Category: CC-Otolaryngology

Using G0268 for Cerumen Removal
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Using G0268 for Cerumen Removal

May 9, 2019 Question: When would I ever use G0268 for cerumen removal vs 69210? Answer: G0268 is a HCPCS II code for “Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing” while CPT code 69210 says “Removal impacted cerumen requiring instrumentation, unilateral.”  Historically, G0268...

Denials for Postop ESS Debridements
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Denials for Postop ESS Debridements

April 25, 2019 Question: We are receiving denials for 31237, performed right after endoscopic sinus surgery, stating we did not get prior approval and there was no documentation stating the need for the debridement in my office notes. Have you heard of this? Answer: Yes.  Some payors require precertification for this surgical procedure even when performed...

Allergy Testing ICD-10-CM Coding
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Allergy Testing ICD-10-CM Coding

February 28, 2019 Question: I have a question on billing for allergy testing. All this time, and for any patient getting allergy testing, ICD-10 code J30.1 (Allergic Rhinitis due to pollen) has been the diagnosis code we are using. At the recent KZA workshop ICD-10 code Z01.82 (encounter for allergy testing) could also be used, but...

Fascia Lata Graft Denials
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Fascia Lata Graft Denials

February 14, 2019 Question: We routinely bill 69631 (tympanoplasty) and 20922 (temporalis fascia graft).  We’ve been paid but now we’re being asked to give money back.  Can you help? Answer: A thigh fascia lata graft was not harvested to support 20922.  Rather, if a temporalis fascia graft is harvested through a separate skin incision then...

Revision Rhinoplasty
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Revision Rhinoplasty

January 17, 2019 Question: We can’t get a revision rhinoplasty paid.  Is it ok if we use the septoplasty code with modifier 22? Answer: No.  These procedures should be prior authorized in writing to ensure payment.  If you cannot obtain written approval from the payor prior to surgery, then we recommend you treat the patient...

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