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balloon sinoplasty

  1. #1
    Red face balloon sinoplasty
    Medical Coding Books
    Is anyone in Utah being paid for code 31299 balloon sinuplasty? We have a new doc who said the balloon is paying paid for on the East Coast.

  2. #2
    Location
    Stuart Sailfish Chapter
    Posts
    867
    Default
    Well here is an East Coast Girl, and I can tell you that it is a strugle and it takes ALOT of documentation and usually a second level appeal to get paid for a Balloon Sinuplasty.

    One of my DOCS is activelly working with the AAOHS-HNS. hopefully we will have resolution in 2011
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  3. #3
    Default
    Hi.

    Thanks for the info.

    #1 Rule for Coders

    Beware of docs who think they can code.!

  4. Default
    Good news is that in 2011 balloon sinuplasty has been assigned a code!

    Look at 31295, 31296 and 31297


    not sure what these will be reimbursing at though, as the device is very spendy!!!

  5. Default
    Here in the upper Midwest, after documentation, struggles, etc., we did get paid but the payer allowed a spectacular $102.

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