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ent coding

  1. A

    EM's with Procedures

    Looking for input on if other facilities are billing EM's with procedures when the provider does an independent interpretation or review of an x-ray, ultrasound, CT, MRI in conjunction with the procedure on the same day. We have some auditors saying that it would be included in the procedure as...
  2. C

    Orbit reconstruction due to infection

    Hi all - our ENT/oculoplastic surgeon is planning an orbital reconstruction s/p left exoneration due to abscess & exposed bone. 2 Cultures were performed, first was positive S aureus & second said none. provider's dx was Abscess L02.818 i queried for clarification, which ended with orbital...
  3. A

    Foreign Body Removal from Cleft Palate

    Hi, all! I'm hoping someone might be able to help. We are seeing a patient that had an impression done at a dentist's office that resulted in some of the impression gel being left/stuck in the patient's cleft palate. Our ENT provider is going to see the patient to evaluate for foreign body...
  4. A

    Palatopharyngeus muscle flaps?

    The physician is listing this procedure as 1. Tonsillectomy 2. Uvulopalatopharyngoplasty 3. Bilateral Adjacent Tissue Transfer (Palatopharyngeus Muscle Flaps)- Functional Expansion Pharyngoplsaty Technique (To treat obstructive sleep apnea) He wants me to code this as 42145 (UPPP), 14040...
  5. H

    69436 & 92502

    This seems like a simply question but I'm still second guessing myself. If the provider inserts an ear tube in the right ear under anesthesia and then examines the left ear, would it be coded as 69436-RT 92502-59-LT (or a X modifier depending on the payor). TIA
  6. B

    ENT Coding Education

    Anyone looking for reasonably priced ENT Coding Education, please note that I and my colleague Jennifer McNamara will be delivering a VIRTUAL course over two days mid-November offering 12 CEUs, covering just about just about everything an Otolaryngology coder would want addressed. We will be...
  7. P

    Endoscopic sinus surgery-modifier question

    Does anyone know if it's appropriate to use a 51 modifier when performing surgery on more than one area of the sinuses in an ambulatory surgery center setting? For example, The doctor performed a bilateral frontal sinusotomy as well as a bilateral maxillary antrostomy. Should it be coded...
  8. 2

    New ENT coder

    I am looking for a good webinar /conference for a new ENT coder. or Is there anywhere we could reach out for ENT coding questions ? Thanks Janet
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