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Carotid Artery Exploration with Free Flap to Oral Cavity
December 17, 2020 Question: Can we report 35701 for the carotid vessel exploration in the recipient site when doing a…
Complex Closure of Free Flap Donor Site
December 3, 2020 Question: I did a right anterolateral thigh free flap and had to close the right thigh wound…
2021 Evaluation and Management Codes: Is a History Required?
November 12, 2020 Question: My coder just told me about the new guidelines for 2021 office visit codes. She said…
Repair of a Semi-Circular Canal Dehiscence with Neurosurgery
October 29, 2020 Question: We are doing a combined case with the neurosurgeon and are not sure how to code…
Bjork Flap Tracheostomy
October 15, 2020 Question: What would the correct CPT code be for a tracheostomy performed using a Bjork flap? I…
Are Pre-Op Visits Billable?
October 1, 2020 Question: For patients that are having surgery that day, I’ve been doing pre-op visits that morning (coming…
Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?
September 17, 2020 Question: I work with an ENT and we don’t see many Medicare patients. The ENT believes the…
Overreading a Diagnostic Imaging Study
September 3, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought…
Laceration and Fracture Repair
August 20, 2020 Question: My physician is utilizing an open laceration on the patient’s chin for open reduction of a…
Cerumen Removal Code or an E/M Code?
August 6, 2020 Question: Our coder recently attended one of your coding courses and her takeaway was that it was…
Endoscopic Septoplasty
July 23, 2020 Question: When I do an endoscopic septoplasty would I report both 31231 (nasal endoscopy) and 30520 (septoplasty)?…
Lymph Node Biopsy
July 9, 2020 Question: I took out 3 deep cervical nodes for biopsy on the left side. Can I bill…
Cosmetic Procedures in a Functional World
June 25, 2020 Question: We are starting to do cosmetic facial plastic procedures in our ENT practice. How do I…
Intraoperative Laryngeal Nerve Monitoring with Thyroidectomy Procedures
June 11, 2020 Question: Are we able to bill for laryngeal nerve monitoring with thyroidectomy procedure? Answer: No – CPT…
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May 28, 2020 Question: Can we charge a 31231 and a 30901, 30903, or 30905 if the scope is withdrawn…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. …
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,…
