Otolaryngology Coding Seminars - Tips To Clarify Diagnostic Endoscopy Reporting

Otolaryngology coding seminars

Otolaryngology coding seminars

Making the right endoscopy code choice is not always clear cut when the ENT uses the same flexible scope to view the nasal passages, nasopharynx, and / or the larynx.

Given that the three diagnostic scopes described above are bundled together, the task of selecting only one becomes tougher. Here are five expert pointers to boost your endoscopy coding and in the process help you save yourself from attracting audits.

1.Land the right code based on anatomy

Get the right code by checking the procedure note for the anatomic areas that the ENT examined.

2.Report diagnosis to point to necessity

To further clarify the right endoscopy coding choice, check to see which procedure is medically indicated. A right diagnosis must support the procedure. Examine the procedure note for the chief complaint or the reason why the ENT selected to carry out the endoscopy.

3.Measure whether 31231 fits the bill

While the inclination may be to code 31231for the highest reimbursement, prudence is warranted to stay away from over coding the service.

4.Defend code choice in absence of definitive diagnosis

You may ask what to do when the endoscopy turns up no definitive diagnosis. Its not uncommon for the scope to come up negative without findings to aid the suspected condition. If this is the case, coding guidelines require that we report the patients presenting symptoms.

5.Different Evaluation/Management note from scope findings

If youre reporting an E/M service (like 99201-99215, Office or Other Outpatient Services) with modifier 25 for the encounter, dont include the endoscopy findings in the exam section of the E/M service.

For detailed and comprehensive tips to clarify diagnostic endoscopy reporting, sign up for Otolaryngology coding seminars. For this, you can head to Orlando, FL this December and enjoy a cash-rich coding career.

by: Celena Rose

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