ent

  1. E

    Wiki 30520 vs 30630

    We are having a discusion which code is best for the following procedure? We have one saying 30520 and another going with 30630. Any rationale appreciated either way. Care was turned to the nose. Noted to have a septal deviation. Noted to have a perforation of 1 cm in size. Incision was made...
  2. Z

    Wiki UPSIT coding/reimbursement

    My provider wants to try billing for UPSITs, has anyone tried billing for UPSITs under 92700 and have gotten paid? Is there any other CPT code that can be used for the UPSIT? Most of the posts here are from a few years back and wanted to see if there has been any progress as to reimbursement...
  3. A

    Wiki Foreign Body Removal from Cleft Palate

    Hi, all! I'm hoping someone might be able to help. We are seeing a patient that had an impression done at a dentist's office that resulted in some of the impression gel being left/stuck in the patient's cleft palate. Our ENT provider is going to see the patient to evaluate for foreign body...
  4. B

    Wiki ENT Coding Education

    Anyone looking for reasonably priced ENT Coding Education, please note that I and my colleague Jennifer McNamara will be delivering a VIRTUAL course over two days mid-November offering 12 CEUs, covering just about just about everything an Otolaryngology coder would want addressed. We will be...
    • b.cobuzzi
    • Thread
    • ceus codingeducation education ent ent code help ent coding ent resources
    • Replies: 1
    • Forum: ENT/Otolaryngology
  5. H

    Wiki 69620 and 69436

    With 69436 being a column 2 code for 69620, would it be appropriate to add modifier XU or 59 to 69436? TIA Once an adequate level of anesthesia was achieved, the patient's head was turned and the left ear was examined using the operating microscope and cerumen was cleaned with a cerumen...
  6. T

    Wiki reconstruction of external ear after being bitten off by dog

    Hi We have a 10 yr old boy who had his ear basically bitten off. He was seen by a doctor who placed a permanent suture and sutured his ear to the skin on his head to allow healing of the ear injury. He was told to come back in 6 months to a year to remove the suture and do a reconstruction...
  7. F

    Wiki Audiology Techs

    Does anyone have audio techs on staff? If so, what/how do they bill and what can they legally perform? Thanks!
  8. J

    Wiki ENT coding: nasopharyngeal mass excision via scope

    A surgeon is disputing our procedural coding on the following operation. I'd like to check our work and if correct, find some official source that may help explain to him why we've chosen the code we did. We selected 30999 unlisted procedure, nose because there is no code describing a nasal mass...
  9. M

    Wiki Oral Appliance for Sleep Apnea

    Our physician is interested in providing custom oral appliances for the treatment of obstructive sleep apnea. I have found the following codes related to this service. Procedure Codes: D-9941 or L-8048/L-8043 (Unspecified Maxillofacial Prosthesis provided by non-physician.) Or K-0183 (Nasal...
  10. K

    Wiki ICD10 J section code also note

    At the beginning of the J section in the ICD10-CM book, there is a note to code also, "Where applicable" the smoking status of a patient. I would like to know if anyone has a coding clinic answer as to whether this "where applicable" pertains to where the code also is noted in the tabular or if...
  11. M

    Wiki CPT primary tonsillectomy with secondary adenoidectomy

    How would code primary tonsillectomy with a secondary adenoidectomy, younger than 12, since you cannot bill 42825 and 42835 together due to a CCI Edit. Should they bill the combo code 42820 instead and if so, is there a modifier needed?
  12. J

    Wiki Endoscopic nasal foreign body removal

    Hi all, I'm unsure as to what to code for this report: "After informed consent was obtained, the patient was brought to the operating room and placed supine on the operating table. General anesthesia was administered by the anesthesiologist. After a time out was performed and the patient was...
    • Jpad
    • Thread
    • ent foreign body foreign body removal nasal endoscopy nose foreign body
    • Replies: 2
    • Forum: ENT/Otolaryngology
  13. J

    Wiki 31528 vs 31529 documentation guidelines.

    Hello, What is the difference between 31528 & 31529? When does a dilation make it initial or subsequent? For instance, is it initial if it's the first time there was a dilation? Is it subsequent dilation for the rest of dilations done?
  14. H

    Wiki Nasal/Sinus endoscopy with dilation of frontal sinus ostium

    My provider and I don't see eye to eye on the coding of the following procedure note. I would like to ask my fellow AAPC members if the following note should be coded as CPT 31276 or 31296? After this had been done, a 0-degree scope was used during the entire procedure for evaluation and...
    • hortonma
    • Thread
    • ent fess frontal balloon dilation frontal sinus surgery sinus balloon dilation
    • Replies: 1
    • Forum: ENT/Otolaryngology
  15. J

    Wiki Myringotomy tube removal and expression of pus from the same ear. HELP!!

