Share |

Looking for Tonsil Biopsy Code?

Posted on 26. Sep, 2009 by in Coding Challenge, Hot Coding Topics

Question: My physician did a punch excisional biopsy of the left tonsil, but I’m not seeing a code for this. What should I do?

Answer: You don’t see a code, because no specific code exists for a biopsy of the tonsils.

You should instead report the code based on whether the otolaryngologist used a scope. If he didn’t, you should assign 42800 (Biopsy; oropharynx).

If the physician used an endoscope, you should report 31535 (Laryngoscopy, direct, operative, with biopsy) or 31536 (… with operating microscope).

Note: CPT classifies “indirect” laryngoscopy as an endoscopy, even though the procedure requires a mirror, not an endoscope.

ASC Coding & Reimbursement Conference. This December 6-8 in Orlando.

Signup to read articles and receive SuperCoder Bolt Newsletter

Register for Article Access
Access our articles and receive SuperCoder Bolt Newsletter.
You will also receive
  • Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
  • Discounts on 3rd party offers
SuperCoder Bolt
You must have javascript enabled to use this form

If you've already signed in and are still seeing this screen, click here to refresh the page.

Tags: , , , , ,