Clinical Indicators: Diagnostic Nasal Endoscopy
Clinical Indicator*Note: Separate Procedure by CPT definition means the code should not be reported with other procedures of which it is a part; in this case, therapeutic nasal/…
Clinical Indicators: Endoscopic Debridement
Clinical IndicatorHistory (one or more required after failure of mechanical therapy) Postoperative care of endoscopic sinus surgery Postoperative hemorrhage Postoperative e…
Clinical Indicators: Canalith Repositioning Procedures (CRPs)
Clinical Indicator(Otolith Repositioning; Epley Maneuver; Semont Maneuver, Lateral canal repositioning maneuvers)Indications1. History (one or more required) Description of par…
Clinical Indicators: Endoscopic Sinus Surgery, Adult
Clinical IndicatorHistory (one or more required) Chronic rhinosinusitis without nasal polyps (CRSsNP) with persistent symptoms and objective evidence of disease by endoscopic…
Clinical Indicators: Tracheostomy
Clinical Indicator1. History (One or more required)a. Upper airway obstruction with any of the following: stridor, air hunger, retractions, obstructive sleep apnea bi…
Clinical Indicators: Endoscopic Sinus Surgery, Pediatric
Clinical IndicatorHistory (one or more required)(The history must include specific symptoms and findings obtained by the otolaryngologist. A historical diagnosis labeled "sinu…
Clinical Indicators: Ethmoidectomy
Clinical IndicatorHistory (one or more required) Failure of optimal medical management (describe) for acute orchronic ethmoid sinusitis. Multiple or recurrent nasal polyps c…
Clinical Indicators: Inferior Turbinate Surgery
Clinical IndicatorHistory (required) Chronic nasal obstruction due in part to inferior turbinate hypertrophy. Failure of directed medical management with continued nasal sy…
Clinical Indicators: Laryngoscopy/Nasopharyngoscopy
Clinical Indicator*If appropriate, a "-25" modifier must be added to the Evaluation and Management (E & M) code if this procedure is performed on the same date. History (on…
Clinical Indicators: Laryngectomy
Clinical IndicatorHistory (all required) Symptoms--describe patient complaints of voice change, difficulty swallowing and/or breathing, hemoptysis, unexplained weight loss, t…
Clinical Indicators: Rhinoplasty
Clinical IndicatorHistory (one or more required) Obstructed breathing (functional). Unsatisfactory appearance. Nasal injury (trauma) causing unsatisfactory breathing and/or…
Clinical Indicators: Septoplasty
Clinical IndicatorHistory (one or more required) Nasal airway obstruction (unilateral or bilateral) causing any of the following: mouth breathing, snoring, nasal congestion, …
AAO16: Age-related Hearing Loss: Audiometric Evaluation
Quality MeasureDownload PDFHigh Priority: Yes; Care CoordinationPercentage of patients age 60 years and older who failed a hearing screening and/or who report suspected heari…
AAO17: Age-related Hearing Loss: Advanced Diagnostic Imaging of Bilateral Presbycusis or Symmetric SNHL
Quality MeasureDownload PDFHigh Priority: Yes; Appropriate UsePercentage of patients age 60 years and older with a diagnosis of bilateral presbycusis or symmetric sensorineur…
AAO23: Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
Quality MeasureDownload PDFHigh Priority: No; N/APercentage of patients age 2 years and older with allergic rhinitis who are offered intranasal corticosteroids (INS) or nonse…
AAO24: Allergic Rhinitis: Avoidance of Leukotriene Inhibitors
Quality MeasureDownload PDFHigh Priority: Yes; Appropriate UsePercentage of patients age 2 years and older patients with allergic rhinitis who do not receive leukotriene inhi…
AAO13: Bell’s Palsy: Inappropriate Use of Magnetic Resonance Imaging or Computed Tomography Scan (Inverse Measure)
Quality MeasureDownload PDFHigh Priority: Yes; Appropriate UsePercentage of patients age 16 years and older with a new onset diagnosis of Bell’s palsy within the past 3 month…
AAO34: Dysphonia: Postoperative Laryngeal Examination
Quality MeasureDownload PDFHigh Priority: No; N/APercentage of patients age 18 years and older who were diagnosed with new onset dysphonia within 2 months after athyroidectom…
