MSP Billing Codes

Specialty: Otolaryngology

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Code Description Fee

Airway Surgery

02422 Broncho or microlaryngoscopy w f b removal- <3 yrs $380.57
02450 Broncho or microlaryngoscopy w removal of foreign body $255.15
02420 Dilation of trachea $152.64
02421 Dilation of trachea - repeat within one month $152.43
02430 Micro-surgery w co2 laser for removal of-1st procedure $445.46
02435 Microsurgery w c02 laser for ..-subsequent proc $445.46

Cerebral Procedures

02437 Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist $1,233.76

Diagnostic Procedures

00908 - procedure and biopsy $52.89
00701 Direct laryngoscopy $37.70
00907 Endoscopic flexible or rigid examination of the nose and nasopharynx - procedure only $33.07

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02459 Excision cystic hygroma $548.56
00909 Flexible fiberoptic nasopharyngolaryngoscopy $44.30
00717 Micro-laryngoscopy $75.39
00745 Peripheral or subcutaneous lymph node biopsy $49.15
02476 Pharyngoesophageal anastomosis - re-establishment in neck by neck surgeon $637.88
10762 Rigid esophagoscopy, including collection of specimens by brushing or washing, - procedural fee $74.74
02407 Tracheotomy $390.00

Ear

02223 - under general anesthesia (operation only) $63.76
02234 - vertical segment $586.86
02267 Conchal cartilage graft $318.91
02256 Endolymphatic shunt (any procedure) $867.48
02260 Excision of glomus - where extensive dissection is required $1,039.57
02259 Excision of glomus - by tympanotomy approach $676.13
02255 Exploratory tympanotomy $236.02
02261 Exploratory tympanotomy - with chemical control, tac procedure, cryosurgical control, ultrasound $389.10
02269 Implantable bone conductor $469.68
02268 Intra-cochlear implant $1,383.29
02241 Labyrinthectomy-drill out of petrous bone $574.07
02247 Mastoidectomy - partial, canal wall up (cortical) $612.35
02221 Microscopic debridement, foreign body removal, or aural polyp removal $27.11
02242 Microsurgical repair and reconstruction soft tissue atresia, external ear canal complete $796.06
02245 Microsurgical repair and reconstruction soft tissue stenosis - external ear canal $663.38
02231 Microsurgical revision and reconstruction, soft tissue stenosis - external ear $530.69
02273 Microsurgical tympanomastoidectomy - complete, canal wall up $1,127.78
02225 Middle fossa approach-repair sup canal dehiscence $920.76
02228 Middle fossa approach-repair sup canal dehiscence $103.09
02229 Middle fossa approach-repair sup canal dehiscence $157.79
02266 Myringoplasty - paper patch or synthetic $44.65
02251 Myringoplasty repair of drum without exploration of middle ear $191.35
02274 Myringotomy w insertion aerating tube-bilateral $127.57
02254 Myringotomy with insertion of aerating tube - unilateral (operation only) $82.94
02210 Paracentesis of the ear drum (operation only) $44.65
02248 Radical mastoidectomy $778.18
02206 Removal of ear canal osteoma $82.94
02209 Removal of obstructing exostosis of ear canal $484.78
02243 Repair atresia external ear canal, complete, bony $1,058.85
02244 Repair stenosis external ear canal, bony $612.35
02250 Stapes - mobilization of $357.19
02249 Stapes - reconstruction $612.35
02246 Stapes-reconstruction with laser $663.38
02263 Trans-tympanic polyneurectomy $331.68
02224 Transcanal labyrinthotomy transmastoid for posterior semicircular canal occlusion $218.88
02270 Transmastoid - posterior semicircular canal occlusion or repair of superior canal dehiscence $1,383.29
02233 Transmastoid facial nerve decompression - vertical and horizontal segment $1,127.78
02271 Transmastoid microsurgical removal of facial neuroma via extended facial recess approach $1,990.13
02272 Transmastoid microsurgical removal of middle ear/mastoid tumour $1,194.08
02253 Tympanomastoidectomy - complete, canal wall down, including tympanoplasty $1,033.35
02264 Tympanoplasty- with ossicular chain reconstruction $676.13
02276 Tympanoplasty-lateral graft,homograft tympanic membrane $676.13
02278 Tympanoplasty-mid ear cholesteotoma-add 15 min $50.76
02277 Tympanoplasty-mid ear cholesteotoma-first 90 min $507.54
02252 Tympanoplasty-without ossicular chain reconstruct $446.51
02239 Tympanotomy-with ossicular chain reconstruction $357.19
02265 Typanomastoiedectomy - partial, canal wall down $612.35
02238 Typmanplasty/excsn bony canal stenosis/microscopic $832.28

