ENT Surgical Power Coding


*agenda subject to change

8:00 AM - 8:15 AM

Global Surgical Package

  • What’s included in a CPT code and what can you separately report
  • Coding for pre-op visits
    • Post-op visits related to the procedure
    • Post-op visits unrelated to the procedure
  • Using an unlisted code – when to use one, how to value the code, payor coverage policy and strategies for reimbursement

8:15 AM - 9:15 AM

Using Modifiers to Get Paid

  • Commonly used modifiers in an ENT practice – when to use them and how they impact reimbursement
  • Modifiers 22 (increased service) vs. 52 (reduced service) vs. 53 (discontinued procedure)
  • Modifiers 50 (bilateral procedure) and 51 (multiple procedures)
  • Unravel the confusion between modifiers 51 vs. 59 vs. Medicare’s X- modifiers.
  • Performing a procedure when you’re already in a global period – is it included in the global period you’re already in or can it be separately reported?  Using modifiers 58 (staged/anticipated procedure), 78 (unplanned procedure) and 79 (unrelated procedure)
  • Explanation of the assistant surgeon (80, 82) vs. co-surgeon (62) modifiers
  • KZA’s “quick guide” to surgery code modifiers

9:15 AM - 10:00 AM

Surgical Procedure Coding

  • New Technology in ENT Procedures
    • Automated tympanostomy tube delivery, nasal swell body treatment, minimally invasive procedures for chronic rhinitis and nasal vestibular stenosis: learn the latest on coding, billing and reimbursement strategies
  • Otology/Neurotology
    • Microscope codes, tympanostomy tubes, intratympanic injection, Epley maneuver, mastoid debridement, tympanic membrane repair procedures, Eustachian tube dilation, mastoidectomy, cochlear implant, repair of semicircular canal dehiscence, excision of acoustic neuroma/vestibular schwannoma
    • NEW in 2022: Osseointegrated Implants
  • Rhinology
    • Control of epistaxis, intranasal removal of polyps, inferior turbinate procedures, endoscopic sinus surgery and sinus dilation, placement of drug-eluting implant
  • Laryngology/Airway
    • Flexible laryngoscopy procedures including laser ablation, tracheostomy and tube change, Botox injections
  • Facial Plastics
    • Coding for skin biopsy and lesion removal, wound/laceration repairs, adjacent tissue transfer, paramedian forehead flap, skin grafts, rhinoplasty, repair of nasal vestibular stenosis, repair of nasal valve collapse with lateral wall implant code
      New in 2022: Nasal fracture repair code update
      CMS prior authorization for rhinoplasty procedures – there’s more to it than just the rhinoplasty codes
  • Head and Neck
    • Fine needle aspiration, diagnostic head/neck ultrasound, TORS (transoral robotic surgery), tonsillectomy/adenoidectomy and postop bleed scenarios, direct laryngoscopy, bronchoscopy, esophagoscopy, tongue biopsies, lymph node procedures, thyroidectomy/parathyroidectomy, parotidectomy, glossectomy, laryngectomy, skull base surgery (open and endoscopic endonasal

10:00 AM - 10:15 Am


10:15 AM - 11:30 AM

Surgical Procedure Coding (continued)

11:30 AM - 12:30 PM


12:30 PM – 1:45 PM

Surgical Procedure Coding (continued)

1:45 PM - 2:00 PM


2:00 PM - 3:00 PM

Surgical Procedure Coding (continued)

3:00 PM - 4:00 PM

Hands On Coding Operative Notes New in 2023

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