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Otolaryngology Coding Alert

Condition Focus:
Follow 4 Steps to Ease Your Dysphagia Dilemmas
Hint: Your best coding starts with a detailed diagnosis. If your otolaryngologist or ... Read more
Modifier 25:
Avoid These Traps When Reporting Modifier 25 and Know That 'Separate' Is Justified
Here’s your top ‘do’ and ‘don’t’ for correct usage. ... Read more
ICD-10:
Start Thinking 'Right' or 'Left' for Future Impacted Cerumen Coding
The H61.2- family will have all your code choices. Impacted cerumen can be a fairly co... Read more
Condition Checkpoint:
Understand What Impacted Cerumen Is
Impacted cerumen (or wax in the ear) can affect both children and adults. The condition ... Read more
Reader Question:
Code 31256 Alone Usually Overrides 32156 With 31237
Question: Our surgeon performed an endoscopic middle meatus anstrostomy. I’m leani... Read more
Reader Question:
Submit 31570 for Botox Via Laryngoscope
Question: I have a Medicare patient that one of our surgeons injected with Botox for spa... Read more
Reader Question:
Laser Ablation Isn't Synonymous With Dermabrasion
Question: The operative note was dictated as, “C02 laser ablation of carcinoma in ... Read more
Reader Question:
Yes, You Can Report 42808 With Silver Nitrate Treatment
Question: If the physician removes a lesion and uses silver nitrate instead of suturing ... Read more
You Be the Coder:
Best Choice for Thyroidectomy With Central Neck Dissection
Question: How should we bill a thyroidectomy with central neck dissection? Minnesota... Read more
CPT® 2014:
Learn When to Use New Chemodenervation Codes 64616, 64617
Also: Check out the new codes for SLP services. Chemodenervation has been a popular fo... Read more
Consultation Coding:
2014 Will Add New Consultation Codes to Your Options
Remember to include documentation as before – but you still might not get paid. ... Read more
Credentialing:
Answer These 3 Questions to Determine When a New Provider Can Start Seeing Patients
Warning: Start a provider too soon and you could be giving away free services. When a ... Read more
ICD-10:
Know the Rhinitis Cause to Report This Dx Under ICD-10
You’ll be checking the ‘J30.x’ section to find the right rhinitis code... Read more
Reader Question:
Endoscopy With Packing Removal? Code 31238 Might Apply
Question: A new patient came to our office for removal of nasal packs (a different ... Read more
Reader Question:
Check Documentation Before Submitting 31256 With 31237
Question: Our physician completed an endoscopic middle meatus anstrostomy and right... Read more
Reader Question:
Understand When Modifier GA Applies
Question: We have patients sign an ABN for a certain procedure in our office that m... Read more
You Be the Coder:
Best Code for Intranasal Lesion Removal
Question: I need help with coding the following in-office procedure: The patient ha... Read more
CPT® 2014:
One Code Change Could Net You Extra Pay in 2014
Hint: The change you’ll love is ‘unilateral.’ The American Medical A... Read more
Condition Focus:
Know When Symptoms Move From Vertigo to Meniere's Disease for Accurate Coding
Tip: Watch for documentation of multiple symptoms over time. Meniere’s disease c... Read more
Terminology Check
What Is Meniere’s Disease? Meniere’s disease is an inner ear disorder that... Read more
HIPAA:
Are You Ready for the New HIPAA Audits Coming in October?
