Are these the only 2 procedures being billed? Middle turbinate resection is an integral part of an ethomoidectomy, but the inferior should be pain in any case. Here is a portion of a good article from Supercoder and a link to the whole article:
Most insurers bundle the turbinectomy with the ethmoidectomy and assume that youâ€™re claiming a middle-turbinate excision. Companies deny 30130 (Excision turbinate, partial or complete, any method) or 30140 (Submucous resection turbinate, partial or complete, any method) with 31254 (Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial [anterior]) and 31255 (â€¦with ethmoidectomy, total [anterior and posterior]) on the grounds that the otolaryngologist either performs the surgeries through the same excision or excises the turbinate to gain entry to the ethmoid.
You should, however, appeal inferior-turbinate denials using documentation that shows the surgeries as distinct procedures. Encourage the otolaryngologist to back his turbinectomy payment with these operative report specifics:
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