AMA CPT® Assistant - 2014 Issue 5 (May)

Medicine: Special Otorhinolaryngologic Services (Q&A) (May 2014)

May 2014 page 10d Medicine: Special Otorhinolaryngologic Services Question: If an evaluation of auditory rehabilitation status is performed and the service time is 30 minutes or less, is it still appropriate to report code 92626, and if yes, must modifier 52 be appended? Answer: No. If less than 31 minutes of service was performed, code 92626, Evaluation of auditory rehabilitation status; first hour, should not be reported. The unlisted code 92700, Unlisted otorhinolaryngological service or procedure, may be reported. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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