Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM A B C D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 ICD10 TM mean 2549 percentile 90-2549 procedure PROCEDURES OF THE EAR, NOSE AND SINUSES EXTERNAL EAR Includes: external auditory canal skin and cartilage of auricle and meatus Diagnostic procedure 178-00-00 Otoscopy 300 500 178-04-00 Biopsy of external ear 1,000 2,100 178-04-01 Biopsy of lesion of pinna 1,000 2,000 178-04-02 Biopsy of external auditory canal lesion or tissue 1,000 3,300 178-04-98 Other diagnostic procedures on external ear 178-04-99 Unspecified diagnostic procedures on external ear Non-operative procedures 178-11-00 Removal of packing of external auditory canal 500 1,000 178-11-01 Removal of cerumen from ear 500 1,000 178-11-02 Removal of intraluminal foreign body from ear 1,000 1,500 178-11-03 Removal of intraluminal foreign body from ear under general anesthesia 1,500 2,000 178-11-04 Removal of keratosis obturan 1,500 2,000 178-12-00 Replacement of external auditory canal packing 500 1,000 178-17-00 Packing of external auditory canal 500 1,000 Incision 178-21-00 Piercing of ear lobe 1,000 1,500 Piercing of pinna ICD-10-TM Procedural Coding System 1 not confidence
46
Embed
PROCEDURES OF THE EAR, NOSE AND SINUSES nos sinuses.pdf · Other diagnostic procedures on external ear 178-04-99 Unspecified diagnostic procedures on external ear Non-operative procedures
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
A B C D
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
ICD10 TM mean 2549 percentile 90-2549
procedure
PROCEDURES OF THE EAR, NOSE AND SINUSES
EXTERNAL EAR
Includes: external auditory canal
skin and cartilage of auricle and meatus
Diagnostic procedure
178-00-00 Otoscopy 300 500
178-04-00 Biopsy of external ear 1,000 2,100
178-04-01 Biopsy of lesion of pinna 1,000 2,000
178-04-02 Biopsy of external auditory canal lesion or tissue 1,000 3,300
178-04-98 Other diagnostic procedures on external ear
178-04-99 Unspecified diagnostic procedures on external ear
Non-operative procedures
178-11-00 Removal of packing of external auditory canal 500 1,000
178-11-01 Removal of cerumen from ear 500 1,000
178-11-02 Removal of intraluminal foreign body from ear 1,000 1,500
178-11-03
Removal of intraluminal foreign body from ear under
general anesthesia 1,500 2,000
178-11-04 Removal of keratosis obturan 1,500 2,000
178-12-00 Replacement of external auditory canal packing 500 1,000
178-17-00 Packing of external auditory canal 500 1,000
Incision
178-21-00 Piercing of ear lobe 1,000 1,500
Piercing of pinna
ICD-10-TM Procedural Coding System 1
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
30
A B C D
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
178-21-01 Incision of external auditory canal 1,000 1,500
178-21-02 Incision of pinna 1,000 1,500
178-21-99 Incision of external ear, part unspecified 1,000 1,500
Excludes : Incision of external auditory canal(178-21-01)
Incision of pinna(178-21-02)
178-22-00 Drainage of external auditory canal
Includes: Incision and drainage
178-22-01 Drainage of seroma or hematoma of pinna 1,500 4,500
Includes: Incision and drainage
178-22-08 Drainage of other lesions of pinna 1,000 1,500
178-22-99 Drainage of external ear, part unspecified 1,500 3,900
Excludes : Drainage of external auditory canal(178-22-00) Drainage of seroma or hematoma of
pinna(178-22-01)
Drainage of other lesions of pinna(178-22-08)
Excision or destruction
178-26-00 Debridement of external ear 3,000 6,000
178-26-01 Excision of preauricular remnant (appendage) 5,000 6,000
178-26-02 Excision of preauricular sinus 5,000 7,000
