CPT for ENT: Turbinectomy Guidance
CPT for ENTsQ: I am experiencing denials on turbinectomy codes 30130 and 30140 when billed concurrently with a septoplasty or endoscopic sinus surgery procedures. Can you …
CPT for ENT: Modifier 59 Scrutinized
CPT for ENTsThe CPT Manual defines modifier 59 as follows: "Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or s…
CPT for ENT: Separate Procedure – What Does It Mean
CPT for ENTsThe term "Separate Procedure" is part of the nomenclature found in the AMA Current Procedural Terminology® (CPT), in the "Surgery Guidelines" found in the fron…
CPT for ENT: Utilizing Unlisted CPT Codes
CPT for ENTsQ: When should I use an unlisted code? A: An unlisted code should be used to report a procedure when no Category I or III CPT code exists todescribe the proced…
CPT for ENT: Intradermal Dilutional Testing
CPT for ENTsQ.Should physicians report CPT code 95027 by antigen or per dilution (test or stick)? 95027Intracutaneous (intradermal) tests, sequential and incremental, wit…
CPT for ENT: Coding 31000 with Balloon Dilation Procedures
CPT for ENTsCPT for ENT: Coding 31000 with Balloon Dilation ProceduresQ: Ive noticed that there are not any coding edits in place for CPT 31000 Lavage by cannulation; max…
CPT for ENT: Balloon Sinus Dilation
CPT for ENTsThe AAO-HNS submitted three new code requests in October 2009 to the AMA for Category I CPT codes for the use of stand-alone balloon sinus dilation technology …
CPT for ENT: Nasal Endoscopy and Laryngoscopy on the Same Date of Service
CPT for ENTsIn late 2006, there was a proposal from CMS and NCCI to remove the modifier over-ride of CPT code 31231 -Nasal endoscopy, diagnostic, unilateral or bilateral (…
CPT for ENT: Nasal Endoscopy with a Tonsillectomy & Anoidectomy
CPT for ENTsQ. What are the appropriate codes to report when a physician performs a nasal endoscopy and obtains multiple biopsies of the nasopharyngeal tissue in conjuncti…
CPT for ENT: Nasal Sinus Endoscopy
CPT for ENTsThere have been a number of member inquiries on the correct usage of CPT® codes 31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via inferio…
CPT for ENT: Stereotactic Computer Assisted Navigation
CPT for ENTsQ: What is stereotactic computer assisted navigation and how can I bill for it (from January 1, 2011) when I perform FESS?A: Stereotactic computer assisted na…
CPT for ENT: Reporting Radiofrequency Ablation and Out-fracturing of Inferior Turbinates
CPT for ENTsQ. What are the appropriate codes to report when a physician performs a superficial radiofrequency ablation at the same session as out-fracturing both inferior…
CPT for ENT: Septoplasty and Ablation of the Inferior Turbinates on the Same Date of Service
CPT for ENTsIn November 2009, the Centers for Medicare and Medicaid Services (CMS) proposed to change the Correct Coding Institute (CCI) modifier edit for the CPT code pai…
CPT for ENT: Lingual Tonsillectomy (CPT 42870) and Adenoidectomy
CPT for ENTsQ: Can I report CPT 42870 Excision or destruction lingual tonsil, any method and the codes for adenoidectomy, CPT 42830, 42831, 42835, and 42836 on the same da…
CPT for ENT: Concha Bullosa with other Turbinate Procedures
CPT for ENTsQ: Is it appropriate to bill for resection of a concha bullosa with other turbinate procedures?A: Yes, under certain circumstances which require a detailed rev…
CPT for ENT: Anterior Submucous Resectioning of the Inferior Turbinates
CPT for ENTsQ: How can I report the anterior submucous resectioning of the inferior turbinates (bilaterally), with additional posterior volumetric reduction using a microd…
CPT for ENT: Sinusectomy Codes
CPT for ENTsClarification on Reporting the Sinusectomy CPT CodesQ. When a surgeon suctions purulent mucoid material from any of the sinuses, is this considered removal of …
CPT for ENT: Placement of Absorbable Nasal Implant to Treat Nasal Valve Collapse
CPT for ENTsQ: Would insertion of an absorbable nasal implant, such as Latera®, to treat nasal obstruction from valve collapse be reported with CPT code 30465, Repair of n…