MSP Billing Codes

Specialty: Otolaryngology

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Code	Description	Anes	Fee
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Airway Surgery
02422	Broncho or microlaryngoscopy w f b removal- <3 yrs	6	$380.57
02450	Broncho or microlaryngoscopy w removal of foreign body	6	$255.15
02420	Dilation of trachea	5	$152.64
02421	Dilation of trachea - repeat within one month	5	$152.43
02430	Micro-surgery w co2 laser for removal of-1st procedure	6	$445.46
02435	Microsurgery w c02 laser for ..-subsequent proc	6	$445.46
Cerebral Procedures
02437	Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist	8	$1,233.76
Diagnostic Procedures
00908	- procedure and biopsy	3	$52.89
00701	Direct laryngoscopy	5	$37.70
00907	Endoscopic flexible or rigid examination of the nose and nasopharynx - procedure only	3	$33.07
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02459	Excision cystic hygroma	4	$548.56
00909	Flexible fiberoptic nasopharyngolaryngoscopy	3	$44.30
00717	Micro-laryngoscopy	5	$75.39
00745	Peripheral or subcutaneous lymph node biopsy	2	$49.15
02476	Pharyngoesophageal anastomosis - re-establishment in neck by neck surgeon	5	$637.88
10762	Rigid esophagoscopy, including collection of specimens by brushing or washing, - procedural fee	3	$74.74
02407	Tracheotomy	5	$390.00
Ear
02223	- under general anesthesia (operation only)	2	$63.76
02234	- vertical segment	4	$586.86
02267	Conchal cartilage graft	3	$318.91
02256	Endolymphatic shunt (any procedure)	6	$867.48
02260	Excision of glomus - where extensive dissection is required	6	$1,039.57
02259	Excision of glomus - by tympanotomy approach	3	$676.13
02255	Exploratory tympanotomy	2	$236.02
02261	Exploratory tympanotomy - with chemical control, tac procedure, cryosurgical control, ultrasound	3	$389.10
02269	Implantable bone conductor	4	$469.68
02268	Intra-cochlear implant	4	$1,383.29
02241	Labyrinthectomy-drill out of petrous bone	4	$574.07
02247	Mastoidectomy - partial, canal wall up (cortical)	3	$612.35
02221	Microscopic debridement, foreign body removal, or aural polyp removal	2	$27.11
02242	Microsurgical repair and reconstruction soft tissue atresia, external ear canal complete	3	$796.06
02245	Microsurgical repair and reconstruction soft tissue stenosis - external ear canal	3	$663.38
02231	Microsurgical revision and reconstruction, soft tissue stenosis - external ear	3	$530.69
02273	Microsurgical tympanomastoidectomy - complete, canal wall up	5	$1,127.78
02225	Middle fossa approach-repair sup canal dehiscence	5	$920.76
02228	Middle fossa approach-repair sup canal dehiscence	2	$103.09
02229	Middle fossa approach-repair sup canal dehiscence	2	$157.79
02266	Myringoplasty - paper patch or synthetic	2	$44.65
02251	Myringoplasty repair of drum without exploration of middle ear	3	$191.35
02274	Myringotomy w insertion aerating tube-bilateral	2	$127.57
02254	Myringotomy with insertion of aerating tube - unilateral (operation only)	2	$82.94
02210	Paracentesis of the ear drum (operation only)	2	$44.65
02248	Radical mastoidectomy	4	$778.18
02206	Removal of ear canal osteoma	2	$82.94
02209	Removal of obstructing exostosis of ear canal	3	$484.78
02243	Repair atresia external ear canal, complete, bony	3	$1,058.85
02244	Repair stenosis external ear canal, bony	3	$612.35
02250	Stapes - mobilization of	3	$357.19
02249	Stapes - reconstruction	3	$612.35
02246	Stapes-reconstruction with laser	3	$663.38
02263	Trans-tympanic polyneurectomy	3	$331.68
02224	Transcanal labyrinthotomy transmastoid for posterior semicircular canal occlusion	4	$218.88
02270	Transmastoid - posterior semicircular canal occlusion or repair of superior canal dehiscence	4	$1,383.29
02233	Transmastoid facial nerve decompression - vertical and horizontal segment	4	$1,127.78
02271	Transmastoid microsurgical removal of facial neuroma via extended facial recess approach	5	$1,990.13
02272	Transmastoid microsurgical removal of middle ear/mastoid tumour	5	$1,194.08
02253	Tympanomastoidectomy - complete, canal wall down, including tympanoplasty	3	$1,033.35
02264	Tympanoplasty- with ossicular chain reconstruction	3	$676.13
02276	Tympanoplasty-lateral graft,homograft tympanic membrane	3	$676.13
02278	Tympanoplasty-mid ear cholesteotoma-add 15 min	3	$50.76
02277	Tympanoplasty-mid ear cholesteotoma-first 90 min	3	$507.54
02252	Tympanoplasty-without ossicular chain reconstruct	3	$446.51
02239	Tympanotomy-with ossicular chain reconstruction	3	$357.19
02265	Typanomastoiedectomy - partial, canal wall down	3	$612.35
02238	Typmanplasty/excsn bony canal stenosis/microscopic	3	$832.28
Head and Neck
02458	Local excision tongue under ga	3	$165.83
02457	Tongue tie, under g.a.	3	$82.94
Laryngeal Endoscopy and Surgery
02412	Biopsy of larynx and/or cauterization	5	$127.57
02419	Direct or indirect laryngoscopy with foreign body removal	5	$153.09
02423	Micro-laryngoscopy - with removal of non-pedunculated malignancy or extensive submucosal lesion	5	$445.46
02429	Micro-laryngoscopy & removal of tumor from larynx or trachea	5	$204.12
02428	Micro-laryngoscopy w biopsy of larynx and/or cauterization	5	$178.61
Major Head and Neck Surgery
02600	Complete temporal bone resection, ent fee	8	$2,412.31
02282	Composite resection of tongue, mandible, radical neck dissection and tracheostomy	7	$1,926.37
02281	Conservative radical neck dissection	6	$1,255.22
02431	Hemilaryngectomy	6	$1,447.59
02411	Laryngectomy, total	6	$1,659.94
02473	Laryngo-pharyngo-oesophagectomy - primary excision	6	$1,900.00
02280	Otolaryngological component of cranio facial resection for tumour of ethmoid or frontal sinus or orbit (in conjunction with a neurosurgeon (- see also fee code 03065)	8	$2,412.31
02470	Radical neck dissection	6	$1,056.28
02449	Rigid oesophagoscopy for removal of foreign body	4	$191.35
02471	Subtotal parotidectomy w facial nerve dissection	4	$842.01
02432	Supraglottic laryngectomy	6	$1,575.30
02477	Suprahyoid dissection - contralateral	5	$484.78
02601	Temporal bone resection for neoplasm, subtotal and lateral, to include mastoidectomy and excision of external auditory canal	8	$1,506.13
02472	Total parotidectomy - with nerve dissection for malignancy or deep lobe tumour	4	$969.55
02474	Transoral maxillectomy with skin graft	5	$1,056.25
02479	Transpalatal ethmoidectomy/maxillectomy/sphenoide	6	$1,320.23
Major Surgery of Head and Neck
02275	Glossectomy - subtotal	6	$1,056.22
02478	Glossectomy - partial for carcinoma	6	$369.96
02480	Resection mandible, floor of mouth suprahyoid dissection and tracheostomy - malignancy	7	$1,320.23
02279	Resection-base of tongue &/or tonsil/soft palate	6	$1,926.37
Miscellaneous
02519	Complex laryngeal disorder conference	0	$30.35
Nose and Sinuses
02325	Antral lavage - bilateral	3	$50.35
02324	Antral lavage - unilateral	3	$33.58
02303	Cauterization of septum - electric	3	$38.25
02327	Choanal atresia ; definitive repair of - bilateral	4	$676.13
02329	Choanal atresia perforation of - bilateral	4	$229.62
02326	Choanal atresia; definitive repair of - unilateral	3	$484.78
02328	Choanal atresia; perforation of - unilateral	3	$165.83
02354	Complete rhinoplasty with s.m.r. to include nasal hump removal, nasal refracture, and reconstruction of nasal tip, without skin grafting	3	$612.35
02355	Complete rhinoplasty with smr to include nasal hump removal, nasal refracture and external reconstruction of nasal tip without skin grafting	3	$776.17
02299	Cryosurgical treatment of turbinates - bilateral	3	$191.35
02298	Cryosurgical treatment of turbinates - unilateral	3	$153.09
02345	Drainage of abscess or haematoma of septum	3	$114.81
02318	Electrocoagulation of turbinates - both sides	3	$76.53
02317	Electrocoagulation of turbinates - one side	3	$51.03
25310	Endoscop trans-nasal repair csf leak frm ant skull base	8	$976.07
25305	Endoscopic ligation - sphenopalatine artery	6	$418.55
25301	Endoscopic stereotactic resection of intranasal or sinus tumour - additional payment after 7 hours operating time	0	$261.58
25300	Endoscopic stereotactic resection of intranasal or sinus tumour - up to 7 hours operating time	6	$1,046.36
02362	Ethmoidotomy -intranasal - anterior - unilateral	3	$191.35
02363	Ethmoidotomy-intranasal-anterior- bilateral	3	$318.91
02361	Ethmoidotomy-intranasal-posterior-bilateral	3	$548.56
02360	Ethmoidotomy-intranasal-posterior-unilateral	3	$357.19
02347	External osteoplastic frontal flap operation	4	$931.30
02315	External radical fronto - ethmoidectomy	4	$586.86
02353	External reconstruction of nasal tip, ala and columella (such as for cleft lip or open trauma)	3	$563.88
25100	Laser photocoagulation of hht lesions nasal cavity	6	$446.09
02336	Laser revision of choanal stenosis	4	$132.68
02333	Lat rhinotomy/medial maxillectomy for exis tumour	3	$625.11
02332	Lateral rhinotomy and excision of tumour - benign	3	$586.86
02337	Ligation of anterior and posterior ethmoid arterie	6	$318.91
02342	Maxillectomy with exenteration of ethmoid	5	$803.71
02365	Nasal fracture - reduction and splinting	3	$127.57
02364	Nasal fracture - simple reduction	3	$63.76
06123	Nasal fracture- comminuted nasal fractures transosseous wire plate fixation	3	$307.05
02351	Nasal refracture requiring lateral osteotomies	3	$357.19
02308	Naso-antral window - double	3	$178.61
02307	Naso-antral window - single	3	$114.81
02349	Operative closure of nasal septal perforation	3	$510.30
02348	Operative closure of oral nasal fistula	3	$357.19
02339	Palatal fenestration	3	$257.82
02341	Posterior nasal packing - (operation only)	3	$63.76
02346	Posterior nasal packing-- with trans-oral gauze pack, under local, topical, or general anesthesiology (operation only)	3	$99.49
25315	Primary frontal sinusotomy	3	$232.29
02309	Radical antrostomy	3	$318.91
02310	Radical antrostomy with closure of alveolar fistul	4	$459.27
02352	Reconstruction of nasal tip, ala and columella	3	$420.98
02338	Removal of angiofibroma - nasal pharynx	6	$739.92
02301	Removal of foreign body from nose - complicated w anesthetic	3	$63.76
02323	Removal of nasal polypi- bilateral	3	$165.83
02322	Removal of nasal polypi- unilateral	3	$102.06
02358	Revision endoscopic frontal sinusotomy, with or without c arm	3	$464.38
02359	Revision endoscopic intranasal spheno-ethmoidotomy (anterior, middle and posterior cells including sphenoid)	3	$530.69
02343	Septal reconstruction	3	$382.72
02321	Sinus sphenoidotomy (intranasal)	3	$267.90
02357	Sinus surgery- functional - endoscopic - <14 years	0	$318.93
02306	Submucous resection of septum	3	$165.83
02331	Submucous turbinectomy - bilateral	3	$255.15
02330	Submucous turbinectomy - unilateral	3	$165.83
02334	Transantral ethmoidectomy	3	$484.78
02335	Transantral ligation, internal maxillary artery	6	$510.30
02319	Trephining frontal sinus	3	$255.15
02305	Turbinectomy - bilateral	3	$140.31
02304	Turbinectomy - unilateral	3	$95.67
Referred Cases
02515	Allergy consultation - otolaryngology	0	$145.14
02517	Consult, management of complex laryngeal disorder	0	$137.56
02510	Consultation - otolaryngology	0	$77.84
02512	Consultation, special for dizziness	0	$166.27
02511	Consultation: with pure tone audiogram	0	$93.45
02505	Emergency visit - otolaryngology	0	$122.35
02513	Malignancy management-consultation	0	$108.85
02215	Pre-operative assessment - otolaryngology	0	$77.84
02514	Repeat or limited consultation - otolaryngology	0	$45.81
02509	Subsequent home visit - otolaryngology	0	$48.92
02508	Subsequent hospital visit - otolaryngology	0	$24.41
02507	Subsequent office visit - otolaryngology	0	$36.97
Salivary Glands and Ducts
02455	Excision of submandibular gland	4	$318.91
02456	Fistula - salivary -plastic to stenson's duct	4	$420.98
02453	Sialolithotomy - complicated in gland	3	$191.35
02452	Sialolithotomy - simple in duct	3	$63.76
Skull Base Procedures
02622	Infra-temporal fossa approach to skull base - otolaryngology fee	8	$2,224.40
02623	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	8	$2,582.14
02878	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$29.92
02879	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$40.00
02880	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$20.00
02881	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$12.50
02612	Middle cranial fossa approach - petrosectomy	8	$1,929.76
02610	Middle cranial fossa approach without petrosectomy - for trauma, neoplasm resection, nerve section/decompression	8	$1,440.32
02613	Middle cranial fossa approach- petrosectomy - procedure lasting longer than 8 hours	8	$2,412.08
02618	Repair of csf leak following skull base approach with mastoid obliteration - to include exposure, dissection and closure with microscope	8	$1,400.00
02614	Retrolabyrinthine approach for neurosurgical access - exposure, closure with microscope	8	$2,206.00
02262	Translabyrinthine approach for neurosurgical access exposure, closure with microscope	8	$2,429.48
Special Examinations
02520	Audiogram - pure tone (ac and bc)	0	$15.44
02521	Audiogram - speech (srt, pb, mcl)	0	$16.85
02527	Bithermal test	0	$24.10
02536	Brain stem evoked response audiometry	0	$47.21
02539	Brain stem evoked response audiometry w/ electrocochleography	0	$68.22
02526	Cold calorics test	0	$11.11
02541	Electrocochleography	0	$51.42
02528	Electronystagmography - e.n.g.	0	$47.54
02540	Flexible nasopharyngoscopy with video fluoroscopy	3	$62.83
02534	Free field audiometry	0	$24.10
02530	Functional tests - stenger	0	$24.10
02525	Impedance test	0	$9.04
02531	Impedance test,including contralateral reflex	0	$17.79
02538	Laryngostroboscopy	0	$84.80
02535	Maxillary sinus endoscopy via canine fossa w/ or w/out biospy	3	$116.87
02542	Measurement of autoacoustic emissions	0	$32.14
02532	Pi-pb test	0	$6.24
02533	Play audiometry	0	$24.10
Throat
02443	Adenoidectomy - 14 years and under	4	$158.22
02454	Alveolectomy	3	$191.35
02436	Arytenoid adduction	5	$812.06
02425	Arytenoidectomy	5	$637.88
02440	Bilateral micro-transposition of submandibular salivary ducts when done with or without a microscope	4	$338.35
02451	Congenital cyst/fistula - excision, neck	4	$420.98
02408	Removal of tumor from larynx or trachea	5	$191.35
02414	Repair laryngo-tracheal stenosis - to include skin grafting, stenting, and associated endoscopy	8	$1,441.57
02418	Repair of fractured larynx external approach	8	$829.22
02406	Retropharyngeal abscess or hematoma - requiring lateral pharyngotomy	6	$315.73
02448	Retropharyngeal abscess or hematoma-drainage under local anesthetic	4	$127.57
02441	Standby fee- ent	11	$298.53
02410	Thyrotomy	5	$510.30
02424	Tracheoesophageal puncture and insertion of voice prosthesis following laryngectomy	5	$357.19
02438	Trans-oral cricopharyngeal myotomy	5	$420.98
02409	Uvulo-palato-pharyngoplasty for obstructive sleep apnea confirmed by polysomnogram, with or without tonsillectomy	5	$420.98
02434	Vocal cord implant - external approach	5	$637.88
02433	Vocal cord implant - injection	5	$318.91
Throat, Pharynx and Tonsils
02442	Adenoidectomy - adult or child over 14 years	4	$128.81
02399	Cryotherapy of tonsils and oral lesions	3	$114.81
02444	Incision of peritonsillar abscess-general anaesthe	6	$128.81
02447	Incision of peritonsillar abscess-local anaestheti	4	$95.00
02413	Operative control of post-tonsillectomy or post-adenoidectomy haemorrhage requiring local or general anesthetic	6	$263.45
02445	Tonsillectomy - over 14 years of age	4	$250.73
02403	Tonsillectomy - under la	4	$257.70
02446	Tonsillectomy -14 years and under(includes neonate	4	$224.46

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