Otolaryngology Coding Alert

Labyrinthotomy Coding:

2 Clues Shed Light On Labyrinthotomy Coding Revisions in 2011

Bill 69801 more than once per day, and you'd be throwing away a potential $202 pay. Having problems with patient complaints when billing 69801 lately? Are your payers not paying for subsequent injections after the first? If you didn't catch how 69801's global days shifted to zero from 90 days, then you might find yourself ensnared in confusion between patient, payers, and your practice. Examine the scenario described by Ann Blake, CPC, which describes the current problem that other coders commonly encounter: Scenario: We billed labyrinthotomy (a.k.a. gentamicin injection) on a patient who got five injections on different visits. The patient has filed a complaint to the Department of Justice, stating that when she began gentamicin treatments, on the first day, the physician made an incision in her inner ear, and inserted a tube into which he administered gentamicin drops. On four subsequent visits, the physician used a needle to [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Otolaryngology Coding Alert

View All