Heads up: The ‘2014’ date you’ve heard doesn’t mean January. I... Read more
ICD-10:
Prepare for Diagnosis Changes With Meniere's Disease and Related Conditions
Heads up: You’ll need to know more specifics about affected sites. Physicians ... Read more
Reader Question:
No Easy Answer for LPR Diagnosis Code
Question: I recently started working with an ENT who brought this question to me. P... Read more
Reader Question:
Here's Why You Don't Denote Laterality for 31540 or 31541
Question: The surgeon performed a direct laryngoscopy and removed polyps from the p... Read more
Reader Question:
Examine Your Choices for Ear Canal Lesion Debridement
Question: The physician used suction and cup forceps to debride an ear canal lesion... Read more
Reader Question:
Surgical Tray Pay for 99070 Can Depend on Insurer
Question: An in-office procedure required a sterile surgical tray. Is there a billa... Read more
Reader Question:
Yes, You Can Try to Get Higher Contract Payments
Question: I am a new practice manager and will be going through my first payer cont... Read more
You Be the Coder:
Pairing Codes When Reporting T&A
Question: One of our insurers has very strict guidelines for a T&A. Often times... Read more
Nosebleeds:
Understanding Extent of Repair Points You to 30901
Payoff: Difference in care could add hundreds to your bottom line. A patient sees your... Read more
Diagnosis Coding:
Follow 3 Easy Steps to Pinpoint the Best Diagnosis Every Time
Signs and symptoms may be your best — or only – choice. Your first step in... Read more
Reimbursement:
Prepare for Steep Pay Cuts If Proposed 2014 Fee Schedule Flies
Bright side: Bonuses for non-face-to-face services for some patients could come in 2015.... Read more
ICD-10:
Acute Sinusitis Follows 1-to-1 Switch in October 2014
Tip: Watch for comorbidities or other conditions you can report. Currently, when the ... Read more
Reader Question:
Choose 17000-17250 for CO2 Laser Ablation of Facial Carcinoma
Question:  How do we code for CO2 laser ablation of carcinoma in situ of the face? ... Read more
Reader Question:
Append Modifier 22 for Pediatric Thyroidectomy
Question: My surgeon believes there should be a specific code for pediatric thyroidectom... Read more
Reader Question:
Diagnosis 528.9 Applies to Elongated Uvula
Question: I’m searching for an ICD-9 code for an elongated uvula. The surgeon comp... Read more
Reader Question:
31540 Works for Larygoscopy With Papilloma Ablation
Question:  How should I code for direct laryngoscopy with laser ablation of a papil... Read more
Reader Question:
Related Debridement Is Not Part of Septoplasty
Question:  Are there any rules for billing or not billing a 31237-58 during the glo... Read more
Reader Question:
31622 Plus 31830 Cover Trach Revision Flap With New Tube
Question:  A tracheotomy-dependent patient has been seeing our otolaryngologist for... Read more
You Be the Coder:
Can You Append Modifier 50 to 31231?
Question: My doctor says that we can bill 31231 as bilateral without a modifier. Is this... Read more
Coding Edits:
Don't Miss These Modifier 25 Changes With CCI 19.2
Tip: Verify that your billing can support two true services. CCI version 19.2 that ju... Read more
E/M Coding:
Get the Lowdown on Reporting Minor Procedure With E/M and -25
New verbiage for modifier 25 doesn’t necessarily negate all your claims. Billin... Read more
Documentation:
4 Modifier 25 Rules You'll Need to Keep Handy
Justify your claims by keeping these points in mind. Before submitting a claim with mo... Read more
ICD-10:
Otosclerosis Code Assignment Gets More Detailed With ICD-10
You’ll need better documentation of anatomic location to choose the correct diagno... Read more
Reader Question:
Submit 31240 for Some Nasal Polyp Removals
Question: The otolaryngologist removed a middle turbinate endoscopically, which he indic... Read more
Reader Question:
Sialoadenitis Diagnosis Is Simple with 527.2
Question: A patient saw the ENT because of pain and swelling in the area around a saliva... Read more
Reader Question:
Include E/M Units in Prescription Writing
Question: I’ve heard that there’s a code we can bill (and be paid for) to in... Read more
Reader Question:
Don't Set Yourself Up for Automatic Denial Resends
Question: When we know that the carrier has made a mistake in denying one of our claims,... Read more
Reader Question:
Add Modifier Q6 for NP's Locum Tenens Work
Question: One of our physicians will be away for eight weeks, so has made locum tenens a... Read more
Reader Question:
Have the Support Before Billing 99441-99443 Calls
Question: A patient called during the weekend and left a message for our physician askin... Read more
You Be the Coder:
Jaw Pain Diagnosis
