Otolaryngology MSP billing codes


Referred Cases

Code Description Amount
02505 EMERGENCY VISIT - OTOLARYNGOLOGY $122.35
02507 SUBSEQUENT OFFICE VISIT - OTOLARYNGOLOGY $35.69
02508 SUBSEQUENT HOSPITAL VISIT - OTOLARYNGOLOGY $24.41
02509 SUBSEQUENT HOME VISIT - OTOLARYNGOLOGY $48.92
02510 CONSULTATION - OTOLARYNGOLOGY $77.84
02511 CONSULTATION: WITH PURE TONE AUDIOGRAM $93.45
02512 CONSULTATION, SPECIAL FOR DIZZINESS $166.27
02513 MALIGNANCY MANAGEMENT-CONSULTATION $108.85
02514 REPEAT OR LIMITED CONSULTATION - OTOLARYNGOLOGY $45.81
02515 ALLERGY CONSULTATION - OTOLARYNGOLOGY $145.14

Special Examinations

Code Description Amount
02520 AUDIOGRAM - PURE TONE (AC AND BC) $15.44
02521 AUDIOGRAM - SPEECH (SRT, PB, MCL) $16.85
02525 IMPEDANCE TEST $9.04
02526 COLD CALORICS TEST $11.11
02527 BITHERMAL TEST $24.10
02528 ELECTRONYSTAGMOGRAPHY - E.N.G. $47.54
02530 FUNCTIONAL TESTS - STENGER $24.10
02531 IMPEDANCE TEST,INCLUDING CONTRALATERAL REFLEX $17.79
02532 PI-PB TEST $6.24
02533 PLAY AUDIOMETRY $24.10
02534 FREE FIELD AUDIOMETRY $24.10
02535 MAXILLARY SINUS ENDOSCOPY VIA CANINE FOSSA W/ OR W/OUT BIOSPY $116.87
02536 BRAIN STEM EVOKED RESPONSE AUDIOMETRY $47.21
02538 LARYNGOSTROBOSCOPY $84.80
02539 BRAIN STEM EVOKED RESPONSE AUDIOMETRY W/ ELECTROCOCHLEOGRAPHY $68.22
02540 FLEXIBLE NASOPHARYNGOSCOPY WITH VIDEO FLUOROSCOPY $62.36
02541 ELECTROCOCHLEOGRAPHY $51.42
02542 MEASUREMENT OF AUTOACOUSTIC EMISSIONS $32.14

Ear

Code Description Amount
02206 REMOVAL OF EAR CANAL OSTEOMA $82.94
02209 REMOVAL OF OBSTRUCTING EXOSTOSIS OF EAR CANAL $484.78
02210 PARACENTESIS OF THE EAR DRUM (OPERATION ONLY) $44.65
02221 Microscopic debridement, foreign body removal, or aural polyp removal $27.11
02223 - under general anesthesia (operation only) $63.76
02224 Transcanal labyrinthotomy transmastoid for posterior semicircular canal occlusion $218.88
02231 Microsurgical revision and reconstruction, soft tissue stenosis - external ear $530.69
02233 Transmastoid facial nerve decompression - vertical and horizontal segment $1,127.78
02234 - vertical segment $586.86
02239 TYMPANOTOMY-WITH OSSICULAR CHAIN RECONSTRUCTION $357.19
02241 LABYRINTHECTOMY-DRILL OUT OF PETROUS BONE $574.07
02242 Microsurgical repair and reconstruction soft tissue atresia, external ear canal – complete $796.06
02243 REPAIR ATRESIA EXTERNAL EAR CANAL, COMPLETE, BONY $1,058.85
02244 REPAIR STENOSIS EXTERNAL EAR CANAL, BONY $612.35
02245 Microsurgical repair and reconstruction soft tissue stenosis - external ear canal $663.38
02246 STAPES-RECONSTRUCTION WITH LASER $663.38
02247 MASTOIDECTOMY - PARTIAL, CANAL WALL UP (CORTICAL) $612.35
02248 RADICAL MASTOIDECTOMY $778.18
02249 STAPES - RECONSTRUCTION $612.35
02250 STAPES - MOBILIZATION OF $357.19
02251 MYRINGOPLASTY REPAIR OF DRUM WITHOUT EXPLORATION OF MIDDLE EAR $191.35
02252 TYMPANOPLASTY-WITHOUT OSSICULAR CHAIN RECONSTRUCT $446.51
02253 TYMPANOMASTOIDECTOMY - COMPLETE, CANAL WALL DOWN, INCLUDING TYMPANOPLASTY $1,033.35
02254 MYRINGOTOMY WITH INSERTION OF AERATING TUBE - unilateral (operation only) $82.94
02255 EXPLORATORY TYMPANOTOMY $236.02
02256 ENDOLYMPHATIC SHUNT (ANY PROCEDURE) $867.48
02259 Excision of glomus - by tympanotomy approach $676.13
02260 Excision of glomus - where extensive dissection is required $1,039.57
02261 EXPLORATORY TYMPANOTOMY - with chemical control, tac procedure, cryosurgical control, ultrasound $389.10
02263 TRANS-TYMPANIC POLYNEURECTOMY $331.68
02264 TYMPANOPLASTY- WITH OSSICULAR CHAIN RECONSTRUCTION $676.13
02265 TYPANOMASTOIEDECTOMY - PARTIAL, CANAL WALL DOWN $612.35
02266 MYRINGOPLASTY - PAPER PATCH OR SYNTHETIC $44.65
02267 CONCHAL CARTILAGE GRAFT $318.91
02268 INTRA-COCHLEAR IMPLANT $1,383.29
02269 IMPLANTABLE BONE CONDUCTOR $469.68
02270 Transmastoid - posterior semicircular canal occlusion or repair of superior canal dehiscence $1,383.29
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
02273 Microsurgical tympanomastoidectomy - complete, canal wall up $1,127.78
02274 MYRINGOTOMY W INSERTION AERATING TUBE-BILATERAL $127.57
02276 TYMPANOPLASTY-LATERAL GRAFT,HOMOGRAFT TYMPANIC MEMBRANE $676.13

