Category: Otolaryngology

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...

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...

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