Category: CC-Otolaryngology

Vocal Fold Augmentation Injections in the Office
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Vocal Fold Augmentation Injections in the Office

May 5, 2022 Question: What code do I use for a vocal fold injection for augmentation in the office? Can I also bill for the injection material? Answer: Good questions! The correct code is 31574, Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral when performed via flexible laryngoscopy. If you’re in place of...

Inpatient E/M Coding
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Inpatient E/M Coding

April 21, 2022 Question: I did an inpatient consultation and coded 99253 (non-Medicare). I did not need to follow the patient so I signed off. They asked me to re-consult a week later.  What is the code for a re-consult? Answer: There are no specific E/M codes for an inpatient re-consultation.  You’ll use the subsequent...

ER Visit Coding
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ER Visit Coding

March 24, 2022 Question: What code do we charge for an ER visit when our physician was called to the ER by the ER doctor? The patient has Medicare. Answer: If the patient was not admitted by you to the hospital (e.g., they were admitted by another service or discharged), then you code it as...

Nasal Wall Reconstruction
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Nasal Wall Reconstruction

February 24, 2022 Question: One of our physicians is scheduling a nasal wall reconstruction with Latera®.  He is wanting to use code 30465 (repair nasal vestibular stenosis).  I know there is a code for Latera which is 30468 and I feel we should use this code.  Please give me your opinion. Answer: CPT 30468 was...

Postop Endoscopic Sinus Debridements
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Postop Endoscopic Sinus Debridements

February 10, 2022 Question: If one of our physicians performed a septoplasty and sinus surgery and then the patient comes in the office for a 31237 (endoscopic sinus debridement), would we use a modifier 79 (unrelated procedure in a global period) or 58 (staged/anticipated procedure in a global)? Answer: You’ll use modifier 79. The debridements...

Why this NCCI Edit?
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Why this NCCI Edit?

January 27, 2022 Question: In the office, one of our physicians, performed 31296-50 (endoscopic dilation frontal sinus), 31295-50 (endoscopic dilation maxillary sinus) and 69706 (endoscopic eustachian tube dilation). The insurance is paying on the 31296 and 31295 but will not pay on the 69706 because Medicare considers it unbundled. Why is the ear procedure is...

Open Septoplasty
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Open Septoplasty

December 30, 2021 Question: What is the code for an open septoplasty? I’m doing extracorporeal work removing the septum and reinserting it.  It’s more difficult than a regular intranasal septoplasty, 30520. Answer: There is not a separate code for an open septoplasty – 30520 is all we’ve got. You could append modifier 22 (increased procedural...

Counting Problems Addressed for Medical Decision Making
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Counting Problems Addressed for Medical Decision Making

December 16, 2021 Question: If a patient has one stable chronic illness and one acute uncomplicated illness without systemic symptoms, can we “up” the level of Problems Addressed to Moderate for a new patient (99202-99205) or established patient (99212-99215)? Answer: No, sorry, unfortunately it doesn’t work that way.  The problems are no additive or cumulative. ...

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