Nose And Sinuses

Code Description Amount
02298 CRYOSURGICAL TREATMENT OF TURBINATES - UNILATERAL $153.09
02299 CRYOSURGICAL TREATMENT OF TURBINATES - BILATERAL $191.35
02301 REMOVAL OF FOREIGN BODY FROM NOSE - COMPLICATED W ANESTHETIC $63.76
02303 CAUTERIZATION OF SEPTUM - ELECTRIC $38.25
02304 TURBINECTOMY - UNILATERAL $95.67
02305 TURBINECTOMY - BILATERAL $140.31
02306 SUBMUCOUS RESECTION OF SEPTUM $165.83
02307 NASO-ANTRAL WINDOW - SINGLE $114.81
02308 NASO-ANTRAL WINDOW - DOUBLE $178.61
02309 RADICAL ANTROSTOMY $318.91
02310 RADICAL ANTROSTOMY WITH CLOSURE OF ALVEOLAR FISTUL $459.27
02315 EXTERNAL RADICAL FRONTO - ETHMOIDECTOMY $586.86
02317 ELECTROCOAGULATION OF TURBINATES - ONE SIDE $51.03
02318 ELECTROCOAGULATION OF TURBINATES - BOTH SIDES $76.53
02319 TREPHINING FRONTAL SINUS $255.15
02321 SINUS SPHENOIDOTOMY (INTRANASAL) $267.90
02322 REMOVAL OF NASAL POLYPI- UNILATERAL $102.06
02323 REMOVAL OF NASAL POLYPI- BILATERAL $165.83
02324 ANTRAL LAVAGE - UNILATERAL $33.58
02325 ANTRAL LAVAGE - BILATERAL $50.35
02326 CHOANAL ATRESIA; DEFINITIVE REPAIR OF - UNILATERAL $484.78
02327 CHOANAL ATRESIA ; DEFINITIVE REPAIR OF - BILATERAL $676.13
02328 CHOANAL ATRESIA; PERFORATION OF - UNILATERAL $165.83
02329 CHOANAL ATRESIA PERFORATION OF - BILATERAL $229.62
02330 SUBMUCOUS TURBINECTOMY - UNILATERAL $165.83
02331 SUBMUCOUS TURBINECTOMY - BILATERAL $255.15
02332 LATERAL RHINOTOMY AND EXCISION OF TUMOUR - BENIGN $586.86
02333 LAT RHINOTOMY/MEDIAL MAXILLECTOMY FOR EXIS TUMOUR $625.11
02334 TRANSANTRAL ETHMOIDECTOMY $484.78
02335 TRANSANTRAL LIGATION, INTERNAL MAXILLARY ARTERY $510.30
02336 LASER REVISION OF CHOANAL STENOSIS $132.68
02337 LIGATION OF ANTERIOR AND POSTERIOR ETHMOID ARTERIE $318.91
02338 REMOVAL OF ANGIOFIBROMA - NASAL PHARYNX $739.92
02339 PALATAL FENESTRATION $257.82
02341 POSTERIOR NASAL PACKING - (OPERATION ONLY) $63.76
02342 MAXILLECTOMY WITH EXENTERATION OF ETHMOID $803.71
02343 SEPTAL RECONSTRUCTION $382.72
02345 DRAINAGE OF ABSCESS OR HAEMATOMA OF SEPTUM $114.81
02346 POSTERIOR NASAL PACKING-- with trans-oral gauze pack, under local, topical, or general anesthesiology (operation only) $99.49
02347 EXTERNAL OSTEOPLASTIC FRONTAL FLAP OPERATION $931.30
02348 OPERATIVE CLOSURE OF ORAL NASAL FISTULA $357.19
02349 OPERATIVE CLOSURE OF NASAL SEPTAL PERFORATION $510.30
02357 SINUS SURGERY- FUNCTIONAL - ENDOSCOPIC - <14 YEARS $318.93
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
02360 ETHMOIDOTOMY-INTRANASAL-POSTERIOR-UNILATERAL $357.19
02361 ETHMOIDOTOMY-INTRANASAL-POSTERIOR-BILATERAL $548.56
02362 ETHMOIDOTOMY -INTRANASAL - ANTERIOR - UNILATERAL $191.35
02363 ETHMOIDOTOMY-INTRANASAL-ANTERIOR- BILATERAL $318.91
02364 NASAL FRACTURE - SIMPLE REDUCTION $63.76
02365 NASAL FRACTURE - REDUCTION AND SPLINTING $127.57
06123 NASAL FRACTURE- comminuted nasal fractures – transosseous wire plate fixation $307.05
25100 LASER PHOTOCOAGULATION OF HHT LESIONS NASAL CAVITY $446.09
25300 Endoscopic stereotactic resection of intranasal or sinus tumour - up to 7 hours operating time $1,046.36
25301 Endoscopic stereotactic resection of intranasal or sinus tumour - additional payment after 7 hours operating time $261.58
25305 ENDOSCOPIC LIGATION - SPHENOPALATINE ARTERY $418.55
25310 ENDOSCOP TRANS-NASAL REPAIR CSF LEAK FRM ANT SKULL BASE $976.07
25315 PRIMARY FRONTAL SINUSOTOMY $232.29

