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    Wiki VA billing for bilateral procedures

    We have several recent bilateral FESS procedures that we first billed to Veterans Administration Community Care Network (Optum/UHC network) using 50 modifier. Claim was rejected. After speaking with VA we were told to send a corrected claim without the 50 modifier which we did and claim...
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    Wiki Endocopic excisional removal base of tongue mass coding help

    Please give me your input on coding for the following procedure. PROCEDURE PERFORMED: Microdirect layngoscopy with excisional removal of 4.5 x 3 cm left base of tongue mass. OPERATIVE PROCEDURE: Patient was placed in supine position. Routine induction carried out. The patient underwent...
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    Wiki In office compounding of nasal rinse antibiotics

    Is your ENT office doing nasal rinse antibiotics compounding? If so, I'd like to hear from you re your experience planning and implementing that process as well as any coding and/or payer issues you may have encountered. Thank you in advance for your responses.
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    Wiki CPT input

    Hi, ENT coders. I request your input re how to code this procedure. I think code should be 42826-52 (tonsillectomy, age 12 and over) and the surgeon wants 42842 (radical tonsillectomy). The report states "Operation Performed: Right radical tonsillectomy for cancer removal" as well as "Brief...
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    Wiki Interpret Sinus CT imaging

    In a message board/group, a colleague of our ENT practice administrator shared that BCBS of MN is now requiring a board-certified radiologist read/interpret sinus CT imaging as a requirement of balloon sinuplasty prior authorization. Our ENTs' do their own interpretations of sinus CT scans...
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