Head and Neck

02458 Local excision tongue under ga $165.83
02457 Tongue tie, under g.a. $82.94

Laryngeal Endoscopy and Surgery

02412 Biopsy of larynx and/or cauterization $127.57
02419 Direct or indirect laryngoscopy with foreign body removal $153.09
02423 Micro-laryngoscopy - with removal of non-pedunculated malignancy or extensive submucosal lesion $445.46
02429 Micro-laryngoscopy & removal of tumor from larynx or trachea $204.12
02428 Micro-laryngoscopy w biopsy of larynx and/or cauterization $178.61

Major Head and Neck Surgery

02600 Complete temporal bone resection, ent fee $2,412.31
02282 Composite resection of tongue, mandible, radical neck dissection and tracheostomy $1,926.37
02281 Conservative radical neck dissection $1,255.22
02431 Hemilaryngectomy $1,447.59
02411 Laryngectomy, total $1,659.94
02473 Laryngo-pharyngo-oesophagectomy - primary excision $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) $2,412.31
02470 Radical neck dissection $1,056.28
02449 Rigid oesophagoscopy for removal of foreign body $191.35
02471 Subtotal parotidectomy w facial nerve dissection $842.01
02432 Supraglottic laryngectomy $1,575.30
02477 Suprahyoid dissection - contralateral $484.78
02601 Temporal bone resection for neoplasm, subtotal and lateral, to include mastoidectomy and excision of external auditory canal $1,506.13
02472 Total parotidectomy - with nerve dissection for malignancy or deep lobe tumour $969.55
02474 Transoral maxillectomy with skin graft $1,056.25
02479 Transpalatal ethmoidectomy/maxillectomy/sphenoide $1,320.23

Major Surgery of Head and Neck

02275 Glossectomy - subtotal $1,056.22
02478 Glossectomy - partial for carcinoma $369.96
02480 Resection mandible, floor of mouth suprahyoid dissection and tracheostomy - malignancy $1,320.23
02279 Resection-base of tongue &/or tonsil/soft palate $1,926.37