Rhinoplasty

Code Description Amount
02351 NASAL REFRACTURE REQUIRING LATERAL OSTEOTOMIES $357.19
02352 RECONSTRUCTION OF NASAL TIP, ALA AND COLUMELLA $420.98
02353 External reconstruction of nasal tip, ala and columella (such as for cleft lip or open trauma) $563.88
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

Throat

Code Description Amount
02399 CRYOTHERAPY OF TONSILS AND ORAL LESIONS $114.81
02403 TONSILLECTOMY - UNDER LA $257.70
02406 RETROPHARYNGEAL ABSCESS OR HEMATOMA - requiring lateral pharyngotomy $315.73
02408 REMOVAL OF TUMOR FROM LARYNX OR TRACHEA $191.35
02409 Uvulo-palato-pharyngoplasty for obstructive sleep apnea confirmed by polysomnogram, with or without tonsillectomy $420.98
02410 THYROTOMY $510.30
02413 Operative control of post-tonsillectomy or post-adenoidectomy haemorrhage requiring local or general anesthetic $263.45
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
02420 DILATION OF TRACHEA $152.64
02421 DILATION OF TRACHEA - REPEAT WITHIN ONE MONTH $152.43
02422 BRONCHO OR MICROLARYNGOSCOPY W F B REMOVAL- <3 YRS $380.57
02424 Tracheoesophageal puncture and insertion of voice prosthesis following laryngectomy $357.19
02425 ARYTENOIDECTOMY $637.88
02431 HEMILARYNGECTOMY $1,447.59
02432 SUPRAGLOTTIC LARYNGECTOMY $1,575.30
02433 VOCAL CORD IMPLANT - INJECTION $318.91
02434 VOCAL CORD IMPLANT - EXTERNAL APPROACH $637.88
02437 Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist $1,233.76
02438 TRANS-ORAL CRICOPHARYNGEAL MYOTOMY $420.98
02440 Bilateral micro-transposition of submandibular salivary ducts when done with or without a microscope $338.35
02441 STANDBY FEE- ENT $298.53
02442 ADENOIDECTOMY - ADULT OR CHILD OVER 14 YEARS $128.81
02443 ADENOIDECTOMY - 14 YEARS AND UNDER $158.22
02444 INCISION OF PERITONSILLAR ABSCESS-GENERAL ANAESTHE $128.81
02445 TONSILLECTOMY - OVER 14 YEARS OF AGE $250.73
02446 TONSILLECTOMY -14 YEARS AND UNDER(INCLUDES NEONATE $224.46
02447 INCISION OF PERITONSILLAR ABSCESS-LOCAL ANAESTHETI $95.00
02448 RETROPHARYNGEAL ABSCESS OR HEMATOMA-DRAINAGE UNDER LOCAL ANESTHETIC $158.22
02449 Rigid oesophagoscopy for removal of foreign body $191.35
02450 BRONCHO OR MICROLARYNGOSCOPY W REMOVAL OF FOREIGN BODY $255.15
02451 CONGENITAL CYST/FISTULA - EXCISION, NECK $420.98
02452 SIALOLITHOTOMY - SIMPLE IN DUCT $63.76
02453 SIALOLITHOTOMY - COMPLICATED IN GLAND $191.35
02454 ALVEOLECTOMY $191.35
02455 EXCISION OF SUBMANDIBULAR GLAND $318.91
02456 FISTULA - SALIVARY -PLASTIC TO STENSON'S DUCT $420.98
02457 TONGUE TIE, UNDER G.A. $82.94
02458 LOCAL EXCISION TONGUE UNDER GA $165.83
02459 EXCISION CYSTIC HYGROMA $548.56
02436 ARYTENOID ADDUCTION $812.06

