Stay in Line with CCI Endoscopy Bundles to Reduce Payback Risk
Published on Fri Mar 12, 2010
Code 31575 includes 92511 and 31231 except under these conditions. Singling out the correct endoscopy code when your otolaryngologist examines multiple areas in the sinuses and throat isn't always easy, but in most cases it's imperative to settle on one, according to National Correct Coding Initiative (CCI) edits. You can adhere to these edits and avoid payback requests if you stick to these guidelines. 3 Rules Guide the Way Rule #1: Never report 92511 (Nasopharyngoscopy with endoscope[separate procedure]) and 31231 (Nasal endoscopy, diagnostic, unilateral or bilateral [separate procedure]) together, says Stephen R. Levinson, MD, otolaryngologist and coding consultant based in Easton, Conn. Code 92511 is a component of Column 1 code 31231. The bundle has a modifier indicator of "0" -- thus, no modifier can break this bundle. Rule #2: Code 92511 is a component of Column 1 code 31575 (Laryngoscopy, flexible fiberoptic; diagnostic) but a modifier is allowed in [...]
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