Sure-success Otolaryngology Coding Billing tips

You could be incurring E/M credit losses on your surgery cases unless your emergency

, elective, and risk factor vocab is rock solid.

These factors can change whether the level of risk is moderate or high, impacting the encounter's type of medical decision making and potentially changing the E/M service's level.

In order to avoid under or over-coding the surgeon's level of risk, you should know the difference between emergency major surgery and elective surgery, elective major surgery with no identified risk factors and those with identified risk factors.

Emergency surgery calls for immediate performance

When thinking about emergency surgery risk, look for the following characteristics. Emergency surgery must be carried out right away. Emergency surgery is at the highest risk category as the surgeon doesn't have time to do the typical clearance work. Procedures that qualify as emergency surgery include things like emergency trach codes (31603, 31605), emergent intubation (31500), nosebleeds (30901, 30905, 30906, 31238), and post-op hemorrhages (42960-49262, 42970-42972, 35800).

Risk factors apply to individual

All surgeries carry some inherent risk. The column's designation of with and without identified risk factors refers to patient specific risks. Watch out for any co-morbidity the patient has that the doctor is treating.

Elective surgery with no identified risk factors is any surgery that's not required immediately or is cosmetic when the patient has no comorbid conditions that'll increase the risk associated with the procedure, healing, and/or anesthesia.

For more Otolaryngology coding billing tips, sign up for an audio conference. Such a conference will provide you with all possible information relating to Otolaryngology Coding. The best part of attending such a conference is that you can attend it from the comforts of your office or meeting room without going all the way to attend one. You even stand to take home CEUs on attending the same.

Sure-success Otolaryngology Coding Billing tips

By: Angela Martin

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