Comment: Correction/Clarification Notice: In accordance with Coding Clinic, First Quarter, 1997 and Third Quarter, 1999, codes 29.4 and 27.69 are needed to fully describe a uvulopalatopharyngoplasty (UPPP). Assign code 29.4, Plastic operation on pharynx.
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AnswerWhat is uvulopalatopharyngoplasty UPPP?
Palatopharyngoplasty procedures such as Uvulopalatopharyngoplasty UPPP are operations performed to improve the status of patients with sleep related breathing disorders, such as obstructive sleep apnea and snoring. These procedures may only result in partial success
What is the CPT for a palatopharyngoplasty?
Procedure CPT Days 1 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty) 42145 090 Pharyngoplasty 42950 090 Uvulectomy 42140 090 Indications (One from each category below required) 1. History (One or more required) a. Chronic snoring b.
What are the indications for a pharyngoplasty for sleep apnea?
Pharyngoplasty 42950 090 Uvulectomy 42140 090 Indications (One from each category below required) 1. History (One or more required) a. Chronic snoring b. Restless or interrupted sleep c. Excessive daytime sleepiness d. Witnessed apneas or gasping during sleep e.
Is UPPP surgery effective for obstructive sleep apnea?
The surgery is more successful in patients who are not obese, and there is a limited role in morbidly obese (>40 kg/m 2) individuals. UPPP is typically administered to patients with obstructive sleep apnea in isolation.
What is the CPT code for Uvulopalatopharyngoplasty?
Historically speaking, the codes for uvulopalatopharyngoplasty (CPT code 42145) and tonsillectomy (CPT code 42826) have been bundled in NCCI since 1/1/2002.
What is UPPP surgery?
Uvulopalatopharyngoplasty (UPPP) is surgery to open the upper airways by taking out extra tissue in the throat. It may be done alone to treat mild obstructive sleep apnea or snoring or with other procedures to treat moderate obstructive sleep apnea (OSA).
What is the ICD-10 code for status post tonsillectomy?
Acquired absence of other part of head and neck Z90. 09 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z90. 09 became effective on October 1, 2021.
What is the ICD-10 code for acquired absence of thyroid?
89.
Does Uvulopalatopharyngoplasty include tonsillectomy?
The first involves surgery of the soft tissue (tonsillectomy, uvulopalatopharyngoplasty) and the second involves skeletal surgeries (maxillomandibular advancement).
What is removed on a Uvulopalatopharyngoplasty?
UPPP removes soft tissue at the back of the throat. This includes: All or part of the uvula (the soft flap of tissue that hangs down at the back of the mouth). Parts of the soft palate and tissue at the sides of the throat. Tonsils and adenoids, if they are still there.
What is the ICD 10 code for status post surgery?
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
What is the ICD 10 code for aftercare following surgery?
81: Encounter for surgical aftercare following surgery on specified body systems.
How do you code surgical aftercare?
Code Z47. 1 (aftercare following joint replacement surgery) is used during the follow-up phase of any joint replacement surgery, even if the replacement was for treatment of a fracture.
What is diagnosis code R47 89?
ICD-10 code R47. 89 for Other speech disturbances is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
How do I code F07 81?
ICD-10 code F07. 81 for Postconcussional syndrome is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .Postcontusional syndrome (encephalopathy) ... Use additional code to identify associated post-traumatic headache, if applicable (G44.3-)More items...
How do you code a thyroidectomy?
60252 in category: Thyroidectomy, total or subtotal for malignancy.
What is UPPP procedure?
Procedure. UPPP involves removal of the tonsils, the posterior surface of the soft palate, and the uvula. The uvula is then folded toward the soft palate and sutured together as demonstrated in the figures. In the US, UPPP is the most commonly performed procedure for obstructive sleep apnea with approximately 33,000 procedures performed per year.
What is UPPP surgery?
