Otolaryngology Coding Alert

Reader Questions:

Instruct Providers on Proper Op Report Documentation Requirements

Question: Our provider performed a bilateral myringotomy with tympanoplasty tube placement. The operative report goes into full detail for the right-sided portion of the procedure, but only indicates that “a similar procedure was performed on the left side.” Is this enough documentation to support a bilateral procedure? Utah Subscriber Answer: You’ll encounter numerous procedures, typically involving the ears, accessory sinuses, [...]
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