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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…
Diagnosis Coding for Suspicious Skin Lesion
March 28, 2019 Question: My billing service is waiting for the pathology report and assigning the diagnosis and procedure code…
Cosmetic Rhinoplasty and a Functional Septoplasty
March 14, 2019 Question: If I do a cosmetic rhinoplasty and a functional septoplasty on a patient, should I document…
Allergy Testing ICD-10-CM Coding
February 28, 2019 Question: I have a question on billing for allergy testing. All this time, and for any patient…
Fascia Lata Graft Denials
February 14, 2019 Question: We routinely bill 69631 (tympanoplasty) and 20922 (temporalis fascia graft). We’ve been paid but now we’re…
Two Laryngeal Biopsies
January 31, 2019 Question: My ENT did a direct laryngoscopy with 2 biopsies of a laryngeal tumor. Can we bill…
Revision Rhinoplasty
January 17, 2019 Question: We can’t get a revision rhinoplasty paid. Is it ok if we use the septoplasty code…
Nurse Practitioner Covering for Allergy Testing and Shots
December 13, 2018 Question: When our physicians are out of the office our NP will cover the office. We have…
Endoscopic Control of Epistaxis
November 29, 2018 Question: We use coding software to help us with modifiers, procedure descriptions, RVUs etc. In the description…
Inhalant Allergy Testing Codes
November 15, 2018 Question: We’ve been using 95018 for our prick and intradermal testing for inhalant allergy testing. Suddenly we…
Myringoplasty with Graft Harvest Denials
November 1, 2018 Question: We are getting denials of 20926 when we bill with 69620. Can you help us write…
Maxillary “Enterostomies”
October 18, 2018 Question: I’m trying to find a code – can you help me please? I see this a…
Nurse Visit Code for SLIT
October 4, 2018 Question: What do you think about a practice charging a nurse visit (99211) when a patient comes…
Coding the Microscope with Tympanostomy Tube Placement
September 20, 2018 Question: My doctor wants me to bill +69990 (use of the operating microscope) with 69436 when she…
Post-Tonsillectomy Bleed
September 6, 2018 Question: I am being told that treating a post-tonsillectomy bleed in the ED with local anesthesia and…
Allergy Injections
August 23, 2018 Question: We are giving 5 allergy immunotherapy injections to a patient. Do we bill 95117 x 5…
Refresh your Referral Building
Physicians Practice – August 22, 2018 by Karen Zupko Years ago, a “good referral” was described using the Three A’s…
Modifier 50 with 30930?
August 9, 2018 Question: Can I bill 30930 with a modifier 50? My physician and I are confused if it’s…
Removal of Mandibular Implant
July 26, 2018 Question: We are removing old plates from the right and left mandible. It is ok to use…
Multiple Procedure Payment Formula
July 12, 2018 Question: What is Medicare’s multiple procedure payment formula? When I do more than one procedure, I know…
Complex Closure with a Soft Tissue Tumor Code
June 28, 2018 Question: Can I also bill for the complex repair when I’ve also excised a soft tissue tumor…
Debridement Prior to Skin Grafting
June 14, 2018 Question: I’m taking a patient to the OR for debridement of a dehiscent surgical wound and will…
Eustachian Tube Dilation
May 31, 2018 Question: We want to start doing this new procedure but can’t find a code for it. What…
Post-op T&A / Path Report Review
May 17, 2018 Question: I saw a patient 6 weeks post-op T&A and went over the path report with mom…
Soft Tissue Reinforcement with Acellular Dermal Matrix
May 3, 2018 Question: Is there a code or what code category would I find the code for reconstruction of…
69801 and Tympanostomy Tube Placement
April 19, 2018 Question: If a collar button tube is placed AFTER the 69801 transtympanic injection to keep the hole…
Vertical Electrodes Denials
March 29, 2018 Question: We are getting denials of 92547 (Use of vertical electrodes (List separately in addition to code…
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 2016by Kim Pollock, RN, MBA, CPC, CMDP CPT® tells us when not to separately report…
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,…
Webinars
Audits and the Modifier 25 for Pain Physicians
About The Zipinar Will Answer What is the 25 modifier and what is all the fuss about? What do CPT…
Therapy Functional Limitation Reporting
Join Sarah Wiskerchen in this 38 minute webinar as she steps through Medicare’s Mandatory Functional Limitation Reporting. If your physician practice…
Coding and Coverage of Bariatric Procedures
Coding and Coverage of Bariatric Procedures Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker Getting paid for open and laparoscopic…
Navigating Coverage Policies in Varicose Vein Treatment
Navigating Coverage Policies in Varicose Vein Treatment Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker The treatment of varicose veins,…
Hand Coding II
Build on your knowledge of hand coding. This course addresses the granular nature of coding and documenting hand fractures and…
Hand Coding I
Staff and managers new to hand coding who want to code correctly for common hand procedures will find good value…
Documenting and Coding for Mohs Micrographic Surgery in 7 Steps
Join Deb Grider in this 24 minute Zipinar as she reviews these important aspects of correctly coding Mohs surgery. Do…
Arthroscopy Coding Bundle - Hip, Knee and Shoulder
$179 Hip, Knee, and Shoulder included! (Best Value) Buy Now Hip Arthroscopy The hip is one of the newer joints…
2018 Update in Otolaryngology Coding and Reimbursement
More Info What’s Discussed There are many important CPT code changes for otolaryngology in 2018! We will discuss the following:…
2018 Coding Update for Vascular Surgery
2018 Coding Update for Vascular Surgery Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker Once again, vascular surgery has undergone…
How to Prepare for a Payment Audit: Tactical Strategies for Defense
Whether you’ve already received an audit notice or you’d like to prepare for the inevitable, this fast and tactical webinar…
Telehealth: Are You Ready for the New Frontier of Medicine?
Considering offering telehealth services to patients? Already offering telehealth but wondering if you’re in compliance with current laws, as well…
MIPS Made Easier for Surgeons
More Info You Will Learn MIPS enters its second year and the penalty for not participating rises to 5%. KZA…
2017 Coding Update for Spine Surgery
More Info Who Should Watch? Orthopaedic surgeons Neurosurgeons Practice managers Billing managers Coders Billing staff What’s Discussed: What’s new for…