Otolaryngology Coding Alert

Coding Quiz Answers:

Avoid TNE Mistakes by Following Documentation to a 'T'

This POS tip can boost your practice's bottom line. Have your answers from the quiz on page 106? In most cases, your otolaryngologist's documentation decides the solutions. Forgo Modifier With 43200 For Typical TNE Answer 1: A. You should report the service with 43200 (Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]) using no modifier. Physicians perform transnasal esophagoscopy (TNE) with examination of the entire esophagus to the gastroesophageal junction. A typical TNE procedure involves visualizing the entire length of the esophagus to the gastroesophageal junction. It uses an ultrathin transnasal endoscope, with patients not usually sedated, which allows the physician to perform it in the office setting. Note: The 2009 CPT Moderate (Conscious) Sedation Guidelines states that "because the global period for codes 43200 is zero days, E/M services on the day before and the day after the procedure may [...]
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