Otolaryngology Coding Alert

You Be the Coder:

Understand When Each Modifier Applies

Question: Our otolaryngologist drained a peritonsillar abscess on December 1, and had to drain it again on December 4. The code for this service (42700, Incision and drainage abscess; peritonsillar) has a 10-day global period, so how do we bill for the second instance of it? Tennessee Subscriber Answer: You’ll need to append a modifier to tell the payer why you reported [...]
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