Category: Otolaryngology

Medical Decision Making Credit for Ordering an Audiogram
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Medical Decision Making Credit for Ordering an Audiogram

September 30, 2021 Question: My ENT doctor ordered an audiogram to be done by our audiologist. The doctor billed for the audiogram to a non-Medicare payor because the audiologist is not credentialled with that payor.  Can my doctor “get credit” for ordering and reviewing the audiogram when he chooses the E/M code level?  What happens...

Parathyroid Imaging During Surgery
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Parathyroid Imaging During Surgery

August 5, 2021 Question: I would like to know if there is a CPT code for parathyroid imaging.  I use it during surgery for my thyroidectomy cases. Answer: Actually, intraoperative imaging is not separately billable for the surgeon. Therefore, this activity is included in your surgical procedure code. *This response is based on the best...

Tracheostomy with Glossectomy
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Tracheostomy with Glossectomy

July 22, 2021 Question: We billed 31600 for a tracheostomy along with 41140 (total glossectomy). CPT 31600 was denied. How can we appeal? Answer: Good question, however, the denial was appropriate.  CPT guidelines say that a tracheostomy is included in the glossectomy codes 41140 – 41155 as these procedures would not be performed without a...

CPT 62165 with 30140, 31254
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CPT 62165 with 30140, 31254

July 8, 2021 Question: Are CPT 30140 (submucous resection inferior turbinate) and 31254 (endoscopic anterior ethmoidectomy) bundled with code 62165 (Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach)? I checked Medicare and there are no CCI edits so that seems that I can bill these codes together. The diagnosis code I billed...

Laceration and Fracture Repair
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Laceration and Fracture Repair

June 10, 2021 Question: My physician is utilizing an open laceration on the patients chin for open reduction of a mandibular symphysis fracture. He wants to also charge for complex laceration repair for that laceration. Is this billable or is it part of the ORIF code? Answer: If the fracture is repaired through the laceration...

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