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Otolaryngology Coding Alert

You Be the Coder:

Understand Full Meaning of Separate Procedure

Published on Wed Oct 16, 2019

Question: Our payer is stating that we cannot bill 31231 and 31237 together on the same date of service (DOS). How can I get both procedures paid? Montana Subscriber Answer: Have a look at each respective code description: 31231 (Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)) 31237 (Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)). The first [...]
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