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Otolaryngology Coding Alert

Case Studies:
Tackle This Tracheoesophageal Speech Prosthesis Op Report Head-On
Break down the report into its respective surgical components. Being a coder for an ear, ... Read more
CPT® Guidelines:
Refresh Your Knowledge of G0268, 69200 Coding Guidelines
See how cerumen removal coding changes when audiologists get involved. It's easy to get c... Read more
E/M Coding:
Acclimate Yourself With Telephone, Virtual Check-In E/M Services
Outline key differences between the CPT® codes and their HCPCS counterpart. Evaluation a... Read more
Reader Question:
Think Twice Before Appending Modifiers to Unlisted Codes
Question: Our physician is performing multiple procedures during a surgical encounter. One... Read more
Reader Question:
Know How to Document ROS Appropriately
Question: For an evaluation and management (E/M) visit, if the physician states ROS as not... Read more
Reader Question:
Think Twice Before Billing an E/M For Allergy Testing Results
Question: Following allergy testing, the physician meets with the patient to go over the r... Read more
You Be the Coder:
Look to NCCI When Pairing 69610 With 69436
Question: We've got a patient that was set to have a tube removal and replacement. After t... Read more
Proposed Rule:
See Financial Impact of CMS Proposed Rule for Nasal Endoscopies
Get the full “scope” of the situation here.  On August 14, 2019, the Centers for... Read more
Equip Yourself With Some Essential Audiology TC, PC Guidelines
Begin by defining what constitutes each component of service. Similar to the world of oto... Read more
E/M Coding:
Use 3 Tips to Secure Full Reimbursement for Prolonged E/M Services
Know what to do when your provider goes above and beyond routine duties. Sometimes, you'l... Read more
Reader Question:
Consider Access Regions Beyond Just Nasal Endoscopies
Question: Can I include an impacted cerumen removal code when it's performed in addition t... Read more
Reader Question:
Use Provider’s Discretion When Considering Chronic, Acute Conditions
Question: When should I code for an acute form of a condition as opposed to a chronic form... Read more
You Be the Coder:
Understand Full Meaning of Separate Procedure
Question: Our payer is stating that we cannot bill 31231 and 31237 together on the same da... Read more
Emerging Technology:
Learn the Coding Fundamentals for Vivaer Nasal Airway Remodeling
Get in on the ground floor of this exciting new technology. Physicians and researchers wi... Read more
CPT® 2020:
Check Out These Crucial CPT® Updates for 2020 CY
This year is all about code description revisions for ENT coders. From a coder's perspect... Read more
Consider Monetary Impact of Proposed Incident-To Policy Changes
This could profoundly affect your practice's bottom line. Practices that currently implem... Read more
Reader Question:
Consider Laterality Modifiers When Appealing 30901 Denial
Question: We've got a payer denying 30901-RT when submitted with a 99204-25. Is there any ... Read more
Reader Question:
Include Outfracture in Turbinate Reduction
Question: Following a septoplasty to remove a septal spur, the surgeon performed an inferi... Read more
Reader Question:
Use This Z Code for CPAP Intolerance Diagnoses
Question: What's the diagnosis code for CPAP intolerance? Answer: Continuous positive air... Read more
You Be the Coder:
Consider All Avenues When Working Dx Code Denials
Question: We've seen numerous denials on claims billed with J35.03 and J35.3. We checked t... Read more
ICD-10-CM Updates:
Make Way for This Brand-New Wave of ICD-10-CM 2020 Codes
Stay afloat by getting familiar with each respective code set now.  October 1, 2019 ... Read more
Clinical Consensus Statements:
Learn to Use AAO-HNS Clinical Consensus Statements to Your Advantage
Be prepared to fight any denial and support unlisted codes with this key resource. The Am... Read more
Practice Extreme Caution Utilizing Templates for Patient Visits
Stay informed and compliant to avoid this documentation pitfall.  The switch from pa... Read more
Reader Question:
Report 76998 for Intraoperative Thyroidectomy USs
Question: Should I report 76536 for ultrasound (US) guidance during a total thyroidectomy?... Read more
Reader Question:
Use This Guidance for Same Day Allergy Injection, E/M Services
Question: Can I bill for an evaluation and management (E/M) visit for an allergy evaluatio... Read more
Reader Question:
Don’t Include Supply Billing with Rapid Rhino
Question: A patient came in to the clinic to have a rapid rhino placed? What's the CPT® c... Read more
Reader Question:
Check Bilateral Surgery Indicator for Bilateral Billing Questions
Question: Does CPT® code 31575 require laterality modifiers? Oklahoma Subscriber A... Read more
You Be the Coder:
Check Global Billing Policy for Postop Laryngoscopies
