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The CPT® Code 69552 refers to the excision of an aural glomus tumor using a transmastoid approach. An aural glomus tumor is a type of benign neoplasm that originates from the paraganglionic cells found in glomus tissue, which is located near the temporal bone of the skull. These tumors are categorized into two main types based on their origin: glomus jugulare tumors, which arise from the adventitia of the jugular bulb, and glomus tympanicum tumors, which develop from glomus bodies along the tympanic branch of the glossopharyngeal nerve. The choice of surgical approach for excising these tumors is influenced by their size and location. The transmastoid approach, as indicated by CPT® Code 69552, is specifically utilized when the tumor has extended from the middle ear into the mastoid bone. This procedure involves making an incision behind the ear to access the mastoid area, allowing for the removal of tumor tissue that may have infiltrated the mastoid cells. The excision aims to eliminate the tumor while preserving surrounding structures and maintaining hearing function whenever possible.
© Copyright 2025 Coding Ahead. All rights reserved.
The excision of an aural glomus tumor using the transmastoid approach (CPT® Code 69552) is indicated for patients presenting with the following conditions:
The procedure for excising an aural glomus tumor via the transmastoid approach involves several critical steps:
After the excision of the aural glomus tumor using the transmastoid approach, patients typically require monitoring for any complications. Post-procedure care may include pain management, wound care, and follow-up appointments to assess healing and ensure that the tumor has been completely removed. Patients may experience some degree of discomfort or swelling in the area of the incision, and hearing function will be evaluated to determine if it has been preserved. The recovery process will vary depending on the extent of the surgery and the individual patient's health status.
| Short Descr | EXC AURL GLOMUS TUM TRNSMSTD | Medium Descr | EXCISION AURAL GLOMUS TUMOR TRANSMASTOID | Long Descr | Excision aural glomus tumor; transmastoid | Status Code | Active Code | Global Days | 090 - Major Surgery | 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 | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 26 - Other therapeutic ear procedures |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |