Coding references
Ear, nose and throat: the codes and the rules.
Three tables for a ENT practice, each one a coder can check against the 2025 CMS and ICD-10-CM files, and the notes that come up every week.
The tables.
The notes a coder repeats.
- Nasal endoscopy on the same day as a visit needs the visit to be separately identifiable (modifier 25); the scope alone is not a visit.
- Cerumen removal (69210) is unilateral; the payer's policy decides whether the second ear takes modifier 50 or is not paid.
- Audiology codes are billed by the audiologist under their own NPI where the practice employs one.
Other specialties.
A receptionist that knows ENT calls.
Screening forms your clinicians approve, the on-call paged with answers, and every call booked or handed back as a task.