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Thread: Sinus Surgery - Am I billing this right?

  1. #1

    Default Sinus Surgery - Am I billing this right?

    AAPC: Back to School

    We are billing for sinus surgeries and I wanted to make sure I am billing with the appropriate modifiers and codes. Humana is not paying a correct reimbursement on these. I want to make sure we are billing correctly.

    We billed for Bilateral frontal sinusotomies, Bilateral maxillary anstrostomies, Bilateral total ethmoidectomies, Bilateral spenoidotomies, Endosopic septoplasty, Inferior turbinate reduction in a submucosal fashion, Use of brainlab image guidance system.

    31276 - 51, 50
    30140 - 51, 50
    31255 - 51, 50
    31287 - 51, 50
    31256 - 51, 50

    Any Input is appreciated? Thanks!

  2. #2
    Join Date
    Apr 2007
    Stuart Sailfish Chapter


    I can speak on everyone's behalf by stating that it is difficult to answer you without proper documentation to read. Although the prut ocedures performed are listed, I wouldnt feel comfortable confirming those CPT codes without reading the operative report. You can however feel free to email me personally or post the procedure in detail and i would be happy to help
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio

    "Nothing is stronger than the heart of a volunteer"

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