Coding Corner

Welcome to Coding Corner

While the Academy does not provide individualized coding or billing advice, we do offer several comprehensive resources to aid AAO-HNS members in their practice decisions. The Academy’s Coding Corner makes accessing the newest coding and reimbursement tools simple and straightforward for members. See below for the latest resources specific to the specialty.

As an alternative, if you have an individualized coding or billing question, and you are a member of the American College of Surgeons (ACS), you can access the ACS coding hotline at 800-227-7911.

For clinical feedback on your inquiry, please consider posting on ENTConnect.

AMA CPT Code Set Revision and RUC Processes

The following process is required for a new technology or revised procedure to receive a Current Procedural Terminology (CPT) Code, receive a value, and establish a Medicare payment:

  1. The process begins with review of a Code Change Application (CCA) application by the AMA CPT Editorial Panel.
  2. After approval by the CPT Editorial Panel, the AAO-HNS is involved in surveying members and making recommendations for a relative value unit (RVU) at a presentation before the AMA/Specialty Society Relative Value Update Committee (RUC).
  3. CMS reviews the RUC recommendations and makes a final decision about the RVU, and a dollar amount is calculated.

Learn more.

AAO-HNS New Technology Pathway Process

As a part of supporting new technology, the Academy welcomes opportunities to address coding and reimbursement issues for Otolaryngology-related new or revised CPT or HCPCS codes. The New Technology Pathway was developed to provide a framework for transparent, ethical engagement between the Academy and industry representatives in a manner that encourages responsible decision making.

Learn more.

Top 100 ENT Facility and Non-Facility Codes (login required to access page)

AAO-HNSF 2024 Annual Meeting & OTO EXPO Early Registration Now Open!Learn More