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Nasal Endoscopy and Epistaxis Control
May 28, 2020 Question: Can we charge a 31231 and a 30901, 30903, or 30905 if the scope is withdrawn…
Virtual Supervision and Allergy Serum Mixing
May 14, 2020 Question: In an effort to phase our office “re-opening” to patients during the COVID pandemic, allergy serum…
Phone Call Documentation
April 30, 2020 Question: What documentation is needed to bill for a phone only visit besides time? Answer: There aren’t…
Billing Telephone Calls
April 16, 2020 Question: Can we bill telephone calls to Medicare now that we can’t see the patient face- to-…
Billing Telehealth by Time
April 2, 2020 Question: Can we bill telehealth visits by time alone? Answer: Yes, if indicated by the code billed.…
E/M Code with Allergy Testing
March 19, 2020 Question: At a recent KZA coding course, you discussed being able to charge an office visit after…
Binocular Microscopy (92504)
March 5, 2020 Question: One of our major payors will not pay a 92504. They state that it is included…
Coding Both Dix-Hallpike and the Epley Maneuver
February 20, 2020 Question: I billed 95992 (Epley) and 92532 for the Dix-Hallpike I did. I got paid for 95992…
Total Thyroidectomy with Re-Implant of a Parathyroid Gland
February 6, 2020 Question: In the past, when I did a total thyroidectomy and I needed to re-implant a parathyroid…
Ear Exam Under Anesthesia
January 23, 2020 Question: Our surgeon performed an evaluation of the external ear canal on a pediatric patient, under general…
Postop Tympanotomy Tube Visit
January 9, 2020 Question: I have a question about post op visits for PE tubes (code 69436). As you know,…
Use of a Scribe
December 19, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation. Is…
Mastoidectomy Code Question
December 5, 2019 Question: Is it ok to code 69641, 69642, and 69643 for procedures performed on the same ear…
Binocular Microscopy
November 14, 2019 Question: I oftentimes bill and E/M code with modifier 25 for an office visit and 92504-50 (1…
Thyroidectomy and Parathyroidectomy
October 31, 2019 Question: Can we charge a thyroidectomy (e.g., 60240) when we do a parathyroidectomy (60500) Answer: Yes, but…
Post-Op Tonsillectomy Bleed
October 17, 2019 Question: A patient had a T&A and had a bleed. She came to office and saw my doctor. …
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…
Billing for Hospital NP/PA Consults
October 3, 2019 Question: The surgeon I work with has a question regarding billing. Some of the hospitals in the…
Prescription Refill Visits
September 19, 2019 Question: We get calls from patients to renew their medications. When the patient comes to office to…
New FNA Codes and Diagnostic Ultrasound
September 5, 2019 Question: I understand that the new FNA with ultrasound code, 10005, includes the ultrasound guidance for the…
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…
Skin Biopsy Codes
August 8, 2019 Question: What happened to the skin biopsy codes? I submitted a claim for 11101 (skin biopsy) and…
Botox for Migraine Headaches
July 25, 2019 Question: When you inject Botox for migraine headaches, can you bill the injection code more than one…
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…
Post Op Hemorrhage Repair: Is it Billable?
June 20, 2019 Question: Can I bill for taking the patient back to the OR to explore and repair post-op…
Documenting Codes in the Operative Note
June 6, 2019 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
30140 (Submucous Resection) vs 30130 (Excision)
May 23, 2019 Question: My work RVUs are down this year. I do a lot of inferior turbinate submucous resection…
Using G0268 for Cerumen Removal
May 9, 2019 Question: When would I ever use G0268 for cerumen removal vs 69210? Answer: G0268 is a HCPCS…
Denials for Postop ESS Debridements
April 25, 2019 Question: We are receiving denials for 31237, performed right after endoscopic sinus surgery, stating we did not…
Indications for Surgery Paragraph
April 11, 2019 Question: I recently attended a coding course you taught and learned a lot – thank you! I…
Articles
Learn the Latest in Otorhinolaryngology Coding
AAPC News – March 2017 by Kim Pollock, RN, MBA, CPC, CMDP CPT® 2017 captures the most up-to-date clinical services for…
Zoom In On the Rules for Reporting +69990 with Ear Procedures
Healthcare Business Monthly – November 2016 by Kim Pollock, RN, MBA, CPC, CMDP CPT® tells us when not to separately…
Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery
Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery – April 2013 by Kim Pollock, RN, MBA,…