Question: What diagnosis should I use for jaw pain due to temporomandibular joint (TMJ) ... Read more
CCI 19.2:
Edits Direct You to Steer Clear of Reporting E/M With Many Procedure
CCI implements bundles for ENT procedures already covered by global period guidelines. ... Read more
FBR Strategies:
4 Questions Help You Decide When to Code Foreign Body Removal
Hint: It’s not always just about location and depth. If the surgeon removes any ... Read more
ICD-10:
Focus on a Single Code for Unspecified Acute Respiratory Infections in 2014
J06.9 will be an easy replacement for 465.9. Your otolaryngologist might diagnose an u... Read more
E/M Coding:
Brush Up on Meeting Criteria for 'Moderate' Decision Making
Tip: ‘New’ problem doesn’t always need a work up. Coding for routin... Read more
News Flash:
Health Insurance Rebates Coming for Virtually All States
Biggest money expected in Texas and Florida. A new analysis from the Kaiser Family Fo... Read more
Reader Question:
Your Physician Has Various Ways to Document
Question: My otolaryngologist reported an established patient office visit code 99214, b... Read more
Reader Question:
Examine the Documentation Before Appending Modifier 78
Question: Yesterday, a patient had 30520 and 30140-50. Later that same day, the patient ... Read more
You Be the Coder:
Discover How to Use V10.01
Question: A patient completed radiation treatment for tongue cancer. Less than five year... Read more
Nerve Monitoring:
To Report IONM, You Need a Separate Provider -- The Surgeon Can't Do Both
With the right documentation and modifiers, some practices can earn big bucks. If you ... Read more
Ears:
4 Tips Validate How You Report Vent Tubes Removals
Here’s what to do when the ENT is doing a membrane repair, too. When you’r... Read more
Incident-To:
Follow These 3 Steps for Better Incident-To Claims
Don’t forget to check your state’s laws for NPP scope of services. Having ... Read more
ICD-10:
Narrow Six 244.x Hypothyroidism Options to Five ICD-10 Codes in 2014
Your physician will have to think about the hypothyroidism cause. Hypothyroidism is a ... Read more
Reader Question:
Follow CMS Regs on Documentation Amendments
Question: Where can I find CMS directions regarding amending documentation? Georgia ... Read more
Reader Question:
Is Your BAHA Procedure Different from 69710's Descriptor? Do This
Question: My ENT performed an implantation of electromagnetic bone conduction hearing de... Read more
Reader Question:
Check Out How to Code Skin Lesion Stages
Question: A family physician referred a patient to our ENT for a skin lesion removal fro... Read more
You Be the Coder:
Don't Overlook "Separate Procedure" Lingo
Question: I have a clinic where the ENTs are claiming 92504 and 69210 should not be bund... Read more
Coding Quiz:
Take This Migraine Signs and Symptoms ICD-9, ICD-10 Challenge
Try your hand at looking up these signs and symptom equivalents. With ICD-10 looming i... Read more
Challenge 1:
Challenge 1:
Your ICD-9 codes for the above-mentioned conditions are: ____________________________... Read more
Challenge 2:
Challenge 2:
Your ICD-9 codes for the above-mentioned conditions are: ____________________________... Read more
Vestibular Tests:
Keep Your Vestibular Tests Report From Spinning Out Of Control
You should only report one unit of 92545. When the patient complaining of headaches sh... Read more
Ear:
Evaluate the Way You Code Epley Maneuver Claims
Medicare says 95992 is a no-no. The Epley maneuver is a simple but time- consuming tre... Read more
E/M:
2 Tips Show You How to Capture Separate-Site E/M Services
Look to admission date when coding outpatient-to-inpatient encounters. You won’t... Read more
ICD-10:
Unspecified Infective Otitis Externa Codes Expand Next Year, Too
Here what your physician’s documentation needs to specify. Infective otitis exte... Read more
Reader Question:
Here's How to Locate a Palate Control-of-Bleeding Code
Question: An otolaryngologist removed a patient’s palate lesion (42120) on 3/24/20... Read more
Reader Question:
Location Doesn't Impact Encounter Status
Question: A pediatrician requested my otolaryngologist’s opinion on a premature ne... Read more
Reader Question:
Fighting for Rhinoplasty Payment Can Be Rewarding
Question: My doctor says “a fracture is a fracture forever.” The patient pre... Read more
You Be the Coder:
Don't Overlook 92504's Separate-Procedure Rule
Question: I’m not sure when I can use 92504. I know I shouldn’t charge 92504... Read more
Throat:
Keep This Laryngoscopy Primer on Hand for Distinguishing Three Types
Highlight these key words to know what you should report when. If you’re not cer... Read more
E/M:
To Bill Same-Day E/M Service, Documentation Must Justify Scope
