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  1. L

    Wiki Query dr for missing exam?

    I wonder why the vists are being coded 2-3 weeks later - can this process be changed for coding closer to the actual DOS? Also, the Dr may have hand written notes somewhere he can reference to. I don't think there's a guideline definining the time after a visit where an ammendment cannot be...
  2. L

    Wiki What needs to be done for 31231?

    Thanks for the reply, but that doesn't answer my question. I don't need to know the indications for the use of a scope. I need to know what anatomical structures need to be documented/visualized in order for the scope itself to be billed. For example, if the Dr documents that he uses the...
  3. L

    Wiki What needs to be done for 31231?

    The CPT codebook states 31231 "inspects the interior of the nasal cavity and the middle and superior meatus, the turbinates and the spheno-ethmoid recess." Do all these structures need to be documented in the chart note in order to use 31231? What if the Dr scoped the turbinates and the...
  4. L

    Wiki Billing for pre-op after decision made?

    (from original posting) I think it's fraud to be charging out the pre-op visit like we are. We are getting paid and no insurance has really called us out on it, so it's been hard trying to find documentation/reasoning on why we shouldn't do it. Another argument FOR charging out the pre-op visit...
  5. L

    Wiki Need help with MDM level

    I agree w/ Kmakar. Plus, isn't the pre-op exam included in the global period?
  6. L

    Wiki Billing for pre-op after decision made?

    Our ENT clinic also does surgery on patients. Here's the dilemma: Our Dr's will first see the pt, decide to do surgery, and have the pt come back for a pre-op visit several days before surgery (the same Dr that decided to do surgery is the one doing the pre-op visit). This "pre-op" visit has...
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