Category: CC-Otolaryngology

Biopsy Coding
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Biopsy Coding

October 6, 2022 Question: I work at an ENT clinic and my physician is doing biopsies of the inner cheek and soft palate and I’m not sure if this is coded as 11104 or goes under biopsy vestibule of mouth 40808? Thank you so much for your help with this! Answer: If the physician is...

Pharyngectomy Code
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Pharyngectomy Code

September 27, 2022 Question: Do I use CPT code 42950 when a limited pharyngectomy is done?? Answer: No, you should report CPT code 42890 when a limited pharyngectomy is performed not CPT 42950 (Pharyngoplasty (plastic or reconstructive operation on pharynx). *This response is based on the best information available as of 09/27/22.      ...

New vs Established Patient
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New vs Established Patient

August 25, 2022 Question: I am a contracted physician with a group practice (Practice A) in our town. I have an opportunity to contract with another practice (Practice B) not in the same town, but near enough that my patients could see me in either location. My question has to do with the definition of...

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