Miscellaneous

02519 Complex laryngeal disorder conference $30.35

Nose and Sinuses

02325 Antral lavage - bilateral $50.35
02324 Antral lavage - unilateral $33.58
02303 Cauterization of septum - electric $38.25
02327 Choanal atresia ; definitive repair of - bilateral $676.13
02329 Choanal atresia perforation of - bilateral $229.62
02326 Choanal atresia; definitive repair of - unilateral $484.78
02328 Choanal atresia; perforation of - unilateral $165.83
02354 Complete rhinoplasty with s.m.r. to include nasal hump removal, nasal refracture, and reconstruction of nasal tip, without skin grafting $612.35
02355 Complete rhinoplasty with smr to include nasal hump removal, nasal refracture and external reconstruction of nasal tip without skin grafting $776.17
02299 Cryosurgical treatment of turbinates - bilateral $191.35
02298 Cryosurgical treatment of turbinates - unilateral $153.09
02345 Drainage of abscess or haematoma of septum $114.81
02318 Electrocoagulation of turbinates - both sides $76.53
02317 Electrocoagulation of turbinates - one side $51.03
25310 Endoscop trans-nasal repair csf leak frm ant skull base $976.07
25305 Endoscopic ligation - sphenopalatine artery $418.55
25301 Endoscopic stereotactic resection of intranasal or sinus tumour - additional payment after 7 hours operating time $261.58
25300 Endoscopic stereotactic resection of intranasal or sinus tumour - up to 7 hours operating time $1,046.36
02362 Ethmoidotomy -intranasal - anterior - unilateral $191.35
02363 Ethmoidotomy-intranasal-anterior- bilateral $318.91
02361 Ethmoidotomy-intranasal-posterior-bilateral $548.56
02360 Ethmoidotomy-intranasal-posterior-unilateral $357.19
02347 External osteoplastic frontal flap operation $931.30
02315 External radical fronto - ethmoidectomy $586.86
02353 External reconstruction of nasal tip, ala and columella (such as for cleft lip or open trauma) $563.88
25100 Laser photocoagulation of hht lesions nasal cavity $446.09
02336 Laser revision of choanal stenosis $132.68
02333 Lat rhinotomy/medial maxillectomy for exis tumour $625.11
02332 Lateral rhinotomy and excision of tumour - benign $586.86
02337 Ligation of anterior and posterior ethmoid arterie $318.91
02342 Maxillectomy with exenteration of ethmoid $803.71
02365 Nasal fracture - reduction and splinting $127.57
02364 Nasal fracture - simple reduction $63.76
06123 Nasal fracture- comminuted nasal fractures transosseous wire plate fixation $307.05
02351 Nasal refracture requiring lateral osteotomies $357.19
02308 Naso-antral window - double $178.61
02307 Naso-antral window - single $114.81
02349 Operative closure of nasal septal perforation $510.30
02348 Operative closure of oral nasal fistula $357.19
02339 Palatal fenestration $257.82
02341 Posterior nasal packing - (operation only) $63.76
02346 Posterior nasal packing-- with trans-oral gauze pack, under local, topical, or general anesthesiology (operation only) $99.49
25315 Primary frontal sinusotomy $232.29
02309 Radical antrostomy $318.91
02310 Radical antrostomy with closure of alveolar fistul $459.27
02352 Reconstruction of nasal tip, ala and columella $420.98
02338 Removal of angiofibroma - nasal pharynx $739.92
02301 Removal of foreign body from nose - complicated w anesthetic $63.76
02323 Removal of nasal polypi- bilateral $165.83
02322 Removal of nasal polypi- unilateral $102.06
02358 Revision endoscopic frontal sinusotomy, with or without c arm $464.38
02359 Revision endoscopic intranasal spheno-ethmoidotomy (anterior, middle and posterior cells including sphenoid) $530.69
02343 Septal reconstruction $382.72
02321 Sinus sphenoidotomy (intranasal) $267.90
02357 Sinus surgery- functional - endoscopic - <14 years $318.93
02306 Submucous resection of septum $165.83
02331 Submucous turbinectomy - bilateral $255.15
02330 Submucous turbinectomy - unilateral $165.83
02334 Transantral ethmoidectomy $484.78
02335 Transantral ligation, internal maxillary artery $510.30
02319 Trephining frontal sinus $255.15
02305 Turbinectomy - bilateral $140.31
02304 Turbinectomy - unilateral $95.67

Referred Cases

02515 Allergy consultation - otolaryngology $145.14
02517 Consult, management of complex laryngeal disorder $137.56
02510 Consultation - otolaryngology $77.84
02512 Consultation, special for dizziness $166.27
02511 Consultation: with pure tone audiogram $93.45
02505 Emergency visit - otolaryngology $122.35
02513 Malignancy management-consultation $108.85
02215 Pre-operative assessment - otolaryngology $77.84
02514 Repeat or limited consultation - otolaryngology $45.81
02509 Subsequent home visit - otolaryngology $48.92
02508 Subsequent hospital visit - otolaryngology $24.41
02507 Subsequent office visit - otolaryngology $36.97

