Category: Otolaryngology

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...

Sentinel Node Identification
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Sentinel Node Identification

August 22, 2019 Question: We have a new ENT and he’s doing a procedure my other guys don’t perform.  The patient goes to radiology for injection of radioactive isotopes then to the operating room where he then excises the skin cancer and then injects blue dye and uses a gamma probe to identify a sentinel...

Skin Biopsy Codes
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Skin Biopsy Codes

August 8, 2019 Question: What happened to the skin biopsy codes?  I submitted a claim for 11101 (skin biopsy) and +11101 (additional lesion) and it was denied for “invalid code.” Answer: CPT deleted CPT codes 11100 and +11101, effective 1/1/19, and replaced them with the follow six new codes: 11102  Tangential biopsy of skin (eg,...

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...

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