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Procedure 61795

  1. #1
    Default Procedure 61795
    Exam Training Packages
    How many times can procedue 61795 be billed with codes:

    31276
    31276 50
    31255
    31255 50
    31256
    31256 50
    31289
    31289 50

    This is an add-on code but I'm not sure if we bill this out for each
    procedure, right and left, or just once???

    I cannot find any documentation concerning this. I assume it is billed once. The doctor believes the code should be billed 6 times. Thanks for the help...

  2. Default
    We bill only once.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    This was my thought, also. I don't have coding software...does anyone else have any input?

  4. Default Cpt 61795
    CPT 61795 is to be billed only once during endoscopic sinus surgery, regardless of how many sinus procedures are performed; if you check out the Academy of Otolaryngology website, they have recommendations on the use of this code. Note, this is an add on code and is not subject to the multiple procedure discount rule, we do get paid 100% of the allowed.

    Jennifer
    ENT CT

  5. #5
    Default 61795
    Thanks for the information. Just needed a little nudge toward the answer. The doctor thinks he is doing the procedure 6 times but now I have a good place to get written documentation concerning the procedure.

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