Don't have a TCI SuperCoder account yet? Become a Member >>

Otolaryngology Coding Alert

You Be the Coder:

Check LCD, Payer Reimbursement Policies when Appealing Medical Necessity Denial

Question: We have a patient who presents for a maxillofacial computerized tomography (CT) scan without contrast for a severe, chronic postnasal drip. The physician documents a possible nasal polyp during the imaging. We coded this as R09.8 and received a denial for medical necessity from the insurance company. Should we appeal? Indiana Subscriber Answer: Unfortunately, R09.8 (Postnasal drip) does not [...]