Myringoplasty with Graft Harvest Denials

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November 1, 2018

Question:
We are getting denials of 20926 when we bill with 69620.  Can you help us write an appeal letter?

Answer:
Actually, no we cannot.  The code descriptor for 69620 (myringoplasty) says “surgery confined to drumhead and donor area.”  This means that the harvest of donor graft (20926, tissue graft) is included in 69620 and should not be separately reported.

*This response is based on the best information available as of 11/01/18.

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