Otolaryngology Coding Alert
Reader Questions:
Check With Payer for AuD Credentialing
Published on Thu May 10, 2007
Question: The February 2007 Otolaryngology Coding Alert article on billing audiological diagnostic tests states that audiologists should have a Medicare provider number and bill the diagnostics codes. Does this apply to only Medicare? Do private payers now credential audiologists? Answer: Unlike the Medicare program in which audiologists (AuD) have independent provider status, private-sector third-party payer policies vary based on plan and state. So not all plans credential audiologists -- some do and some do not. For instance, Blue Cross and Blue Shield of Minnesota doesn't credential audiologists.
Iowa Subscriber
Best bet: To find out for certain, inquire directly with the respective plan.
Other Articles in this issue of
Otolaryngology Coding Alert
- Stick With E/M for Ear Wick Placement -- But Don't Miss Visualization Charge
AAO-HNS confirms -traditional- service coding for this procedure Although alternative surgical CPT codes may tempt [...] - You Be the Coder:
Cyst Excision: 11440 or 40810?
Reviewed on May 12, 2015
Question: Which CPT code should I use for surgical [...] - Act as a Co-Surgery Team to Ensure 62.5% Payment
ENT's portion requires specification, individual documentation When your otolaryngologist works as a co-surgeon on a [...] - Test Your Thyroidectomy Dissection Coding Skills
Functional, selective, radical refer to the same procedure Nine codes and five terms can challenge [...] - Reader Questions:
Report Fungal Sinusitis With Combination of Codes
Question: Is there is a specific diagnosis code for fungal sinusitis?
Tennessee Subscriber Answer: Although looking [...] - Reader Questions:
Check With Payer for AuD Credentialing
Question: The February 2007 Otolaryngology Coding Alert article on billing audiological diagnostic tests states that [...] - Reader Questions:
69310 vs. 69140: Look for Reconstruction
Question: An otolaryngologist performs a canaloplasty with osteoma excision to treat stenosis due to the [...] - Reader Questions:
Before Coding Replacement, Check POS
Question: What code should we use for replacing a Blom-Singer prosthesis?
Wyoming Subscriber
Answer: You may report [...] - Reader Questions:
Make Sure Note Shows Microdissection
Question: When an assistant surgeon does microdissection and the otolaryngologist performs a complete mastoidectomy, should [...] - Reader Questions:
42825 Sometimes Involves Suture
Question: An otolaryngologist performs a tonsillectomy and a primary closure of a tonsillar fossae. Should [...]
View All
