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The only cpt code that explicitly refers to tube removal is 69424 ventilating tube removal when originally inserted by another physician (emphasis added)

In 69424's definition cpt implies that when the same physician who placed the tubes removes them the tube placement (69433 or 69436) includes the removal. Is there a cpt code for removing ventilating tube without general anesthesia 69424 indicates using general anesthesia Or would you use removal of foreign body 69200? The correct coding initiative (cci) bundles 69424 with 69610 based on the rationale that the physician must remove the tubes prior to repairing the membrane Therefore, tube removal is a standard component of membrane repair

You should report only 69610. Medicare always considers 69424 a component of 69610 and never allows a modifier to override the bundle The correct coding initiative (version 14.1) has a level 0 edit on 69610 and 69424 Cpt guidelines currently allow billing for removal of tubes only if the tubes were inserted by another physician This procedure is coded 69424 (ventilating tube removal when originally inserted by another physician). That distinction was removed from cpt® descriptions years ago

The 69424 code is a unilateral code, so if you are reporting tube removal under general anesthesia for both ears, report 69424 once with modifier 50 appended to show that the otolaryngologist performed removal on both ears.

It was suggested that most coders are adding the 59 modifier on a regular basis and billing these 2 codes together Please help bag4498 sep 5, 2019 create wiki sort by date You would instead report tube removal alone with 69424 (ventilating tube removal requiring general anesthesia) You should not bill for tube removal (69424) in addition to tube placement (such as 69436, tympanostomy [requiring insertion of ventilating tube], general anesthesia), according to cpt's parenthetical instruction following 69424.