Category: Otolaryngology

Ear Exam Under Anesthesia
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Ear Exam Under Anesthesia

January 23, 2020 Question: Our surgeon performed an evaluation of the external ear canal on a pediatric patient, under general anesthesia, because the child would not allow the surgeon to evaluate the ears thoroughly in the office. We cannot find a CPT code for this service. Do we use an unlisted code? Answer: CPT code...

Use of a Scribe
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Use of a Scribe

December 19, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation.  Is there anything we need to know about how to document this? Answer: Yes, absolutely. This situation should be clearly delineated so a third party reviewer can identify the provider who performed the service, and the...

Mastoidectomy Code Question
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Mastoidectomy Code Question

December 5, 2019 Question: Is it ok to code 69641, 69642, and 69643 for procedures performed on the same ear at the same operative session? Answer: Absolutely not.  Use only one CPT code – whichever represents the procedure performed. *This response is based on the best information available as of 12/05/19.   [/cmsmasters_text][/cmsmasters_column][/cmsmasters_row]

Binocular Microscopy
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Binocular Microscopy

November 14, 2019 Question: I oftentimes bill and E/M code with modifier 25 for an office visit and 92504-50 (1 unit) for the binocular microscopy to Medicare.  I get denied on 92504-50 but I am paid on 99212. The denial code is “CO-4 The procedure code is inconsistent with the modifier used or a required...

Thyroidectomy and Parathyroidectomy
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Thyroidectomy and Parathyroidectomy

October 31, 2019 Question: Can we charge a thyroidectomy (e.g., 60240) when we do a parathyroidectomy (60500) Answer: Yes, but only if there is different pathology to support 60500.  The CPT Assistant from December 2012 states the following: When a thyroidectomy is performed for malignancy, the parathyroid glands may also be removed, and because this...

Diagnosis Code for Post Op Visits
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Diagnosis Code for Post Op Visits

July 11, 2019 Question: What’s the best way to do the diagnosis coding for postop visits? I mean, does it really matter since we aren’t billing for a visit? Answer: The ICD-10-CM guidelines for postop/aftercare include the following: If the original diagnosis is trauma (eg, using an S diagnosis code) or a code that requires...

Prescription Refill Visits
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Prescription Refill Visits

September 19, 2019 Question: We get calls from patients to renew their medications. When the patient comes to office to pick up prescription, can we bill for a nurse visit with 99211? Answer: No. CPT makes it very clear that picking up a prescription does not constitute a billable E/M service. *This response is based...

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