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Otolaryngology Coding Alert

You Be the Coder:
Coding Laryngeal Botox Injections

Question: Encounter notes indicate that the otolaryngologist performed a direct laryngoscopy to inject onabotu­linumtoxinA (Botox) into the patient’s larynx. There is no mention of microscope or other visualization tool. The patient was sedated during the procedure. Notes indicate that the physician used 3 units of Botox. How should I code for this encounter? Missouri Subscriber Answer: For this claim, you’ll report 31570 [...]