ENT

SATURDAY

CPT Power Coding

Agenda

*agenda subject to change

7:15 AM - 8:00 AM

Check-in and Breakfast (provided)

8:00 AM - 8:15 AM

Global Surgical Package

  • What’s included in a CPT code and what can you separately report
  • Coding for pre-op visits, post-op visits related to the procedure, post-op visits unrelated to the procedure

8:15 AM - 9:00 AM

Using Modifiers to Get Paid

  • Commonly used modifiers in an ENT practice – when to use them and how they impact reimbursement
  • Modifiers 22 (increased service) vs. 52 (reduced service) vs. 53 (discontinued procedure)
  • Modifiers 50 (bilateral procedure) and 51 (multiple procedures)
  • Unravel the confusion between modifiers 51 vs. 59 vs. Medicare’s X- modifiers.
  • Performing a procedure when you’re already in a global period – is it included in the global period you’re already in or can it be separately reported? Using modifiers 58 (staged/anticipated procedure), 78 (unplanned procedure) and 79 (unrelated procedure)
  • Explanation of the assistant surgeon (80, 82) vs. co-surgeon (62) modifiers
  • KZA’s “quick guide” to surgery code modifiers

9:00 AM - 9:45 AM

Surgical Procedure Coding

  • Using an Unlisted Code
  • New Technology Procedures in Otolaryngology New!
    • Eustachian tube dilation, automated tympanostomy tube delivery, nasal lesion ablation, minimally invasive procedures for nasal vestibular stenosis: billing and reimbursement strategies
  • Otology/Neurotology
    • Microscope codes, tympanostomy tube placement, intratympanic injection, Epley maneuver, mastoid debridement, tympanic membrane repair procedures, mastoidectomy, cochlear implant, repair of semicircular canal dehiscence, excision of acoustic neuroma/vestibular schwannoma
  • Rhinology
    • Epistaxis control, inferior turbinate procedures, endoscopic sinus surgery, endoscopic sinus debridement, endoscopic sinus catheterization, endoscopic orbital/optical nerve decompression, repair of nasal vestibular stenosis
  • Laryngology/Airway
    • Flexible laryngoscopy procedures including laser ablation, tracheostomy and tube change, Botox injections, thyroplasty
  • Facial Plastics
    • Coding for skin biopsy and lesion removal, wound/laceration repairs, adjacent tissue transfer, paramedian forehead flap, split and full thickness grafts, repair of nasal vestibular stenosis
  • Head and Neck
    • Frenotomy/ frenectomy, fine needle aspiration, diagnostic head/neck ultrasound, tonsillectomy/adenoidectomy and post-op bleed scenarios, direct laryngoscopy, bronchoscopy, esophagoscopy, tongue biopsies, lymph node procedures, thyroidectomy/parathyroidectomy, parotidectomy, glossectomy, laryngectomy, skull base surgery (open and endoscopic endonasal), pituitary tumor removal
  • Sleep Surgery
    • Sleep endoscopy, hyoid suspension, tongue base reduction, soft palate implant, hypoglossal nerve stimulator

9:45 AM - 10:00 AM

Break

10:00 AM - 11:30 AM

Surgical Procedure Coding (continued)

11:30 AM - 12:30 PM

Lunch

12:30 PM – 1:45 PM

Surgical Procedure Coding (continued)

1:45 PM - 2:00 PM

Break

2:00 PM - 3:00 PM

Surgical Procedure Coding (continued)

3:00 PM - 4:00 PM

Ancillary Services

  • Audiology – Billing/supervision guidelines, audiogram, tympanogram, ENG, audiologists billing E/M codes, posturography
    • New in 2020: posturography code revised
  • Allergy – Testing, immunotherapy including SLIT; billing supervision guidelines
    • NEW topic in 2020: USP 797 requirements – what it means to your practice
  • In-office CT – Global vs. professional and technical component coding

4:00 PM

Adjourn

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Coding Coaches