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Otolaryngology Coding Alert

Medicare Payments:
CMS Signals Potential Changes to Modifier 25 With These ENT Services

The 2017 proposed Fee Schedule could make payment for E/Ms with select minor procedures more difficult. You probably count on modifier 25 when you’re reporting an E/M with diagnostic endoscopic procedures like 31231 (Nasal endoscopy, diagnostic, unilateral or bilateral [separate procedure]), 92511 (Nasopharyngoscopy with endoscope [separate procedure]) or 31575 (Laryngoscopy, flexible fiberoptic; diagnostic )—but CMS could make  getting reimbursed for [...]