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CPT Power Coding

WHY participate in an on-demand workshop?

  • Learn at your own pace. Start and stop when it is convenient for you.
  • With travel limitations, this is a great option.
  • Earn 6.75 CME credit hours and 5.0 CEU credit hours after completing an evaluation and an online test.
  • Receive the same great workbook and alumni resources.
  • Receive your essential 159 page workbook approximately four business days after you register.


Course Information

We will delve into the global period, including coding for pre-op and post-op visits. Next, you’ll learn how to select surgery modifiers that optimize payment and reduce risk.

Then, we will jump into 4.5 hours of surgical procedure coding, including code changes in Otology/Neurotology, Rhinology, and Facial Plastics. New for 2020: learn the latest coding, billing, and reimbursement strategies for new technology in ENT procedures. Finally, we’ll end the day with ancillary services, including audiology, allergy, and in-office CT.

Learning Objectives

  • Choose surgery modifiers that optimize payment and reduce risk.
  • Use surgery coding that meets CPT rules and government regulations for commonly performed procedures.
  • Integrate ENT subspecialty coding principles in otology/neurotology, rhinology, laryngology, facial plastics, head and neck surgery, and sleep surgery.
  • Demonstrate comprehension on how to code for new ENT technology procedures.
  • Apply new and revised otolaryngology CPT codes into your practice.



2020 CME Credit for Physicians

This activity has been approved for 6.75 AMA PRA Category 1 Credits™

Credit is available after completion of an evaluation and a test.


2020 AAPC Accreditation

This program has the prior approval of AAPC for 5.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. 

Credit is available after completion of an evaluation and a 40 question test.

You will receive a physical workbook(s) approximately four business days after you register.  Workbooks will be shipped via FedEx to the address(es) provided in the order.  If staff will be viewing from their homes, please provide the address where the workbooks should be sent.

After registering you will receive an initial confirmation with details for the workshop. Additionally, you will receive an email with login instructions. This is necessary to participate in the workshop. Check your spam folder in case the email is directed to that folder.

It is important that you provide the email address of the person who will be participating in the event. Each separate participant requires a unique email address.

*You will have access to the content for 30 days from the time you receive the access information. Please email education@karenzupko.com if you have questions.

If you need assistance while viewing this workshop, please email education@karenzupko.com.

The workshop content is copyrighted property of KarenZupko & Associates, Inc.  Any rebroadcast, reproduction, or other use of the pictures, content and accounts of this workshop or the accompanying workbook without the express written consent of KarenZupko & Associates, Inc. is prohibited.


*agenda subject to change

15 minutes

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

45 minutes

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

3 hours 30 minutes

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

15 minutes


1 hour 30 minutes

Surgical Procedure Coding (continued)

1 hour


1 hour 15 minutes

Surgical Procedure Coding (continued)

15 minutes


1 hour

Surgical Procedure Coding (continued)

1 hour

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

course adjourn

Complete Evaluation


On-Demand Workshop



Kim Pollock


Consultant and Speaker


Presented by

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Coding Coaches