Pediatric Otolaryngology

CPT Code Changes for 2014

There are several Current Procedural Terminology® (CPT) code changes for 2014 applicable to otolaryngologists. Below is a summary of these changes.

CPT for ENT: Modification to NCCI Edit for CPT 69424

You Asked, We Delivered: Academy Achieves Modification to NCCI Edit for CPT 69424 In early 2013, the Academy was approached by several members and coding experts regarding frequent denials by Medicare Administrative Contractors (MACs) for claims whic

CPT for ENT: Turbinectomy Guidance

  Q:  I am experiencing denials on turbinectomy codes 30130 and 30140 when billed concurrently with a septoplasty or endoscopic sinus surgery procedures. Can you explain why?

CPT for ENT: Cerumen Removal

For CY 2014, CPT 69210 was revised to clarify that the code is “unilateral” and in order to be reported, physicians must use some type of instrumentation (discussed further below) and may not remove ear wax solely by irrigation or lavage.  The new 20

CPT for ENT: Modifier- 59 Scrutinized

Modifier -–59 Distinct Procedural Service is described by the American Medical Association’s CPT 2004 Professional Edition as, “For procedure(s)/services(s) not ordinarily performed or encountered on the same day by the same physician, but appropriat

CPT for ENT: Separate Procedure - What Does It Mean

The term "Separate Procedure" is part of the nomenclature found in the AMA Current Procedural Terminology® (CPT), in the "Surgery Guidelines" found in the front section of the book (page 45 in the 2007 Professional Edition).

CPT for ENT: Tympanoplasty

Coding Brief: Tympanoplasty

CPT for ENT: Changes to the Esophagoscopy Family of Codes for CY 2014

As members are likely aware, 2014 brings significant changes to the Esophagoscopy family of CPT codes.