Resources

  • Clinical Indicators: Endoscopic Sinus Surgery, Adult

    Clinical Indicator

    History (one or more required) Chronic rhinosinusitis without nasal polyps (CRSsNP) with persistent symptoms and objective evidence of disease by endoscopic…

  • Clinical Indicators: Tracheostomy

    Clinical Indicator

     1. 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 Indicator

    History (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 Indicator

    History (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 Indicator

    History (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 Indicator

    History (all required) Symptoms--describe patient complaints of voice change, difficulty swallowing and/or breathing, hemoptysis, unexplained weight loss, t…

  • Clinical Indicators: Rhinoplasty

    Clinical Indicator

    History (one or more required) Obstructed breathing (functional). Unsatisfactory appearance. Nasal injury (trauma) causing unsatisfactory breathing and/or…

  • Clinical Indicators: Septoplasty

    Clinical Indicator

    History (one or more required) Nasal airway obstruction (unilateral or bilateral) causing any of the following: mouth breathing, snoring, nasal congestion, …

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