Radical excision of preauricular sinus or cyst
178-26-03 Excision of lesion of external ear 5,000 6,000
178-26-04 Excision of lesion of pinna 5,000 6,000
178-26-05 Excision of lesion of external auditory cana 5,000 6,000
178-26-06 Excision of exostosis of external auditory cana 6,000 7,500
178-26-10 Radical excision of external ear 12,000 15,000
ICD-10-TM Procedural Coding System 2
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
59
A B C D
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
178-26-11 Radical excision of lesion of pinna 10,000 12,000
178-26-12 Radical excision of lesion of external auditory cana 12,000 15,000
178-26-98 Other excision of external ear 7,500 10,000
178-26-99 Excision of external ear, part unspecified 7,500 10,000
178-28-00 Destruction of lesion of external ear 7,000 7,500
Cauterization
Coagulation
Cryosurgery of external ear
Curettage
Electrocoagulation
178-29-00 Amputation of auricle 9,200 15,400
Repair or reconstruction
178-39-00 Suture of laceration of external ear or pinna 7,000 17,000
178-39-01 Suture of laceration of external auditory cana 12,000 15,000
178-48-00 Surgical correction of prominent ear 12,000 15,000
Ear pining
Ear setback
178-48-01 Construction of auricle of ear 35,000 70,000
Prosthetic appliance for absent ear
Reconstruction of auricle
178-48-02 Reconstruction of external auditory cana 20,000 25,000
Canaloplasty of external auditory meatus
Construction [reconstruction] of external meatus of ear
osseous portion
skin-lined portion(with skin graft)
178-48-08 Other plastic repair of external ear 15,000 19,000
ICD-10-TM Procedural Coding System 3
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
90
A B C D
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
Otoplasty
Post auricular skin graft
Repair of lop ear
178-49-00 Reattachment of amputated ear 20,000 30,600
Other procedures and operations
178-80-00 Dressing wound of external ear 500 1,000
178-83-00 Irrigation of external auditory canal 500 1,000
178-99-99 Other operation on external ear
MIDDLE EAR
Diagnostic procedure
180-04-00 Exploration of middle ear, examination 15,000 20,000
180-04-01 Biopsy of middle ear 15,000 20,000
180-04-02 Open biopsy of middle ear 15,000 20,000
Biopsy after exploration of middle ear
180-04-98 Other diagnostic procedures on middle ear 15,000 20,000
180-04-99 Unspecified diagnostic procedures on middle ear
Incision
180-21-00 Incision of middle ear 15,000 20,000
Atticotomy
180-22-00 Aspiration of middle ear 1,500 2,000
180-22-01 Myringotomy with insertion of tube 1,500 2,000
Myringostomy 1,500 2,000
ICD-10-TM Procedural Coding System 4
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
121
A B C D
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
180-22-99 Other myringotomy 1,500 2,000
180-24-00 Lysis of adhesion of middle ear 15,000 20,000
180-24-01 Division of tympanum 15,000 20,000
Excision or destruction
180-26-00 Excision of lesion of middle ear 15,000 20,000
180-26-01 Excision of glomus tumor of middle ear 25,000 30,000
Excision of glomus tympanicum 25,000 30,000
Excision of glomus jugulare 30,000 35,000
180-26-99 Other excision of middle ear 20,000 25,000
Apicectomy of petrous pyramid
Tympanectomy
Repair or reconstruction
180-39-99 Other repair of middle ear 20,000 25,000
Other operations
180-40-00 Obliteration of tympanomastoid cavity 20,000 25,000
180-81-00 Injection of tympanum 1,000 1,500
180-99-00 Operations on Eustachian tube 3,000 3,500
Catheterization
Inflation
Injection(Teflon paste) of Eustachian tube
Insufflation(boric acid-salicylic acid)
Intubation
Politzerization
