Results 1 to 6 of 6

Endoscopic Transnasal Biopsy of Clival Lesion

  1. Default Endoscopic Transnasal Biopsy of Clival Lesion
    Exam Training Packages
    Hi, everyone.

    One of my doctors performed an endosopic transnasal biopsy of a clival lesion. Any ideas as to what CPT code to use?

    Thanks in advance for your help!

    Monica

  2. #2
    Default
    I wish someone could have answered this question for you. We had some consultants come in and tell us that we should bill 31299 for the approach and 64999 for the definitive procedure for this.
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

  3. #3
    Location
    Eugene, OR
    Posts
    12
    Default
    Did your consultant note if CPT 64999 could also be used for an endoscopic transnasal clival mass resection and is there a reference? Thanks!

  4. #4
    Default
    Quote Originally Posted by MaryDax View Post
    Did your consultant note if CPT 64999 could also be used for an endoscopic transnasal clival mass resection and is there a reference? Thanks!
    Yes they did but the only reference that I have is their presentation. I may have a query from AMA that I sent for the same thing or something similiar but other than that, that's all. This is still a grey area. My surgeons have gone to seminars for their society recently and were told that the ENT can bill 31299 for the approach and bill the definitive skull base procedure code for the tumor resection because it has nothing to do with the approach. We are currently testing the waters with this regarding reimbursement for coding both ways since we keep getting conflicting information. I wish there were more resources out there. Have you tried AOA (Association of Otolaryngology Administrators)? I recently joined as a coder and it was only $99. It might be helpful for you. That and lots of research. lol

    http://www.aoanow.org/
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

  5. #5
    Location
    Eugene, OR
    Posts
    12
    Default
    Thank you! Appreciate your quick reply and the info - and I'm definitely looking into joining the AOA.

  6. #6
    Default
    Quote Originally Posted by MaryDax View Post
    Thank you! Appreciate your quick reply and the info - and I'm definitely looking into joining the AOA.
    No problem! I know how frustrating it can be to get no response from queries in addition to limited resources. It's a hard knock life for us subspecialty coders.
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

Similar Threads

  1. Endoscopic resection of pineal lesion
    By Coder Z in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-15-2015, 12:41 PM
  2. Endoscopic Transnasal Shim Technique for Eustachian Tube
    By jenn.alexander in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 02-13-2015, 09:04 AM
  3. Endoscopic liver biopsy
    By ksschroeder in forum Gastroenterology
    Replies: 0
    Last Post: 05-23-2013, 01:22 PM
  4. Endoscopic transnasal biopsy of clivus
    By mbabou in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-01-2010, 04:19 PM
  5. Transnasal Endoscopic
    By rhardison in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 06-05-2008, 02:36 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.