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2025 HCPCS code S2225

Laser assisted myringotomy.

S codes are used to represent drugs, services, and supplies. Private sector payers and Medicaid may require the use of these codes.

Medical necessity is established by the presence of conditions such as recurrent or persistent middle ear infections with effusion, significant hearing loss due to middle ear fluid, or other conditions where drainage of the middle ear is required.

When the patient is appropriately prepped and the area anesthetized, the provider uses a video monitor to visualize the tympanic membrane. He then uses a laser device to puncture the tympanic membrane bloodlessly to drain the buildup of fluid from the middle ear.

IMPORTANT For myringotomy procedures without a laser, see 69420 (Myringotomy including aspiration and/or eustachian tube inflation) and 69421 (Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia).

In simple words: This procedure uses a laser to make a small hole in the eardrum to drain fluid and relieve pressure.

This code covers laser assisted myringotomy, a surgical procedure that uses a laser to drain fluid and relieve pressure in the middle ear.

Example 1: A pediatrician performs a laser-assisted myringotomy on a 2-year-old child with recurrent ear infections and fluid buildup., An otolaryngologist performs a laser-assisted myringotomy on an adult patient experiencing hearing loss due to middle ear fluid., A physician performs laser-assisted myringotomy on a child who has persistent ear infections that haven’t responded to antibiotic treatment.

Documentation should include the medical necessity for the procedure, such as chronic ear infections, fluid buildup, or hearing loss. The procedure note should detail the technique used, including the type of laser, and any complications encountered.

** This code is not payable by Medicare.

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