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Otolaryngology Coding Alert

Endoscopy Procedures:

31231, 92511 and 31575: Weigh Your Code Selection Options Based On Complaints

2 tips make all the difference in your reimbursement for these services. When an ENT completes fiberoptic nasal sinus endoscopy, nasopharygoscopy and / or fiberoptic laryngoscopy on the same date of service, you should bundle these services and report only one code -- or append a modifier to override the edit in very rare instances. Otherwise, you'd be at risk of getting a denial. The code you should report is a function of the diagnosis which drives the medical necessity for the diagnostic test. Check out these two tips to get you started on the right track. Tip 1: Think Twice Before When Using Modifier 59 For 31231, 31575 Edits The National Correct Coding Initiative has bundled nasal sinus endoscopy (31231, Nasal endoscopy, diagnostic, unilateral or bilateral [separate procedure]) into flexible fiberoptic laryngoscopy (31575, Laryngoscopy, flexible fiberoptic; diagnostic) effective July 1, 2003. This means you cannot bill 31231 and 31575 together [...]

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