Category: Otolaryngology

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...

Phone Call Documentation
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Phone Call Documentation

April 30, 2020 Question: What documentation is needed to bill for a phone only visit besides time? Answer: There aren’t any specific rules about documenting telephone calls for covered telephone call services during the current public health emergency, but the general principles of documentation should be your guide. Remember that medical necessity should be documented,...

Billing Telephone Calls
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Billing Telephone Calls

April 16, 2020 Question: Can we bill telephone calls to Medicare now that we can’t see the patient face- to- face because of COVID-19? Answer: For dates of service March 1st and after, telephone calls (99441-99443 and 98968-98969) are now a covered service temporarily during this public health emergency. However, CMS does not view telephone...

Billing Telehealth by Time
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Billing Telehealth by Time

April 2, 2020 Question: Can we bill telehealth visits by time alone? Answer: Yes, if indicated by the code billed. Telemedicine visits have the same documentation requirements as any face-to-face visit, according to the code the provider chooses. Of course medical necessity is the overarching criterion for all visits. *This response is based on the...

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