Exciting Update: New CMS HCPCS Code G0561 for In-Office Pediatric Tympanostomy Procedures

We are pleased to announce that effective Jan. 1, 2025, the Centers for Medicare & Medicaid Services (CMS) will introduce HCPCS code G0561. The new code facilitates reimbursement for in-office pediatric tympanostomy tube placements performed with devices like the Hummingbird Tympanostomy Tube System (TTS).

This development enables healthcare providers to offer safe, efficient and less invasive pediatric ear tube procedures within their offices, reducing the need for operating room visits and general anesthesia.

By utilizing HCPCS code G0561, physicians can:

• Benefit from Simplified Reimbursement Processes. This new code is designed to streamline the billing process for in-office tympanostomy tube placement, reducing administrative burdens and ensuring clearer compensation pathways.
• Expand Access to Care. With reimbursement now available for in-office procedures, practices can offer tympanostomy services to a broader patient population, including those for whom operating room procedures might not be feasible or desirable.
• Stay at the Forefront of Pediatric Care. Adopting G0561 allows physicians to align with evolving standards of care, demonstrating a commitment to innovative, patient-centered solutions that reduce reliance on operating room interventions.

For more detailed information, please refer to our press release.

Meeting Demand for Less Invasive Tympanostomy Tube Options

In 2019, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) released their position statement supporting in-office tympanostomy tube placement in appropriately selected children.²

“Although insertion of tympanostomy tubes in children is generally accomplished in the operating room under general anesthesia, insertion in the clinic in appropriately selected patients using shared decision making between clinicians and families can be appropriate.”