Wiki mirror exam of adenoids during tube placement

[sksmith31]

Can anyone tell me if there is a code for this? or is it inclusive? All the note states is "The patient's mouth was then opened with a mouth gag. Using a mirror, the adenoidal pad was inspected and noted to be normal. The mouth gag was removed."
Thanks

 

[nsteinhauser]

92502 but since it was during tube placement, the 92502 would be 'bundled'. The 92502 includes ears, nose and larynx. (If the patient's nose wasn't inspected, then you would use a -52 for "reduced service".) Since placing the tubes includes inspecting the ears, the separate "inspection" code would be denied as bundled, since that also includes ears.

 

[sksmith31]

Thank you, I wasnt sure if you could bill 31505-since it is with a mirror