aekenyon87
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Hello,
We have a patient's parent disputing a procedure that was billed for the visit. Jellybean was stuck in right nare & CPT 30300 was billed. The provider was going to use tweezers to remove the jelly bean, but decided to first examine the area of concern once more. After wiping the patient's nose, the jelly bean fell out. Per the provider's documentation under procedure details- direct visualization, near nare opening/pressure placed above w/ complete removal; simple procedure complexity. No imaging or topical anesthetic done.
Does the provider have justification to bill CPT 30300? Or would this just be included in the E&M code?
Thanks!
We have a patient's parent disputing a procedure that was billed for the visit. Jellybean was stuck in right nare & CPT 30300 was billed. The provider was going to use tweezers to remove the jelly bean, but decided to first examine the area of concern once more. After wiping the patient's nose, the jelly bean fell out. Per the provider's documentation under procedure details- direct visualization, near nare opening/pressure placed above w/ complete removal; simple procedure complexity. No imaging or topical anesthetic done.
Does the provider have justification to bill CPT 30300? Or would this just be included in the E&M code?
Thanks!
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