Check out this handy list of 10 scope indications. When your otolaryngologist performs... Read more
ICD-10:
Treat "Unspecified" Viral Infection Dx Carefully -- You May Have a Better Choice
Good news: Code 079.99 has a one-to-one relationship. A viral infection is caused by a... Read more
Reader Question:
Combine Both Tympanostomy Tube and Aural Polyp Removals
Question: My physician performed both tympanostomy tube removal and aural polyp removal ... Read more
Reader Question:
Separately Bill Prosthesis Supplies
Question: Which CPT code(s) should I use for an in-office tracheo-esophageal voice prost... Read more
You Be the Coder:
Avoid Making This E/M Service and Global Days Mistake
Question: Patient had outpatient surgery: ·     &n... Read more
CCI 19.0:
New Year Brought You New Bronchoscopy, Chemodenervation, and Allergy Edits
Pay attention to the modifier indicator to determine which ones you can override and whi... Read more
IONM:
Are You Reporting New Codes 95940-95941 Correctly? Find Out
Beware: This new terminology prevents you from billing IONM plus surgery. If your ENTs... Read more
Billing:
Catch Potential Billing Slip-Ups With Internal Audits, Before an Outside Auditor Does
Starting with a baseline audit will set your practice up for success. Would your prac... Read more
ICD-10:
New 'J' Code Will Replace 034.0 for Strep Throat Dx Under ICD-10
Fortunately, however, coding choices for this condition won’t expand dramatically.... Read more
Reader Question:
For Sleep Study Physicians, Check Out CCI 19.0 Changes
Question: My otolaryngology practice deals with sleep studies, and I was wondering what ... Read more
Reader Question:
Make Certain MD Gets Credit for 31267
Question: My physician performed: left endoscopic maxillary antrostomy with biopsy, ... Read more
You Be the Coder:
Compare Involved Ear Debridement to These Codes
Question: My doctor had a question about coding for in-office ear debridement due to ear... Read more
Unlisted Procedures:
Unearth These 3 Unlisted Code Tips for Stress-Free Claims
Follow the experts’ guidance to getting these claims reimbursed. CPT® doesn&... Read more
E/M Coding:
Implement These 5 Simple Steps to Boost Your E/M Bottom Line
Heads up: Dig past ‘follow-up’ for acceptable chief complaint. E/M coding ... Read more
News You Can Use:
Stop Wondering: Congress Freezes Medicare Pay at 2012 Rates
However, don’t assume your HPSA bonus will continue. As many practices are aware... Read more
ICD-10:
Get to Know Expanded Tonsillitis Code Set That Takes Effect Next Year
You’ll say goodbye to codes 463 and 474.00 effective Oct. 1, 2014. Tonsillitis i... Read more
Reader Question:
Provider-Neutral Language Shouldn't Impact Too Harshly
Question: Does our practice need to make any changes to our systems to accommodate the f... Read more
Reader Question:
Patient-Initiated Request
Question: A non-Medicare patient with a long history of chronic rhinosinusitis presents ... Read more
Reader Question:
Let Day Steer 31238 Modifier
Question: Yesterday a patient had 30520 and 30140-50. Later that day, the patient return... Read more
Reader Question:
Scrutinize Endoscopic Vs. Open Surgery
Question: Our surgeon documented the following biopsy: -I passed an endoscope into the r... Read more
You Be the Coder:
Learn Exception to Indented Code Rule
Question: Should we assign 31254 and 31255 for an anterior ethmoidectomy? Florida Sub... Read more
Nose:
5 Tips Help You Choose the Right Epistaxis-Control Codes
We’ll show you when to charge higher-valued nosebleed treatment and endoscopy. B... Read more
Debridement:
Ask 2 Questions Before Coding Sinus Debridement -- or Pay the Price
You can report 31237 as a post-op procedure If denials and quickly advised "don&r... Read more
2013 AMA Symposium Update:
Get the Scoop on Transition Codes, Medicare Rates
Here’s the latest news on 2013’s payment rate. 2013 will bring more inclus... Read more
ICD-10:
Prepare For 4 New Otalgia Options in 2014
The fifth digit makes all the difference. Simply put, otalgia refers to an earache. In... Read more
Reader Question:
Look to 30400 for Open Nasal Reconstruction
Question: Which code should we report when the physician performs an open nasal reconstr... Read more
Reader Question:
You Can Recoup for Nasal Swabs
Question: My allergist performed a nasal swab for respiratory syncytial virus (RSV). Sho... Read more
Reader Question:
Coding Two Sinus Biopsies
Question: Which procedural code(s) should I use for the following operative note: Endosc... Read more
You Be the Coder:
Submental Mass Codes Vary Widely
Question: Which code should we use when we excise a submental mass? New York Subscribe... Read more