What's New
About Us
Support
Cart
USA
USA
India
Global
My AAPC
Sign In
Sign Up
Overview
Purchases
Subscriptions
Courses and Exams
Certifications and CEUs
Profile and Preferences
Membership
Benefits
Local Chapter
Log Out
Search
Certifications
View All Certifications
Prepare for a Certification Exam
Plan and Schedule Your Exam
Maintain Your Certification
Business Solutions
Become an Instructor
Certify Your Team
Verify a Credential
License AAPC Curriculum
Training and Events
Training Overview
Prerequisites
Exam Preparation
CPC (Medical Coding)
CPB (Medical Billing)
CPC + CPB
All Certification Courses
Continuing Education
Search for CEUs
Webinars
Workshops
Specialty Certificates
Revenue Cycle Insider
Professional Development
Events Overview
HEALTHCON
HEALTHCON Regional
RISKCON
DOCUCON
AUDITCON
REVCON
Local Chapter Events
Education Solutions
Overview
Curriculum Licensing
Educational Resources
Career-Readiness Software
Instructor Certification
Resources
View All Resources
Career Center
Find a Job
Community Forum
Get Support
AAPC Blog
AAPC the Magazine
Business Solutions
Case Studies
White Papers
Webinars
eBriefs
Podcasts
Software and Services
Codify
Practicode
Xtern Program
Calculators and Tools
Business Solutions
Overview
Audit Services
Coding Services
Codify by AAPC for Teams
Practicode for Employers and Educators
Data Files
Corporate Membership
Find Custom Team Training
Shop
Shop Overview
Books and Guides
Book and Guide Bundles
ICD-10 Code Books
CPT Books
HCPCS
Coders' Specialty Guides
Reference Guides
Partner Publications
Code Updates
Exam Prep
Prerequisite Courses
Exam Preparation Courses
Study Guides
Practice Exams
Exam Review
Continuing Education
Webinars
Workshops
Specialty Certificate Courses
Revenue Cycle Insider
Professional Development
Instructor Resources
AAPC Merchandise
Business Solutions
Group Purchasing
Group Webinars and Workshops
Publisher Request Form
Membership
Membership Overview
Local Chapters
Savings Center
Learning Library
Business Solutions
Corporate Membership
What's New
Support
Cart
Sign In / Sign Up
My AAPC
Overview
Purchases
Subscriptions
Courses and Exams
Certifications and CEUs
Profile and Preferences
Membership
Benefits
Local Chapter
Log Out
Select
Code Sets
Indexes
Code Sets and
Indexes
Tools
Publications
Advanced Search
Home
Newsletter
Articles
Otolaryngology Coding Alert
2015 Newsletter
Reader Questions: Remember the ''Established'' Timeline
Otolaryngology Coding Alert
Reader Questions:
Remember the ''Established'' Timeline
Published on Thu Jul 16, 2015
Question: A patient was referred to our practice in 2013 because of otitis media, and was seen by Dr. Smith. She was referred back to us [...]
You’ve reached your limit of free articles. Already a subscriber?
Log in
.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
Simple explanations of current healthcare regulations and payer programs
Real-world reporting scenarios solved by our expert coders
Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
Instant access to every article ever published in Revenue Cycle Insider
6 annual AAPC-approved CEUs
The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
Want to know more about Revenue Cycle Insider?
Fill out this form to get more information.
First Name
*
Last Name
*
Email
*
Phone Number
*
utm_campaign
utm_source
Status
Channel
Lead Source
Job Title
Company Name
By completing this form, you are requesting to be contacted by AAPC. For more information, please refer to our Privacy Policy.
Related Articles
Billing Multiple Procedures Requires More Than Modifier -51
Predetermination of Payment Is Crucial When Billing Somnoplasty Procedures
Reader Question: Biopsy of Tonsil
Loading....
Other Articles in this issue of
Otolaryngology Coding Alert
Procedure Focus:
Get Clear on When You Can Include E/M and Modifier 25 on Scope Claims
Tip: Look to the AAO-HNS for some helpful guidance. Diagnostic scopes can be some of [...]
Diagnosis Coding:
Watch the Diagnosis Assignment When Submitting Modifier 25
You might need to fight for reimbursement. You can connect the same diagnosis with both [...]
Documentation:
Follow These 3 Pieces of Advice to Find 'Unlisted' Success
The more information you can include on your claim, the better. No coder likes to [...]
ICD10:
You'll Still Have a Single Code for Hypertrophy of Adenoids, Come October
Current diagnosis 474.12 will make an easy shift. When your otolaryngologist diagnoses hypertrophy of adenoids, [...]
You Be the Coder:
ICD-10 Options for Retained Foreign Body
Question: I’m trying to determine what the correct ICD-10 code would be for 385.83 (Retained foreign [...]
Reader Questions:
Look at Separate Lines When Appealing Bilateral Denial
Question: One of our commercial payers has been denying the bilateral portion of 31237 for the [...]
Reader Questions:
Remember the ''Established'' Timeline
Question: A patient was referred to our practice in 2013 because of otitis media, and was [...]
Reader Questions:
Inpatients Remain Inpatients Until Discharge
Question: We were asked to perform a consultation for a hospital inpatient who was transported to [...]
Reader Questions:
Append Modifier 78 for Unplanned Return to OR
Question: My provider did a tonsillectomy on a patient a couple weeks ago. The patient then [...]
View All
