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 …
AAO-HNS New Technology Pathway Process
ArticlesFor those interested in receiving input from the Academy on obtaining a new CPT code, or revise an existing CPT code set for new technology that is relevant to…
Response to Private Payer Policy Reimbursing 50% E/M Services Performed with Concurrent Procedure
The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) is aware of a private payer’s policy to reimburse Evaluation and Management (E/M) servic…
AAO-HNS Statement on Reimbursement of Balloon Sinus Ostial Dilation
Advocacy StatementThe American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), with approximately 12,000 members nationwide, is the national medical association of …
AAO-HNS Statement on Reimbursement of CPT 69210 and Evaluation and Management Services
Advocacy StatementThe American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), with approximately 12,000 members nationwide, is the national medical association of …
Obtaining RVUs for a CPT Code
AMA CPT and RUC ProcessesAMA CPT Editorial Review ProcessDid you ever wonder how CPT codes are created and how the code set is maintained? View this section of…
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…