Question: A patient presents for a follow up visit two weeks following a total thyroi... Read more
Follow 6 Rules for Audiologic Function Test Coding
Start by knowing what's included in the E/M visit. Audiologic function testing is an impo... Read more
ICD-10-CM Coding:
Put Your ICD-10 ENT Coding Skills to the Test With 4 Examples
Channel your inner problem solver to simplify the coding process. ICD-10-CM coding for ot... Read more
Keep Your Practice in Check, Learn the Fundamentals of Self-Auditing
Follow these three steps to make auditing a smooth and efficient process. Self-audits, wh... Read more
Reader Question:
Include Nasal Packing Service in E/M Visit
Question: We have a patient who was treated at the emergency room (ER) for a nosebleed and... Read more
Reader Question:
Incorporate X{EPSU} Payer Decisions Into Practice Guidelines
Question: Which payers accept the X{EPSU} modifiers? I've heard that you should only repor... Read more
Reader Question:
Report 42700 with Modifier 52 for Failed Drainage
Question: We had a patient come in for a peritonsillar abscess. The physician performed an... Read more
You Be the Coder:
Discern Between 92597, 31611 for Trachea Voice Prosthesis
Question: What CPT® code should I report for the placement of  trachea voice prosthe... Read more
CPT® Coding:
Break Down Your 92502 Reporting With This Coder’s Guide
Stay on track by utilizing all the resources at your disposal. Sometimes, a patient will ... Read more
Surgery Guidelines:
Learn the Mohs Ropes With This Set of Guidelines
Sift between CPT®, NCCI instruction to get it down right. Mohs surgery is a common and e... Read more
ICD-10-CM Coding:
Get a Head Start on Allergy Coding Season With These Tips
Keep a close eye on your Excludes1 notes. Allergy coding isn't too challenging a task to ... Read more
Reader Question:
Check Bilateral Surgery Indicator Before Appending Modifier 50
Question: We are receiving denials for code 31298 due to an incorrect modifier. Do I need ... Read more
Reader Question:
Keep These Coding Resources in Your Back Pocket
Question: What are some good coding resources outside of the CPT® and ICD-10-CM manuals? ... Read more
Reader Question:
Know When to Report Separate E/M Following Allergy Testing
Question: Our provider wants to bill a separate E/M when going over the results and treatm... Read more
You Be the Coder:
Know CMS Bundling, Modifier Policies for 69210
Question: I'm getting denials from nearly all carriers when billing out for 69210. These a... Read more
CPT® Case Study:
Coding Challenge: Try Out This Thyroid, Parathyroid Surgical Example
Use every resource at your disposal to reach the correct set of codes. Any weathered surg... Read more
Take Your Follow-up, Aftercare Coding to the Next Level With This Guide
Use two ENT-specific examples to help drill the point home. Follow-up and aftercare are i... Read more
Boost Your Skills, Bust These 3 PFT Coding Myths
Know when to give bundling edits special consideration. Pulmonary function testing (PFT) ... Read more
Reader Question:
Make Proper Distinctions Between 30801, 30802, 30130, and 30140
Question: What's the difference between 30801, 30802, 30130 and 30140? Iowa Subscriber A... Read more
Reader Question:
Check Code’s LCD, ICD-10-CM Crosswalk to Avoid Denials
Question: We received a denial for code 92511 for due to an incorrect diagnosis code. The ... Read more
You Be the Coder:
Think Outside the Box for Implanted Screw of Mouth Removal
Question: I could use help working on a foreign body removal (FBR) operative report. The s... Read more
Stay Current, Compliant With 2019 MIPS Otolaryngology Measures
Plus, don't let Specialty Measure Set limit your physician's maximum payment adjustment. ... Read more
E/M 2021:
Tune in to These Game-Changing 2021 E/M Policy Revision Proposals
See what kind of shift is in store from the 1995/1997 guidelines. As 2021 approaches, the... Read more
Use 4 Tips for Compliant SNF Patient Reporting
Hint: Use an agreement resembling that of an ABN. Your otolaryngology practice might come... Read more
Reader Question:
Use Discretion for Principal Diagnosis Without Definitive Condition
Question: I am working on a chart where the patient presents with shortness of breath and ... Read more
Reader Question:
Report 1 Code for COPD, Bronchiectasis Dx Combo
Question: What is the ICD-10-CM code to report for chronic obstructive pulmonary disease (... Read more
Reader Question:
Use This Criteria for Tissue Removal in 31267 Reporting
Question: I'm coding a maxillary antrostomy. The doctor documents a small amount of tissue... Read more
Reader Question:
Note Differences, Similarities Between Myringoplasty, Tympanoplasty
Question: What's the difference between a tympanoplasty and a myringoplasty? I was under t... Read more
You Be the Coder:
Know When Septal Spur Excision Qualifies as 30520