180-99-01 Tympanosympathectomy 15,000 25,000
180-99-99 Other operation on middle ear
ICD-10-TM Procedural Coding System 5
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
152
A B C D
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
TYMPANIC MEMBRANE
Insertion, removal and replacement of tympanoplasty
tube
181-10-00 Insertion of tympanostomy tube 1,000 1,500
181-11-00 Removal of tympanostomy tube 500 1,000
181-12-00 Replacement of tympanostomy tube 1,000 1,500
Repair or reconstruction
181-48-00 Tympanoplasty(type I) 15,000 20,000
Epitympanic, type I
Myringoplasty
181-48-01 Type II tympanoplasty 15,000 20,000
Closure of perforation with graft against incus or malleus
181-48-02 Type III tympanoplasty 15,000 20,000
Graft placed in contact with mobile and intact stapes
181-48-03 Type IV tympanoplasty 15,000 20,000
Mobile footplate left exposed with air pocket between
round window and graft
181-48-04 Type V tympanoplasty 20,000 25,000
Fenestra in horizontal semicircular canal covered by graft
181-47-00 Revision of tympanoplasty 20,000 25,000
ICD-10-TM Procedural Coding System 6
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
180
A B C D
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
AUDITORY OSSICLES
Incision
182-21-00 Stapes mobilization 20,000 25,000
Division, otosclerotic
Remobilization of stapes
Stapediolysis
Transcrural stapes mobilization
Excision or destruction
182-26-00 Ossiculectomy 25,000
182-26-01 Incudectomy 25,000
182-26-02 Stapedectomy with incus replacement 25,000
Excludes : Stapes mobilization only(182-21-00)
182-26-99 Other stapedectomy 20,000 25,000
182-47-00 Revision of stapedectomy with incus replacement 25,000 30,000
182-47-99 Other revision of stapedectomy 25,000 30,000
Repair or reconstruction
182-48-00 Ossiculoplasty 20,000 25,000
182-48-99 Reconstruction of ossicle chains, second stage 20,000 25,000
Other operations
182-99-99 Other operation on ossicular chain 20,000 25,000
MASTOID
Incision
183-21-00 Incision of mastoid 2,000 3,000
ICD-10-TM Procedural Coding System 7
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
211
A B C D
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
183-21-01 Incision of petrous pyramid air cells 15,000 20,000
Excision or destruction
183-26-00 Simple mastoidetomy 20,000 25,000
183-26-01 Modified radical mastoidectomy 20,000
183-26-02 Radical mastoidectomy 20,000 25,000
183-26-99 Other mastoidectomy 20,000 25,000
Atticoantrotomy
Mastoidectomy, NOS
183-47-00 Revision of mastoidectomy 20,000 25,000
Repair or reconstruction
183-40-00 Closure of mastoid fistula 20,000 25,000
183-48-00 Mastoid myoplasty 20,000 25,000
INNER EAR
Diagnostic procedure
184-04-00 Biopsy of inner ear 15,000 20,000
184-04-99 Other diagnostic procedures on inner ear 15,000 20,000
Incision
184-21-00 Incision of endolymphatic sac 25,000 30,000
184-21-99 Other incision of inner ear 25,000 30,000
184-22-00 Drainage of inner ear 25,000 30,000
184-22-01 Endolymphatic shunt 25,000 30,000
184-23-00 Perilymphatic tap 25,000 30,000
184-23-01 Decompression of labyrinth 25,000 30,000
184-23-02 Fenestration of inner ear (initial) 25,000 30,000
ICD-10-TM Procedural Coding System 8
not c
onfid
ence
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
242
A B C D
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
Fenestration of:
labyrinth
semicircular canals with graft(skin)(vein)
vestibule
Excludes : that with tympanoplasty type V(181-39-05)
184-23-03 Fistulization of labyrith or endolymphatic sac 25,000 30,000
Excision or destruction
184-26-00 Chemical labyrinthectomy, transtympanic route 10,000 15,000