Agenda
*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
- 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
- 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
Break
10:15 AM - 11:30 AM
Surgical Procedure Coding (continued)
11:30 AM - 12:30 PM
Lunch
12:30 PM – 1:45 PM
Surgical Procedure Coding (continued)
1:45 PM - 2:00 PM
Break
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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