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Help with which code to bill for nasal scope
Thank you
nasal packing
Please help.
Paula
Flu Nasal Swab Test Billing
I’ve done some research and wanted to make sure I am going to be billing correctly. I read that we should bill the procedure (87804) two times since the test gives two results and to use modifier 59 on the second test. Also, I read to use modifier QW since this is a CLIA waived test. Does it matter which modifier to use first? Also, do I need to use the QW modifier on both lines? THANKS, in advance!! 😀
Endoscopic nasal foreign body removal
I’m unsure as to what to code for this report:
"After informed consent was obtained, the patient was brought to the operating room and placed supine on the operating table. General anesthesia was administered by the anesthesiologist. After a time out was performed and the patient was properly identified, the bed was rotated.
The nasal endoscope was placed in the right nares with no purulence or edema present. The nasal endoscope was placed in the left nares with copious purulence which was cultured. The purulence was suctioned and a foriegn body was identified. The foreign body was grasped with a blakesly forcep and removed. It appeared to be rolled up gauze or tissue. The nasal cavity was exmined with granulation tissue along the septum, nasal floor and inferior turbinate. The cavity was irrigated with nasal saline until clean. Hemostasis was checked with minimal bleeding from the granulation tissue. The adenoids were examine and found to be nonobstructive without exudates so no adenoidectomy was performed. Two afrin pledgets were placed until extubation.
The patient was turned over to anesthesia for extubation. The nasal pledgets were removed once the patient was extubated. He was brought to the recovery room in stable condition."
Please note that the scope was in the nose while the foreign body was removed. I’m confused if 30999 with comparative code 30310 should be billed or both 31231 & 30310.
Your assistance will be greatly appreciated!
nasal endoscopy with cautery(silver nitrate)
Pediatric pt brought into DSG for:
Pre and Post Op Dx: Recurrent Epistaxis
Px: Nasal Endoscopy with Cautery
Description:
‘… The nasal passages were examined with a 0-deg endoscope. There were no masses or lesions noticed on either side as far distal as the adenoid pad. There were enlarged vessels anteriorly on both sides of the septum. These vessels were cauterized with topical silver nitrate. Bacitracin was applied to cauterized areas. This concluded surgery. …’
I coded 31238-50-endoscopy with control of nasal hemorrhage. An Auditor is recommending 31299- unlisted, Because there is no active bleeding stated.
Does the 31238 require the bleeding to be current? Or does the simple fact that the pt has had multiple nose bleeds in the past account for the need for surgery.
Other coding suggestions? 31231 with 17250?
Thanks for the help,
Gina
Nasal Packing Materials
Seeking assistance to look for materials used for Simple and Complex Nasal Packing Procedures
Thanks in advance
Materails for Nasal Packing
Seeking assistance to look for materials used for Simple and Complex Nasal Packing Procedures
Thanks in advance
J34.0 for abscess of nasal sidewall?
Which is correct?