Salivary Glands and Ducts

02455 Excision of submandibular gland $318.91
02456 Fistula - salivary -plastic to stenson's duct $420.98
02453 Sialolithotomy - complicated in gland $191.35
02452 Sialolithotomy - simple in duct $63.76

Skull Base Procedures

02622 Infra-temporal fossa approach to skull base - otolaryngology fee $2,224.40
02623 Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours $2,582.14
02878 Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours $29.92
02879 Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours $40.00
02880 Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours $20.00
02881 Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours $12.50
02612 Middle cranial fossa approach - petrosectomy $1,929.76
02610 Middle cranial fossa approach without petrosectomy - for trauma, neoplasm resection, nerve section/decompression $1,440.32
02613 Middle cranial fossa approach- petrosectomy - procedure lasting longer than 8 hours $2,412.08
02618 Repair of csf leak following skull base approach with mastoid obliteration - to include exposure, dissection and closure with microscope $1,400.00
02614 Retrolabyrinthine approach for neurosurgical access - exposure, closure with microscope $2,206.00
02262 Translabyrinthine approach for neurosurgical access exposure, closure with microscope $2,429.48

Special Examinations

02520 Audiogram - pure tone (ac and bc) $15.44
02521 Audiogram - speech (srt, pb, mcl) $16.85
02527 Bithermal test $24.10
02536 Brain stem evoked response audiometry $47.21
02539 Brain stem evoked response audiometry w/ electrocochleography $68.22
02526 Cold calorics test $11.11
02541 Electrocochleography $51.42
02528 Electronystagmography - e.n.g. $47.54
02540 Flexible nasopharyngoscopy with video fluoroscopy $62.83
02534 Free field audiometry $24.10
02530 Functional tests - stenger $24.10
02525 Impedance test $9.04
02531 Impedance test,including contralateral reflex $17.79
02538 Laryngostroboscopy $84.80
02535 Maxillary sinus endoscopy via canine fossa w/ or w/out biospy $116.87
02542 Measurement of autoacoustic emissions $32.14
02532 Pi-pb test $6.24
02533 Play audiometry $24.10

Throat

02443 Adenoidectomy - 14 years and under $158.22
02454 Alveolectomy $191.35
02436 Arytenoid adduction $812.06
02425 Arytenoidectomy $637.88
02440 Bilateral micro-transposition of submandibular salivary ducts when done with or without a microscope $338.35
02451 Congenital cyst/fistula - excision, neck $420.98
02408 Removal of tumor from larynx or trachea $191.35
02414 Repair laryngo-tracheal stenosis - to include skin grafting, stenting, and associated endoscopy $1,441.57
02418 Repair of fractured larynx external approach $829.22
02406 Retropharyngeal abscess or hematoma - requiring lateral pharyngotomy $315.73
02448 Retropharyngeal abscess or hematoma-drainage under local anesthetic $127.57
02441 Standby fee- ent $298.53
02410 Thyrotomy $510.30
02424 Tracheoesophageal puncture and insertion of voice prosthesis following laryngectomy $357.19
02438 Trans-oral cricopharyngeal myotomy $420.98
02409 Uvulo-palato-pharyngoplasty for obstructive sleep apnea confirmed by polysomnogram, with or without tonsillectomy $420.98
02434 Vocal cord implant - external approach $637.88
02433 Vocal cord implant - injection $318.91

Throat, Pharynx and Tonsils

02442 Adenoidectomy - adult or child over 14 years $128.81
02399 Cryotherapy of tonsils and oral lesions $114.81
02444 Incision of peritonsillar abscess-general anaesthe $128.81
02447 Incision of peritonsillar abscess-local anaestheti $95.00
02413 Operative control of post-tonsillectomy or post-adenoidectomy haemorrhage requiring local or general anesthetic $263.45
02445 Tonsillectomy - over 14 years of age $250.73
02403 Tonsillectomy - under la $257.70
02446 Tonsillectomy -14 years and under(includes neonate $224.46

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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