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: 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: 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: 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: 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…
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…
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 …
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 …
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 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…
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 …
