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Nasal endoscopy performed by PA

  1. #1
    Brandon, FL
    Default Nasal endoscopy performed by PA
    Medical Coding Books
    Does anyone have any information on whether a PA can bill a Nasal Endoscopy 31238 for a Medicare patient? Ours are getting denied.

  2. #2
    Stuart Sailfish Chapter
    You may want to check your state laws. I am located in Florida and our MAC, First Coast does not have a problem with our Nurse Practitioner performing them. It is within the scope of their practice.

    Again, This is for an ARNP not a PA,

    What is your denial code on the MCR EOB?
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA

    "Nothing is stronger than the heart of a volunteer"

  3. #3
    Brandon, FL
    Denial code is CARCOB7 - This provider is not certified.

  4. Default
    31238 is "with control of nasal hemorrhage"

    Can you bill for cautery, or packing the hemorrhage? I know the PA's at our hospital bill for one or the other.

    30901-30905 might come into play here, maybe.

    Check this article out. I personally like it as it has references and peer review.

    Last edited by ENTcoderConnecticut; 09-18-2014 at 11:24 PM.

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