    I am very confused about a report I currently have. My doctor performed cerumen removal on the left side. On the right side, he performed ventilating tube removal and then expressed pus from the posterior earlobe. How would the codes look like? I am thinking either 1,2 or 3: 69000, 69424-59...
  16. J

    Wiki HELP!! Esophagus foreign body removal using laryngoscope. What to code?

    Hi, I am coming across several reports wherein there is a foreign body in the esophagus. However, instead of using a rigid esophagoscope, the physician is using a laryngoscope and a telescope. What code should be coded? 43194 - Esophagoscopy, rigid, transoral; with removal of foreign body(s)...
  17. J

    Wiki Need help determining when to use 41520 and 41010! HELP PLEASE!

    Hello everyone and thank you in advance for reading this. I am confused between 41010 & 41520 and I'm not sure if I'm coding them correctly. For instance, I coded 41010 for this report: "We then incised the frenulum down to the floor of mouth, furtherrelease into a diamond shape was created...
  18. J

    Wiki When to code 41010 & 41520

    Hello everyone and thank you in advance for reading this. I am confused between 41010 & 41520 and I'm not sure if I'm coding them correctly.
  19. S

    Wiki LATERA implant for nasal valve collapse

    Our physicians are currently using the LATERA implant by spirox for repair of nasal valve collapse and I cannot find any information on how to code this. If this was a surgical procedure it would be coded as 30465, but this is an insertion of a biodegradable implant. The manufacturer does not...
  20. S

    Wiki Allergy testing and Mixing of serums same day

    Can you bill for Allergy testing and the mixing of serums if preformed on the same day? Thank you.
  21. S

    Wiki CPT and dx for Removal of extruded PE tube from the ear canal in the OR

    " Alligator forcep was used to remove the extruded tube and cerumen." Is is still appropriate to bill CPT 69424 in this scenario? The tube is in the canal vs the tympanic membrane.
  22. S

    Wiki ICD10cm code for retained pressure equalization tube

    Does anyone know the correct ICD10 CM code for retained pressure equalization tube?
  23. L

    Wiki CPT for Pedicled Buccal Fat Flap to close hole created from tooth removal

    Does anyone know the CPT code for the procedure to close a hole between the mouth and sinus created from a tooth extraction? It will be closed by the ENT Surgeon using a Pedicle Buccal Fat Flap.
  24. C

    Wiki CPT for Nasolabial Cyst Excision via lateral rhinotomy with complex closure

    Hi, any advise on how to code this ENT case - Left Nasolabial mass/cyst Operation: Excision of left nasolabila mass via lateral rhinotomy approach. pt w/history of cll recurrently identified left nasolabial mass for surgical excision, after fna suggestive of manifestations of cll...
  25. kathymoon

    Wiki Balloon dilation 31295-31297 and FESS

    I'm very new at ENT coding and I would like some input from those a little more knowledgeable in this area. Out-patient surgery at the hospital. I am coding the professional components. Dr. states that bilateral frontal balloon sinuplasties were performed and irrigated with saline. Next...
  26. kathymoon

    Wiki Inpatient in the office?

    I am getting back into coding and billing after doing auditing for the last 6+ years. Also, new to ENT billing. Here's one I've never come across before. The patient is admitted for a sublingual abscess. The patient was seen in consult by the ENT in his office (which is attached to the...
  27. L

    Wiki NC Medicaid help please?

    We have an ENT dr that does procedures in our facility (ASC), we are having an issue when he does a T&A (42820) or Tympanostomy (69436) along with any 30802,30930, or 30140... We get paid by commercial carriers however NC Medicaid doesnt pay but for the primary procedure. I am thinking this is...
  28. C

    Wiki code help

    what would you code for vestibular nerve resection done with an ENT they want to bill 61616 thanks
  29. C

    Wiki ENT/Neurosurgery

    Can someone tell me what you bill for vestibular nerve resection. The ENT office wants to bill 61616 what would the ENT bill and what would the neurosurgen bill? thanks!!
  30. M

    Wiki Video otoscopy

    My clinic just got a Stryker video otoscope. Does anyone know what I should be coding for this?
  31. T

    Wiki ENT Questions

    I would love to talk to another ENT coder. I have alot of questions but I also have some resourse books that I can also share with them.
Top