tci Outpatient Facility Coding Alert - 2012 Issue 6

Watch 3 Areas to Keep Your Endoscopic Sinus Surgery Claims on Track

Tip: Start with anatomy know-how. Endoscopic sinus surgeries pose multiple obstacles for coders, but they're not insurmountable. Keep these trouble spots in mind to avoid the pitfalls and have squeaky-clean claims. Learn Your Anatomy You need a strong understanding of anatomy before delving into otolaryngology coding. Physicians can perform surgery in any of the four sinus areas: sphenoid, frontal, maxillary, or ethmoid. Surgeons might document certain anatomic "landmarks" such as the ethmoid labyrinth or turbinate dimensions or distances from other structures. Tip: Teach your surgeons the importance of documenting the sinus(es) involved in the procedure. You have a wide range...

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