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Our ent docs performed repair of tegmen defect with medpor and duramatrix grafts after neuro performed craniotomy for exposure of the middle cranial fossa Is it correct to bill the harvesting of the graft with this procedure? What cpt is used for the repair

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The craniotomy and exposure of the middle cranial fossa was performed by our. I came up with 69631 and 15769 What cpt is used for the repair?

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Bone of posterior auditory canal was thinned, air cells between posterior fossa dura and posterior semicurcular canal were taken down and skull base defects were encountered.there was an encephalocele extending from posterior fossa into the mastoid cavity which was cauterized there were two defects that were small.

Can anyone tell me how you would code repair of a tegmen defect in conjunction with tympanomastoidectomy? Code to other disorders of that site unless it's congenital (which in tegmen tympani it usually is) then code to 744.xx Please help me with this op report A decision was made to proceed first with the mastoidectomy

Post auricular incision was made and carried down through the perichondrium and through to the soft tissues, elevated anteriorly and posteriorly, exposing. My surgeon (oto) along with a neurosurgeon is performing a craniotomy with a middle fossa skull base approach for repair of a superior semicircular canal dehiscence The defect is corrected with locally harvested fascia as well as local bone graft from the craniotomy site The doctor harvested a supra auricular temporalis fascia graft and set aside