Category: Otolaryngology

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...

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 following six new codes: 11102  Tangential biopsy of skin (eg,...

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