E/M Coding Alert - 2019 Issue 5
You Be the Coder: Know What to Report for Septal Spur Excision
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Article Overview
This article explains how to think about coding a functional endoscopic sinus surgery case that includes multiple nasal and sinus procedures. It is aimed at coding professionals who need to identify the relevant CPT services, laterality reporting, and the role of NCCI/CCI edit review when several procedures appear together in one operative report.
Why This Topic Matters
Bundled nasal and sinus procedures can be difficult to sort out when documentation includes several distinct operative components. The article helps readers understand which procedure categories are being discussed and why edit review and laterality reporting matter in a multi-service case.
Article Sections
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Question
The scenario presents a multi-procedure functional endoscopic sinus surgery case and asks how the services should be reported.
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Answer
The response discusses the procedure categories involved, laterality reporting, and a review of edit considerations for the services described.
What You Will Learn
- How the article frames a multi-procedure FESS coding scenario
- Which general procedure categories are discussed in the case
- Why laterality and edit review are relevant in this type of report
- How the article approaches identification of a nasal septum service in the operative note
Who Should Read This
- Professional coders
- Coding auditors
- Physician practice billing staff
- ENT coding specialists
Codes Discussed
Modifiers Discussed
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