Category: <span>CC-Otolaryngology</span>

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?
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Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

September 17, 2020 Question: I work with an ENT and we don’t see many Medicare patients. The ENT believes the revised 2021 E/M guidelines will not impact our office practice because of our low Medicare volume. Is this correct? Answer: This is not correct! The revised documentation requirements are from CPT – the coding rule....

Laceration and Fracture Repair
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Laceration and Fracture Repair

August 20, 2020 Question: My physician is utilizing an open laceration on the patient’s chin for open reduction of a mandibular symphysis fracture and he wants to also charge for a complex laceration repair for that laceration. Is this billable or is it part of the ORIF code? Answer: If the fracture is repaired through...

Endoscopic Septoplasty
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Endoscopic Septoplasty

July 23, 2020 Question: When I do an endoscopic septoplasty would I report both 31231 (nasal endoscopy) and 30520 (septoplasty)? Answer: We do not recommend reporting both codes. CPT says CPT 31231 (nasal endoscopy) denotes a “separate diagnostic procedure”. As such, it is not separately reported if any nasal/sinus definitive procedure (such as a septoplasty)...

Lymph Node Biopsy
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Lymph Node Biopsy

July 9, 2020 Question: I took out 3 deep cervical nodes for biopsy on the left side. Can I bill 38510 x 3? Answer: No – you’d report 38510 once for any number of nodes removed from the same incision. *This response is based on the best information available as of 07/09/20.    

Intraoperative Laryngeal Nerve Monitoring with Thyroidectomy Procedures
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Intraoperative Laryngeal Nerve Monitoring with Thyroidectomy Procedures

June 11, 2020 Question: Are we able to bill for laryngeal nerve monitoring with thyroidectomy procedure? Answer: No – CPT is very clear in that intraoperative monitoring (e.g., 95940, 95941) is included in the global surgical package for the surgeon and should not be separately reported. *This response is based on the best information available...

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