Otolaryngology Coding Alert
Look to 30400 for Open Nasal Reconstruction
Question: Which code should we report when the physician performs an open nasal reconstruction? Pennsylvania Subscriber Answer: The answer depends on the specific details in your otolaryngologist's operative report, but most open nasal reconstructions warrant 30400 (Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip). If the surgeon also repairs the septum, you should report 30420 (... including major septal repair) instead. -- Answers to You Be the Coder and Reader Questions provided by Barbara Cobuzzi, MBA, CPC, CPC-H, an otolaryngology coding and reimbursement specialist and president of Cash Flow Solutions, a medical billing firm in Brick, N.J.; Amy H. Nunnelee, MA, CCC-A, clinical audiology instructor at the University of Kansas Medical Center in Kansas City.; and Julie Robertson, CPC, an otolaryngology coding and reimbursement specialist at University ENT Specialists in Cincinnati.
Otolaryngology Coding Alert
- Don't Throw In the Towel on Facial Nerve Monitoring Claims
With the right documentation and modifiers, some practices can earn big bucks It's getting harder [...] - ICD-9 2005 Preview:
New 477.x Code Makes Billing Animal-Dander Rhinitis a Snap
Look forward to greater TMJ reporting specificity Do insurers request further information when you submit [...] - Take 3 Steps to Fewer Modifier -25 Denials
If you don't use modifier -25 correctly, you might face a long appeal process, refund [...] - Quick Key:
Get the NCCI 10.2 Rundown Here
Integrate these new otolaryngology bundles July 1 Forget fumbling through pages of edits on the [...] - Reader Question:
2 Steps to Effective -GA and ABN Use
Question: Our office is having problems with modifier -GA and Medicare when billing for hearing [...] - Reader Question:
Preradiation Dental Extractions? Bill Unlisted
Question: When a patient with advanced head/neck carcinoma and advanced dental disease requires radiation, I [...] - You Be the Coder:
How Should We Code Off-the-Board Injections?
Question: A nurse administers three bee-venom injections containing five venoms. How should I report the [...] - Reader Question:
Combine Same-Day E/Ms Into 1
Question: An otolaryngologist treats a patient in our office, then admits him to the hospital [...] - Reader Question:
Submental Mass Codes Vary Widely
Question: Which code should we use when we excise a submental mass? New York Subscriber [...] - Reader Question:
Hearing Exam Providers, Beware: Facility Bills 92506
Question: I am a state-licensed audiologist in California. A primary-care physician requested that I evaluate [...] - Reader Question:
92545 Tests Random-Motion Tracking
Question: How should I code audiologist-performed random saccade? Florida Subscriber Answer: CPT doesn't specifically mention [...] - Reader Question:
Patient Status Not Based on Creating Record
Question: When a patient presents to the office for the first time after our physician [...] - Reader Question:
Look to 30400 for Open Nasal Reconstruction
Question: Which code should we report when the physician performs an open nasal reconstruction? Pennsylvania [...]
