tci Part B Insider - 2015 Issue 3

Part B Coding Coach: Don't Miss the Details That Will Lead to Full Flexible Laryngoscopy Payment

Know every detail your physician should be writing. Physicians often perform diagnostic laryngoscopy in their offices, but you don’t simply report 31575 (Laryngoscopy, flexible fiberoptic; diagnostic) and think your job is complete. You’ll also need to confirm that specific areas of examination are documented before the payer will process your claim. Pay Attention to the Guidelines Effective last year (Jan. 1, 2014), any payer requesting documentation for a scope procedure could either deny the service or reduce the physician’s payment if documentation doesn’t show that he examined all three areas during the laryngoscopy and noted...

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