© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 69554 involves the excision of an aural glomus tumor through an extended extratemporal approach. Aural glomus tumors are benign neoplasms that originate from paraganglionic cells located in glomus tissue, which is situated near the temporal bone. These tumors can be categorized into two main types: glomus jugulare tumors, which arise from the adventitia of the dome 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 determined by their size and location. For smaller tumors confined to the middle ear, a transcanal approach (CPT® Code 69550) is utilized, where the external auditory canal is accessed and enlarged to expose the tumor. In cases where the tumor has extended into the mastoid bone, a transmastoid approach (CPT® Code 69552) is employed, involving an incision behind the ear to access and clear the mastoid cells of tumor tissue. However, when the tumor has invaded the temporal bone, as in the case of CPT® Code 69554, a more extensive surgical intervention is required. This involves a C-shaped incision that begins above the ear and extends around the ear and down the neck, allowing for the elevation of a flap to expose critical structures such as the temporal muscle, mastoid bone, and neck anatomy. The procedure aims to achieve complete removal of the tumor while preserving hearing whenever possible, although it may necessitate sacrificing the external auditory canal and middle ear structures depending on the tumor's precise location.
© Copyright 2025 Coding Ahead. All rights reserved.
The excision of an aural glomus tumor using CPT® Code 69554 is indicated for patients presenting with the following conditions:
The procedure for excising an aural glomus tumor using CPT® Code 69554 involves several critical steps:
Post-procedure care following the excision of an aural glomus tumor using CPT® Code 69554 includes monitoring for complications such as bleeding, infection, and neurological deficits. Patients may require pain management and should be advised on activity restrictions to promote healing. Follow-up appointments are essential to assess recovery, monitor for any recurrence of the tumor, and evaluate hearing function. Rehabilitation services, including audiology consultations, may be necessary to address any hearing loss resulting from the procedure.
| Short Descr | EXC AURL GLOMUS TUM EXTENDED | Medium Descr | EXCISION AURAL GLOMUS TUMOR EXTENDED | Long Descr | Excision aural glomus tumor; extended (extratemporal) | 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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 26 - Other therapeutic ear procedures |
| 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 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) |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |