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Wiki Nasopharyngoscopy billing with Adenoidectomy

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meenda

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Emmaus, PA
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I was wondering 1- if anyone can tell me what diagnosis they use for billing a Nasopharyngoscopy (92511) when there are no adenoids to take out. A bulletin we received stated that 92511 should NOT be billed when an Adenoidectomy is done, only when it is determined that it there are no adenoids to take out..... this doesn't make sense to me. You need to do a scope in order to decide to take the adenoids out, so 2- why wouldn't you be able to bill a 92511 with an adenoidectomy??
Would you use adenoid hypertrophy as a DX even if there were no adenoids? Most insurance companies (except MA) pay for 92511 with an adenoidectomy...... why would they tell us not to bill it??
 
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