Uvulopalatopharyngoplasty (also known by the abbreviations UPPP and UP3) is a surgical procedure or sleep surgery used to remove tissue and/or remodel tissue in the throat. This could be because of sleep issues. Tissues which may typically be removed include: The tonsils. The adenoids.
How many UPPP surgeries are performed per year?
In the US, UPPP is the most commonly performed procedure for obstructive sleep apnea with approximately 33,000 procedures performed per year. The surgery is more successful in patients who are not obese, and there is a limited role in morbidly obese (>40 kg/m 2) individuals.
Why is UPPP used in isolation?
It is administered as a stand-alone procedure in the hope that the tissue which obstructs the patient's airway is localized in the back of the throat. The rationale is that, by removing the tissue, the patient's airway will be wider and breathing will become easier.
General Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Article Guidance
The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the associated LCD L34526.
Bill Type Codes
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Revenue Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
What is UPPP surgery?
Palatopharyngoplasty procedures such as Uvulopalatopharyngoplasty UPPP are operations performed to improve the status of patients with sleep related breathing disorders, such as obstructive sleep apnea and snoring. These procedures may only result in partial success
What are clinical indicators in otolaryngology?
Clinical indicators for otolaryngology serve as a checklist for practitioners and a quality care review tool for clinical departments. The American Academy of Otolaryngology—Head and Neck Surgery, Inc. and Foundation (AAO-HNS/F) Clinical Indicators are intended as suggestions, not rules, and should be modified by users when deemed medically necessary. In no sense do they represent a standard of care. The applicability of an indicator for a procedure must be determined by the responsible physician in light of all the circumstances presented by the individual patient. Adherence to these clinical indicators will not ensure successful treatment in every situation. The AAO-HNS/F emphasizes that these clinical indicators should not be deemed inclusive of all proper treatment decisions or methods of care, nor exclusive of other treatment decisions or methods of care reasonably directed to obtaining the same results. The AAO-HNS/F is not responsible for treatment decisions or care provided by individual physicians. Clinical indicators are not intended to and should not be treated as legal, medical, or business advice.
Overview
Uvulopalatopharyngoplasty (also known by the abbreviations UPPP and UP3) is a surgical procedure or sleep surgery used to remove tissue and/or remodel tissue in the throat. This could be because of sleep issues. Tissues which may typically be removed include:
• The tonsils
• The adenoids
Procedure
UPPP involves removal of the tonsils, the posterior surface of the soft palate, and the uvula. The uvula is then folded toward the soft palate and sutured together as demonstrated in the figures. In the US, UPPP is the most commonly performed procedure for obstructive sleep apnea with approximately 33,000 procedures performed per year. The surgery is more successful in patients who are not obese, and there is a limited role in morbidly obese (>40 kg/m ) individuals.
Procedural details
UPPP is typically administered to patients with obstructive sleep apnea in isolation. It is administered as a stand-alone procedure in the hope that the tissue which obstructs the patient's airway is localized in the back of the throat. The rationale is that, by removing the tissue, the patient's airway will be wider and breathing will become easier.
UPPP is also offered to sleep apnea patients who opt for a more comprehensive surgical proced…
Success
When UPPP has been administered in isolation, the results are variable. As explained above, sleep apnea is often caused by multiple co-existing obstructions at various locations of the airway such as the nasal cavity, and particularly the base of the tongue. The contributing factors in the variability of success include the pre-surgical size of the tonsils, palate, uvula and tongue base. Also, patients who are morbidly obese (body mass index >40 kg/m ) are significantly less likely t…
Risks
One of the risks is that by cutting the tissues, excess scar tissue can "tighten" the airway and make it even smaller than it was before UPPP.
After surgery, complications may include these:
• Sleepiness and sleep apnea related to post-surgery medication
• Swelling, infection and bleeding
Further reading
• WebMDHealth. Uvulopalatopharyngoplasty for snoring Retrieved August 26, 2005.
• Royal College of Surgeons Audit Symposium March 8th 2002 Retrieved April 22, 2006.
• University of Maryland Medical Center Patient Education – UPPP Retrieved May 1, 2006.
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