ENT 2017 Changes

ENT

By: Lois McGruder-Jarman, CPC

Director of Coding & Compliance, MedCycle Solutions

I’ve got great news.  There weren’t that many changes in Calendar Year 2017 to ENT Procedures.  That is a good thing – because many of us are creatures of habit! And in the past when there have been changes to CPT Codes, sometimes the wording was significantly different.  Having said that – there were a few ENT CPT changes, and they are as follows:

  • 31580, Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion
  • 31584, Laryngoplasty; with open reduction and fixation (eg, plating) of fracture, includes tracheostomy, if performed
  • 31587, Laryngoplasty, cricoid split, without graft placement
  • 31591, Laryngoplasty, medialization; unilateral
  • 31592, Cricotracheal resection
  • 92612, Flexible endoscopic evaluation of swallowing by cine or video recording;
  • 92613, Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only
  • 92614, Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording;
  • 92615, Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only
  • 92616, Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording;
  • 92617, Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only

What does this mean for ENT specialists?  These are some of the new codes that were introduced.  In order to obtain maximum reimbursement for procedures and services rendered, one must look carefully at the description and have the supporting documentation for medical necessity.  Otherwise it means delays in payments – or worse still, potential denial of payment.

If your practice performs in office procedures, you definitely do *not* want to “leave money on the table.” For practices to survive they must ensure that their staff is up to speed on procedures, billing policy and capturing appropriate data from medical records for reimbursement purposes.

Here are some anticipated changes expected to go into effect Calendar Year 2018 which will impact reimbursement values for the following codes:

  • 30901, Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method
  • 30903, Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method
  • 30905, Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial
  • 30906, Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent
  • 31551, Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age
  • 31552, Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older
  • 31553, Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age
  • 31554, Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older
  • 31572, Laryngoscopy, flexible; with ablation or destruction of lesion(s) with fiber based laser, unilateral
  • 31573, Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral
  • 31574, Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral
  • 31575, Laryngoscopy, flexible; diagnostic
  • 31576, Laryngoscopy, flexible; with biopsy
  • 31577, Laryngoscopy, flexible; with removal of foreign body(s)
  • 31578, Laryngoscopy, flexible; with removal of foreign lesion(s), non-laser
  • 31579, Laryngoscopy, flexible or rigid telescopic, with stroboscopy
  • 31600, Tracheostomy, planned (separate procedure);
  • 31601, Tracheostomy, planned (separate procedure); younger than 2 years
  • 31603, Tracheostomy, emergency procedure; transtracheal
  • 31605, Tracheostomy, emergency procedure; cricothyroid membrane
  • 31610, Tracheostomy, fenestration procedure with skin flaps
  • 30140, Resection of turbinate

At this stage, it is too soon to tell if there will be any significant financial impact upon completion of review – but stay tuned for an update once the final word is out.

Lois McGruder-Jarman, CPC is the Director of Coding & Compliance at MedCycle Solutions, which provides Revenue Cycle Management, Credentialing, Outsourced Coding, and Consulting Services to a number of healthcare providers in a variety of specialties. To find out more about MedCycle services or to sign-up for our free blog, please visit http://medcyclesolutions.com

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