Lina Posted Wed 07th of March, 2018 12:13:37 PM
Hi wanted to know if a family practice doctor can bill for Diagnosis such as otitis media without Pneumatic Otoscopy ? Does the doctor need that devise?
SuperCoder Answered Thu 08th of March, 2018 05:16:45 AM
Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear fluid of children with acute otitis media. Fever, otalgia, headache, irritability, cough, rhinitis, listlessness, anorexia, vomiting, diarrhoea, and pulling at the ears are common, but nonspecific symptoms. Detection of middle ear effusion by pneumatic otoscopy is key in establishing the diagnosis. Sometimes acute onset of otitis media not require pneumatic otoscopy but accurate diagnosis of otitis media is important to prevent suffering and complications when infection is present, and unnecessary antibiotic use when infection is absent. Please consult with your physician to find an accurate diagnosis or check with your payer if they have any specific guideline to bill this code.
Hope this helps!