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The provider makes an incision in the patient's left tympanic membrane in order to inflate eustachian tubes and aspirate fluid in a patient with acute eustachian salpingitis. The procedure is completed without anesthesia. What CPT® and ICD-10-CM codes are reported?

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Final answer:

The question pertains to the appropriate CPT and ICD-10-CM codes for a tympanotomy procedure performed without anesthesia for acute eustachian salpingitis. While the specific CPT code would depend on procedural details, it is within tympanotomy-related codes, and the ICD-10-CM code would correspond to the diagnosis of acute eustachian salpingitis.

Step-by-step explanation:

The student is asking about the correct CPT (Current Procedural Terminology) and ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) codes for a procedure in which an incision is made in the patient's left tympanic membrane to inflate the eustachian tubes and aspirate fluid due to acute eustachian salpingitis, performed without anesthesia. The relevant CPT code for this procedure is typically found in the range of codes for tympanotomy procedures, which could include the insertion of ventilating tubes, although specific coding would depend on further details of the procedure performed. For the diagnosis, the ICD-10-CM code for acute eustachian salpingitis would be used, which is found under conditions affecting the middle ear and mastoid.

Acute otitis media (AOM) is an infection of the middle ear that often leads to a fluid buildup and increased pressure on the eardrum. The eustachian tube plays a pivotal role in AOM by allowing or obstructing the equalization of pressure across the tympanic membrane. Inflating the eustachian tubes and draining the middle ear aims to reduce this pressure and alleviate symptoms.

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