ENT

SATURDAY

CPT Power Coding

Agenda

*agenda subject to change

8:00AM - 9:30AM

Global Surgical Package

  • What’s included: Pre-op visits? Post-op visits related vs. unrelated to the procedure?
  • CPT guidelines vs. Medicare guidelines

Modifiers Get You Paid

  • KZA’s “Quick guide” to surgery code modifiers.
  • Modifier 50 (bilateral procedures)
  • When to use modifiers 22 (increased service) vs. 52 (reduced service) vs. 53 (discontinued procedure).
  • Unravel the confusion between modifiers 51 vs. 59 vs. Medicare’s X- modifiers.
  • Multiple procedures in a global period: What’s “planned” vs. “unplanned” using modifiers 58, 78 and 79.
  • Solve the confusion between an assistant surgeon (80, 82) vs. co-surgeon (62).

9:30AM - 9:45AM

Break

9:45AM - 11:30AM

Surgical Procedure Coding

When to use an unlisted code and how to determine your fee.

Otology

  • Tympanoplasty, mastoidectomy, eustachian tube dilation, bone anchored hearing aid surgery, repair of semicircular canal dehiscence, excision of acoustic neuroma/vestibular schwannoma and more.

Rhinology

  • Use the endoscopic sinus surgery/dilation codes.
  • Inferior turbinate procedures.
  • Treatment of epistaxis.
  • Code for pituitary tumor removal.
  • Endoscopic/endonasal skull base surgery.

Laryngology/Airway

  • Flexible laryngoscopy procedures including laser ablation, tracheostomy and tube change, Botox injections, thyroplasty and more.

Facial Plastics

  • Coding for skin biopsies and reconstruction of surgical wound defects.
  • Excisional shave biopsy CPT codes NEW!
  • Repair of nasal vestibular stenosis in-office vs. operating room.

Head and Neck

  • Fine needle aspiration with and without ultrasound guidance, endoscopies, trach tube changes, tongue biopsies, glossectomy, thyroidectomy/parathyroidectomy, parotidectomy, and neck dissection procedures.

Pediatric

  • Using the examination under anesthesia code 92502, frenotomy/frenectomy, foreign body removal, T&A and postop bleed scenarios, tympanostomy tubes (placement, removal), cleft lip/cleft palate repair, cleft rhinoplasty.

Sleep Surgery

  • Sleep endoscopy, hyoid suspension, tongue base reduction, soft palate implant, hypoglossal nerve stimulators, and more.

11:30AM - 12:30PM

Lunch

12:30PM - 1:45PM

Continuation of Surgical Procedure Coding

1:45PM - 2:00PM

Break

2:00PM – 2:30PM

Continuation of Surgical Procedure Coding (continued)

2:30PM - 4:00PM

Ancillary Services

Audiology

  • Billing/supervision guidelines, audiogram, tympanogram, ENG, audiologists billing E/M codes.

Allergy

  • Testing, immunotherapy including SLIT; billing supervision guidelines.

Sleep Studies

  • Unattended studies, CPAP initiation/management.

In-office CT

  • Global vs. professional and technical component coding.

Presented by

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Coding Coaches