 69700 describes the closure of a postauricular fistula of the mastoid through a separate procedure. 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 69700?

CPT 69700 is used to describe the closure of a postauricular fistula of the mastoid through a separate procedure. This involves removing the skin plug that contains the fistula and suturing the incision site. The procedure is performed by a healthcare provider after appropriate preparation and anesthesia of the patient.

2. Official Description

The official description of CPT code 69700 is: ‘Closure postauricular fistula, mastoid (separate procedure).’ This code represents the surgical closure of a postauricular fistula located in the mastoid region.

3. Procedure

1. The healthcare provider begins by making a postauricular incision over the fistula, which is an abnormal connection between two organs, vessels, or other structures.
2. They carefully remove the fistula tract, ensuring complete excision.
3. The incision site is then repaired using sutures to close the wound.

4. Qualifying circumstances

CPT 69700 is performed when a patient presents with a postauricular fistula of the mastoid that requires closure. This condition involves an abnormal connection in the mastoid region behind the ear. The procedure is typically performed by a healthcare provider who has determined that surgical closure is necessary.

5. When to use CPT code 69700

CPT code 69700 should be used when a healthcare provider performs a separate procedure to close a postauricular fistula of the mastoid. It is important to note that this code is specific to the closure of the fistula and should not be used for other procedures or conditions.

6. Documentation requirements

To support a claim for CPT 69700, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for closure of the postauricular fistula
• Details of the procedure, including the incision site and closure technique
• Date of the procedure
• Any additional relevant information, such as complications or follow-up plans
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 69700, ensure that the procedure meets the criteria for a separate procedure to close a postauricular fistula of the mastoid. It is important to follow the specific guidelines provided by the payer and accurately report the procedure code on the claim form. Additionally, consider any applicable modifiers or additional codes that may be required for proper billing.

8. Historical information

CPT 69700 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs a separate procedure to close a postauricular fistula of the mastoid in a patient with recurrent infections.
2. A patient presents with a postauricular fistula of the mastoid, and a healthcare provider performs a surgical closure to prevent further complications.
3. After appropriate evaluation, a healthcare provider determines that a patient’s postauricular fistula of the mastoid requires closure through a separate procedure.
4. A healthcare provider performs a surgical closure of a postauricular fistula of the mastoid in a patient with persistent drainage.
5. Following a thorough examination, a healthcare provider decides to perform a separate procedure to close a postauricular fistula of the mastoid in a patient with hearing loss.
6. A patient with a postauricular fistula of the mastoid undergoes a surgical closure procedure performed by a healthcare provider to improve their overall ear health.
7. A healthcare provider performs a separate procedure to close a postauricular fistula of the mastoid in a patient with recurrent pain and discomfort.
8. After careful evaluation, a healthcare provider determines that a patient’s postauricular fistula of the mastoid requires surgical closure to prevent further complications.
9. A patient presents with a postauricular fistula of the mastoid, and a healthcare provider performs a separate procedure to close the abnormal connection.
10. A healthcare provider performs a surgical closure of a postauricular fistula of the mastoid in a patient with persistent infections.