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Code deleted, see 99201, 99202, 99203, 99204, 99205, 99211, 99213, 99214, 99215

Official Description

Eustachian tube inflation, transnasal; without catheterization

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 69401 refers to the transnasal inflation of the Eustachian tube without the use of catheterization. The Eustachian tube is a critical anatomical structure that connects the middle ear to the nasopharynx, playing a vital role in equalizing air pressure in the middle ear and facilitating the drainage of mucus. This tube opens and closes during swallowing, which helps maintain proper pressure balance. When the Eustachian tube becomes obstructed, it can lead to the trapping of air in the middle ear, resulting in negative pressure that can retract the tympanic membrane, commonly known as the eardrum. Chronic obstruction, often termed Eustachian tube dysfunction, may lead to fluid accumulation in the middle ear, potentially causing hearing loss. In the context of CPT® Code 69401, the procedure involves the insertion of a catheter into the nasal passage, which is then advanced to the nasopharyngeal wall and manipulated to access the Eustachian tube. This method allows for the inflation of the Eustachian tube with air, thereby relieving the blockage and restoring normal function. The transnasal approach may be enhanced with the use of a rigid or flexible scope, providing better visualization and precision during the procedure. This code is distinct from other related codes, such as 69400, which involves insufflation without catheterization, and 69405, which involves catheterization through the tympanic membrane. Understanding these distinctions is crucial for accurate coding and billing in medical practice.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 69401 is indicated for patients experiencing Eustachian tube dysfunction, which may manifest as symptoms such as:

  • Chronic Ear Pain Persistent discomfort in the ear due to pressure imbalances.
  • Hearing Impairment Reduced auditory function resulting from fluid accumulation in the middle ear.
  • Feeling of Fullness in the Ear A sensation of pressure or fullness that may indicate blockage.
  • Recurrent Ear Infections Frequent episodes of otitis media linked to Eustachian tube dysfunction.

2. Procedure

The procedure for CPT® Code 69401 involves several key steps to ensure effective inflation of the Eustachian tube:

  • Step 1: Preparation The patient is positioned comfortably, and the nasal passages may be examined to assess for any obstructions or abnormalities. Anesthesia may be administered if necessary to minimize discomfort during the procedure.
  • Step 2: Catheter Insertion A catheter is carefully inserted into the nostril on the affected side. The catheter is advanced along the floor of the nose toward the nasopharyngeal wall, ensuring that it is positioned correctly for optimal access to the Eustachian tube.
  • Step 3: Manipulation of the Catheter Once the catheter reaches the nasopharyngeal wall, it is manipulated toward the midline and brought forward to the posterior edge of the nasal septum. This precise positioning is crucial for successful inflation of the Eustachian tube.
  • Step 4: Insertion into the Eustachian Tube The catheter is then rotated laterally and inserted into the nasopharyngeal end of the Eustachian tube. This step requires careful technique to avoid injury to surrounding structures.
  • Step 5: Inflation of the Eustachian Tube Once the catheter is in place, air is introduced to inflate the collapsed Eustachian tube. This inflation helps to open the tube, allowing for the equalization of pressure in the middle ear.
  • Step 6: Monitoring The patient is monitored for any immediate reactions or complications following the inflation procedure. The clinician may assess the effectiveness of the procedure by checking for the resolution of symptoms.

3. Post-Procedure

After the completion of the transnasal Eustachian tube inflation, patients may be advised to avoid activities that could increase pressure in the ears, such as flying or diving, for a short period. It is also important to monitor for any signs of complications, such as persistent pain, bleeding, or signs of infection. Follow-up appointments may be scheduled to evaluate the success of the procedure and to determine if further intervention is necessary. Patients are typically encouraged to report any ongoing symptoms or concerns to their healthcare provider to ensure appropriate management.

Short Descr INFLATE MIDDLE EAR CANAL
Medium Descr EUSTACHIAN TUBE NFLTJ TRANSNSL W/O CATHJ
Long Descr Eustachian tube inflation, transnasal; without catheterization
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 9 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Multiple Reduction Applies
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE Not applicable/unspecified.
CCS Clinical Classification 26 - Other therapeutic ear procedures
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Notes
2015-01-01 Deleted Code deleted, see 99201, 99202, 99203, 99204, 99205, 99211, 99213, 99214, 99215
Pre-1990 Added Code added.
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