January 5, 2017

Question:
Can we bill myringotomy 69421 and tube 69436 in the same ear? My doctor says no but I don’t see why not.

Answer:
We agree with your doctor. The myringotomy is required in order to place the tube; therefore, 69421 is considered an integral component of 69436 and should not be separately reported when performed in the same ear.

*This response is based on the best information available as of 01/05/17.