Auditory System Overview
CPT Codes: 69000-69979
Anatomy of Ear
• 1. External Ear
• 2. Middle Ear (Tympanic Cavity)
• 3. Inner Ear (Labyrinth)
External Ear - Procedures and
Codes
• 1. Removal of Foreign Body
• - 69200: Removal of foreign body
• - 69205: Removal of foreign body with general
anesthesia
• 2. Removal of Impacted Cerumen
• - 69209: Removal of impacted cerumen
• - 69210: Removal of impacted cerumen using
an instrument
Middle Ear - Tympanostomy and
Coding Tips
• - Tympanostomy: Surgical procedure to drain
fluid and insert ear tubes.
• Coding Tips:
• 1. Code selection depends on anesthesia type
(local/topical or general).
• 2. Ventilating tube removal is included in
tympanostomy codes.
Middle Ear - Excision and Repair
Procedures
• Excision Procedures:
• - Mastoidectomy:
• 1. Complete
• 2. Modified Radical
• 3. Radical
• Repair Procedures:
• - Tympanoplasty (69601–69676): Repair of a
damaged eardrum
Inner Ear - Procedures and
Microscope
• - Cochlear Device Implantation (69930):
Implant to stimulate auditory nerve.
• - Transcanal Labyrinthectomy: Surgery to
remove inner ear part.
• Operating Microscope (69990):
• - Used for microsurgical techniques.
• - Ensure codes incompatible with 69990 are
not reported together.
Medicine Section - Auditory
System
• 1. Special Otorhinolaryngological Services
(92502–92526)
• 2. Vestibular Function Test (92531–92519)
• 3. Audiological Function Test:
• - Evaluative and therapeutic services (92601–
92633)
Other Procedures
• - Otoplasty: Surgery to correct ear shape
• - Radical Mastoidectomy: Removal of infected
mastoid cells
• - Myringoplasty: Repair of a perforated
eardrum
Conditions and Coding Overview
• 1. Impacted Cerumen:
• - 69209: Removal of impacted cerumen
• - E/M codes for non-impacted cerumen
• 2. Mastoidectomy: Removal of mastoid cells
• 3. Tympanostomy: Creating an opening in the
eardrum