Encntr for adjust or removal of myringotomy device (tube)

This code describes a patient encounter for the planned removal or adjustment of a previously placed myringotomy device, such as a tympanostomy tube or stent. These devices are inserted into the eardrum to equalize pressure or drain fluid from the middle ear, and their removal or adjustment is a routine part of their management.

Use this code when a patient presents for the scheduled extraction of a tympanostomy tube that has served its purpose, or for the repositioning or manipulation of a tube that is dislodged or causing issues. This code is appropriate for both inpatient and outpatient settings where this procedure is performed.

• Do not use this code for initial insertion of a myringotomy device; use a procedure code for that.
• If the encounter is for complications related to the device (e.g., infection, extrusion requiring unplanned removal), code the specific complication first, followed by this code if applicable.
• This code is typically a secondary diagnosis when a procedure code for removal or adjustment is also reported.