Question: I'm working on a functional endoscopic sinus surgery (FESS) involving a left max... Read more
E/M Coding:
Avoid This Misconception Surrounding Modifier 25, New Patients
Rely on these specific guidelines from the Global Surgery Booklet. In Volume 21, Issue 3 ... Read more
CPT® Case Studies:
Empower Your UPPP, Pharyngoplasty Coding Skills Using 2 Examples
Find out what does and does not warrant the use of code 42950. There are plenty of variab... Read more
Break Down These Fundamental Points on Telemedicine Coding
Discern between telemedicine and telehealth with some key indicators. Telemedicine is qui... Read more
Reader Question:
Do Not Report 30115 for In-Office Procedures
Question: The surgeon performs an extensive bilateral removal of nasal polyps in the ... Read more
Reader Question:
Never Assume RDS With Acute Respiratory Distress Diagnoses
Question: What diagnosis codes should I report for a 32-year-old woman with acute respirat... Read more
Reader Question:
Code Reflux as Primary Dx Reflux Laryngopharyngitis
Question: What diagnosis code should I use to report reflux laryngopharyngitis? Tennessee... Read more
You Be the Coder:
Correctly Code This Frontal Sinus and Sphenoid Sinus Balloon Dilation Example
Question: How do I code a bilateral frontal sinus balloon dilation and a left sphenoid sin... Read more
Bank on This Definitive Coder’s Guide to Cerumen Removal
Never second-guess a cerumen removal chart again. As an otolaryngology coder, you're prob... Read more
Get on Board With 2021 E/M Proposed Reimbursement Changes
See what changes CMS has in store for E/M reporting and reimbursement. As you've been exp... Read more
CPT® Coding:
Learn the Fundamentals of the New Skin Biopsy Code Set
Technique documentation leads code choice. As you make your way through the plethora of c... Read more
Reader Question:
Don’t Force Separate E/M Charge for All New Patients
Question: I have a new patient present with impacted cerumen removal. Since this patient i... Read more
Reader Question:
Make Sure Follow-Up Chief Complaints Are Specific
Question: Our otolaryngologist lists the chief complaint (CC) for all follow-up visit... Read more
You Be the Coder:
Consider Global Periods, Relatedness for Postop Debridement Services
Question: The provider performed a debridement endoscopy (31237) at a one-month check-up v... Read more
CPT® Case Study:
Tackle Each Coding Step of This Challenging ENT Surgical Report
The answer begins and ends with a strong anatomical knowledge foundation. Sometimes, the ... Read more
CMS Final Rule:
Note These Important 2019 MPFS Final Rule Changes on Documentation
See what changes will help streamline your documentation processes. The Medicare Physicia... Read more
ICD-10-CM Coding:
Know When, How, and Where to Report External Cause Codes With This Guide
Use this plethora of expert feedback to help drill the point home. A provider of any spec... Read more
Reader Question:
Avoid HCPCS C Codes Outside of OPPS Billing
Question: I have a doctor that performed a “placement of bilateral Latera implants for v... Read more
Reader Question:
Double-Check Your Encoders for Accurate NCCI Edit Information
Question: Our encoder shows that it is OK to bill cerumen impaction removal (69210) and a ... Read more
Reader Question:
Know When, When Not to, Include Supplementary Diagnoses
Question: The provider states that she removed pus debris under a microscope for a patient... Read more
You Be the Coder:
When in Doubt, Check Code’s Clinical Responsibility
Question: My physician is suggesting that we report code 30117 for the removal of a nasoph... Read more
2019 HCPCS Codes:
Clear the Way for This Essential Set of 2019 ENT Codes
Distinguish between these two types of hearing aid devices. Effective January 1, 2019, HC... Read more
2019 ICD-10-CM:
Get Acclimated With This Second Round of 2019 Guideline Updates
Catch up on changes to malignancy coding, drug use in pregnancy, and more. New coders oft... Read more
Understand Crucial Link Between Documentation and Medical Necessity
Plus, know when to count prescriptions toward MDM. If thoughts of claim denials keep you ... Read more
Reader Question:
Consider Cat III Codes With Placement of Hypoglossal Nerve Stimulator
Question: What's the CPT® code for the placement of a hypoglossal nerve stimulator? I can... Read more
Reader Question:
Note Circumstances of Postop Pain Before Determining Dx Code
Question: A patient is seen by the physician two days following an ethmoidectomy. The pati... Read more
Reader Question:
Know How to Sequence Complication, Condition Codes Properly
Question: How should I code a diagnosis of chronic nasal bleeding following sinus surgery?... Read more
You Be the Coder:
Think Twice Before Reporting Middle Turbinate Resection With Some Endoscopic Services
Question: Can I report a middle turbinate resection in addition to an endoscopic polypecto... Read more