AHA Coding Clinic® for HCPCS - 2018 Quarter 2; For Your Information
New HCPCS code for repair of nasal stenosis
The new HCPCS code C9749 , Repair of nasal vestibular lateral wall stenosis with implant(s), was created for the reporting of nasal stenosis repair with an implant. Note this procedure is performed under general anesthesia and is most often performed bilaterally. HCPCS code C9749 was effective for reporting on April 1, 2018, and the code describes an inherently bilateral procedure. In the event, a bilateral procedure could not be performed because of extenuating circumstances but the physician was able to complete a unilateral procedure, hospital outpatient departments are advised to append either modifier 73, Discontinued out-patient hospital/ambulatory surgery center (ASC)...
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Article Overview
This article covers a new HCPCS procedure code related to repair of nasal vestibular lateral wall stenosis with implant(s), along with the setting in which the procedure is performed and the outpatient hospital modifier considerations tied to discontinued procedures. It is useful for coding and billing professionals who need to recognize the relevant HCPCS identifier, timing, and associated hospital outpatient reporting context.
Why This Topic Matters
It helps coders and billing staff identify a newly created HCPCS reporting option and understand the surrounding outpatient reporting context so claims can be documented consistently with the article’s guidance.
What You Will Learn
- The scope of a new HCPCS reporting code for a nasal repair procedure
- The effective date context associated with the code
- The outpatient hospital modifier considerations discussed in connection with a discontinued procedure
- The general procedural setting and laterality context described in the article
Who Should Read This
- Medical coders
- Hospital outpatient coding staff
- Billing professionals
- Compliance staff
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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