tci ED Coding & Reimbursement Alert - 2001 Issue 10

Reader Question: Epistaxis

Question: A patient comes in for epistaxis (784.7) and has packing (30905).  Packing is removed, but the epistaxis continues and the nose is repacked (30999). I attach modifier -76 to the repacking code. Is this correct?  New York Subscriber  Answer: Subsequent episodes of the control of nasal hemorrhage in the posterior nasal cavity are billed using 30906 (control nasal hemorrhage, posterior, with posterior nasal packs and/or a cauterization, any method; subsequent). Do not use 30999 (unlisted procedure, nose) to indicate repacking of this area.  Modifier -76 (repeat procedure by same physician) would not be...

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