Medicare Compliance & Reimbursement - 2015 Issue 36
CPT®2016: Here's Your Sneak Peek at Otolaryngology Coding Changes That Take Effect in January
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Article Overview
This article previews CPT 2016 changes of interest to otolaryngology practices. It focuses on new and deleted codes, explains the broad categories of services affected, and notes general documentation and reporting considerations relevant to ENT, primary care, and related specialties.
Why This Topic Matters
Coding teams need to know which otolaryngology-related CPT changes are taking effect so they can update charge capture, claim edits, and documentation workflows before the new year. The article highlights changes that may affect common ENT encounters and a few non-ENT codes that could still appear in unusual claims.
Article Sections
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Add Another Option for Cerumen Removal
Discusses a new CPT option related to cerumen removal and the general reporting context around ear cleaning services. It also notes the broader documentation and billing considerations associated with this update.
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Switch out Your Caloric Vestibular Test Choices
Reviews upcoming changes to caloric vestibular testing and the replacement of an older CPT code with new reporting options. The section also covers the general purpose of these balance-related tests.
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Watch for Drug-Eluting Sinus Implant Usage
Covers new temporary CPT codes related to drug-eluting sinus implant placement and the circumstances in which they apply. It also places these codes in the broader context of ethmoid sinus procedures and related sinus tissue removal coding.
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Say Goodbye to Category III and Guidance Codes
Identifies several code deletions for the upcoming year and explains that they fall outside routine ENT use. The section provides a general overview of the removed services and their specialty context.
What You Will Learn
- Which otolaryngology-related CPT updates are arriving for 2016
- What general types of ear, vestibular, and sinus services are affected
- Which codes are being added, replaced, or deleted
- What broad documentation and reporting issues the update raises
- How the article frames these changes for ENT and related practices
Who Should Read This
- Otolaryngology coders
- ENT practice managers
- Medical billers
- Physician coders
- Coding consultants
Codes Discussed
Modifiers Discussed
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