Laryngeal Endoscopy And Surgery

Code Description Amount
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
02428 MICRO-LARYNGOSCOPY W BIOPSY OF LARYNX AND/OR CAUTERIZATION $178.61
02429 MICRO-LARYNGOSCOPY & REMOVAL OF TUMOR FROM LARYNX OR TRACHEA $204.12
02430 MICRO-SURGERY W CO2 LASER FOR REMOVAL OF-1ST PROCEDURE $442.14
02435 MICROSURGERY W C02 LASER FOR ..-SUBSEQUENT PROC $445.46

Skull Base Procedures

Code Description Amount
02262 Translabyrinthine approach for neurosurgical access exposure, closure with microscope $2,429.48
02610 Middle cranial fossa approach without petrosectomy - for trauma, neoplasm resection, nerve section/decompression $1,423.90
02612 MIDDLE CRANIAL FOSSA APPROACH - PETROSECTOMY $1,929.76
02613 MIDDLE CRANIAL FOSSA APPROACH-– petrosectomy - procedure lasting longer than 8 hours $2,412.08
02614 Retrolabyrinthine approach for neurosurgical access - exposure, closure with microscope $2,206.00
02618 Repair of CSF leak following skull base approach with mastoid obliteration - to include exposure, dissection and closure with microscope $1,400.00
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

Diagnostic Procedures

Code Description Amount
00701 DIRECT LARYNGOSCOPY $37.70
00717 MICRO-LARYNGOSCOPY $75.39
00745 PERIPHERAL OR SUBCUTANEOUS LYMPH NODE BIOPSY $48.94
00907 Endoscopic flexible or rigid examination of the nose and nasopharynx - procedure only $33.07
00908 - procedure and biopsy $52.89
00909 FLEXIBLE FIBEROPTIC NASOPHARYNGOLARYNGOSCOPY $44.30
10762 RIGID ESOPHAGOSCOPY, including collection of specimens by brushing or washing, - procedural fee $74.74

Major Head And Neck Surgery

Code Description Amount
02275 GLOSSECTOMY - SUBTOTAL $1,056.22
02279 RESECTION-BASE OF TONGUE &/OR TONSIL/SOFT PALATE $1,926.37
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
02281 CONSERVATIVE RADICAL NECK DISSECTION $1,255.22
02282 Composite resection of tongue, mandible, radical neck dissection and tracheostomy $1,926.37
02407 TRACHEOTOMY $390.00
02411 LARYNGECTOMY, TOTAL $1,659.94
02431 HEMILARYNGECTOMY $1,447.59
02432 SUPRAGLOTTIC LARYNGECTOMY $1,575.30
02470 RADICAL NECK DISSECTION $1,056.28
02471 SUBTOTAL PAROTIDECTOMY W FACIAL NERVE DISSECTION $842.01
02472 TOTAL PAROTIDECTOMY - with nerve dissection for malignancy or deep lobe tumour $969.55
02473 LARYNGO-PHARYNGO-OESOPHAGECTOMY - PRIMARY EXCISION $1,900.00
02474 TRANSORAL MAXILLECTOMY WITH SKIN GRAFT $1,056.25
02476 Pharyngoesophageal anastomosis - re-establishment in neck by neck surgeon $637.88
02477 SUPRAHYOID DISSECTION - CONTRALATERAL $484.78
02478 GLOSSECTOMY - PARTIAL FOR CARCINOMA $369.96
02479 TRANSPALATAL ETHMOIDECTOMY/MAXILLECTOMY/SPHENOIDE $1,320.23
02480 Resection mandible, floor of mouth suprahyoid dissection and tracheostomy - malignancy $1,320.23
02600 Complete temporal bone resection, ENT fee $2,412.31
02601 TEMPORAL BONE RESECTION for neoplasm, subtotal and lateral, to include mastoidectomy and excision of external auditory canal $1,506.13