Category: CC-Otolaryngology

Microscopy and Mastoid Debridement
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Microscopy and Mastoid Debridement

December 2, 2021 Question: We had a patient come in for a mastoid debridement using the microscope.  It is ok to bill 69220 for the debridement and 92504 for the microscope? Answer: No, the diagnostic binocular microscopy (92504) is included in the surgical/therapeutic debridement code (69220) and not separately reported.  In fact, 92504 is included...

NIM During Total Thyroidectomy
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NIM During Total Thyroidectomy

October 28, 2021 Question: Is 95940 (NIM – neurophysiologic intraoperative monitoring) separately billable with a total thyroidectomy? Answer: Intraoperative monitoring is not separately billable by the surgeon, per CPT guidelines. *This response is based on the best information available as of 10/28/21.        

Medical Decision Making Credit for Ordering an Audiogram
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Medical Decision Making Credit for Ordering an Audiogram

September 30, 2021 Question: My ENT doctor ordered an audiogram to be done by our audiologist. The doctor billed for the audiogram to a non-Medicare payor because the audiologist is not credentialled with that payor.  Can my doctor “get credit” for ordering and reviewing the audiogram when he chooses the E/M code level?  What happens...

Parathyroid Imaging During Surgery
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Parathyroid Imaging During Surgery

August 5, 2021 Question: I would like to know if there is a CPT code for parathyroid imaging.  I use it during surgery for my thyroidectomy cases. Answer: Actually, intraoperative imaging is not separately billable for the surgeon. Therefore, this activity is included in your surgical procedure code. *This response is based on the best...

Tracheostomy with Glossectomy
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Tracheostomy with Glossectomy

July 22, 2021 Question: We billed 31600 for a tracheostomy along with 41140 (total glossectomy). CPT 31600 was denied. How can we appeal? Answer: Good question, however, the denial was appropriate.  CPT guidelines say that a tracheostomy is included in the glossectomy codes 41140 – 41155 as these procedures would not be performed without a...

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