MSP Billing Codes

Specialty: Otolaryngology

Code	Description	Anes	Fee
Search a description within this chart
2430	Micro-surgery w co2 laser for removal of-1st procedure	6	$445.46
2435	Microsurgery w c02 laser for ..-subsequent proc	6	$445.46
2420	Dilation of trachea	5	$152.64
2421	Dilation of trachea - repeat within one month	5	$152.43
2422	Broncho or microlaryngoscopy w f b removal- <3 yrs	6	$380.57
2450	Broncho or microlaryngoscopy w removal of foreign body	6	$255.15
2437	Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist	8	$1,233.76
717	Micro-laryngoscopy	5	$75.39
907	Endoscopic flexible or rigid examination of the nose and nasopharynx - procedure only	3	$33.07
908	- procedure and biopsy	3	$52.89
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909	Flexible fiberoptic nasopharyngolaryngoscopy	3	$44.30
2206	Removal of ear canal osteoma	2	$82.94
2209	Removal of obstructing exostosis of ear canal	3	$484.78
2210	Paracentesis of the ear drum (operation only)	2	$44.65
2221	Microscopic debridement, foreign body removal, or aural polyp removal	2	$27.11
2223	- under general anesthesia (operation only)	2	$63.76
2224	Transcanal labyrinthotomy transmastoid for posterior semicircular canal occlusion	4	$218.88
2225	Middle fossa approach-repair sup canal dehiscence	5	$920.76
2228	Middle fossa approach-repair sup canal dehiscence	2	$103.09
2229	Middle fossa approach-repair sup canal dehiscence	2	$157.79
2231	Microsurgical revision and reconstruction, soft tissue stenosis - external ear	3	$530.69
2233	Transmastoid facial nerve decompression - vertical and horizontal segment	4	$1,127.78
2234	- vertical segment	4	$586.86
2238	Typmanplasty/excsn bony canal stenosis/microscopic	3	$832.28
2239	Tympanotomy-with ossicular chain reconstruction	3	$357.19
2241	Labyrinthectomy-drill out of petrous bone	4	$574.07
2242	Microsurgical repair and reconstruction soft tissue atresia, external ear canal complete	3	$796.06
2243	Repair atresia external ear canal, complete, bony	3	$1,058.85
2244	Repair stenosis external ear canal, bony	3	$612.35
2245	Microsurgical repair and reconstruction soft tissue stenosis - external ear canal	3	$663.38
2246	Stapes-reconstruction with laser	3	$663.38
2247	Mastoidectomy - partial, canal wall up (cortical)	3	$612.35
2248	Radical mastoidectomy	4	$778.18
2249	Stapes - reconstruction	3	$612.35
2250	Stapes - mobilization of	3	$357.19
2251	Myringoplasty repair of drum without exploration of middle ear	3	$191.35
2252	Tympanoplasty-without ossicular chain reconstruct	3	$446.51
2253	Tympanomastoidectomy - complete, canal wall down, including tympanoplasty	3	$1,033.35
2254	Myringotomy with insertion of aerating tube - unilateral (operation only)	2	$82.94
2255	Exploratory tympanotomy	2	$236.02
2256	Endolymphatic shunt (any procedure)	6	$867.48
2259	Excision of glomus - by tympanotomy approach	3	$676.13
2260	Excision of glomus - where extensive dissection is required	6	$1,039.57
2261	Exploratory tympanotomy - with chemical control, tac procedure, cryosurgical control, ultrasound	3	$389.10
2263	Trans-tympanic polyneurectomy	3	$331.68
2264	Tympanoplasty- with ossicular chain reconstruction	3	$676.13
2265	Typanomastoiedectomy - partial, canal wall down	3	$612.35
2266	Myringoplasty - paper patch or synthetic	2	$44.65
2267	Conchal cartilage graft	3	$318.91
2268	Intra-cochlear implant	4	$1,383.29
2269	Implantable bone conductor	4	$469.68
2270	Transmastoid - posterior semicircular canal occlusion or repair of superior canal dehiscence	4	$1,383.29
2271	Transmastoid microsurgical removal of facial neuroma via extended facial recess approach	5	$1,990.13
2272	Transmastoid microsurgical removal of middle ear/mastoid tumour	5	$1,194.08
2273	Microsurgical tympanomastoidectomy - complete, canal wall up	5	$1,127.78
2274	Myringotomy w insertion aerating tube-bilateral	2	$127.57
2276	Tympanoplasty-lateral graft,homograft tympanic membrane	3	$676.13
2277	Tympanoplasty-mid ear cholesteotoma-first 90 min	3	$507.54
2278	Tympanoplasty-mid ear cholesteotoma-add 15 min	3	$50.76
2412	Biopsy of larynx and/or cauterization	5	$127.57
2419	Direct or indirect laryngoscopy with foreign body removal	5	$153.09
2423	Micro-laryngoscopy - with removal of non-pedunculated malignancy or extensive submucosal lesion	5	$445.46
2428	Micro-laryngoscopy w biopsy of larynx and/or cauterization	5	$178.61
2429	Micro-laryngoscopy & removal of tumor from larynx or trachea	5	$204.12
2280	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
2411	Laryngectomy, total	6	$1,659.94
2474	Transoral maxillectomy with skin graft	5	$1,056.25
2479	Transpalatal ethmoidectomy/maxillectomy/sphenoide	6	$1,320.23
2600	Complete temporal bone resection, ent fee	8	$2,412.31
2601	Temporal bone resection for neoplasm, subtotal and lateral, to include mastoidectomy and excision of external auditory canal	8	$1,506.13
2519	Complex laryngeal disorder conference	0	$30.35
2275	Glossectomy - subtotal	6	$1,056.22
2279	Resection-base of tongue &/or tonsil/soft palate	6	$1,926.37
2478	Glossectomy - partial for carcinoma	6	$369.96
2480	Resection mandible, floor of mouth suprahyoid dissection and tracheostomy - malignancy	7	$1,320.23
2457	Tongue tie, under g.a.	3	$82.94
2458	Local excision tongue under ga	3	$165.83
2281	Conservative radical neck dissection	6	$1,255.22
2282	Composite resection of tongue, mandible, radical neck dissection and tracheostomy	7	$1,926.37
2470	Radical neck dissection	6	$1,056.28
2477	Suprahyoid dissection - contralateral	5	$484.78
2301	Removal of foreign body from nose - complicated w anesthetic	3	$63.76
2303	Cauterization of septum - electric	3	$38.25
2304	Turbinectomy - unilateral	3	$95.67
2305	Turbinectomy - bilateral	3	$140.31
2307	Naso-antral window - single	3	$114.81
2308	Naso-antral window - double	3	$178.61
2309	Radical antrostomy	3	$318.91
2310	Radical antrostomy with closure of alveolar fistul	4	$459.27
2315	External radical fronto - ethmoidectomy	4	$586.86
2317	Electrocoagulation of turbinates - one side	3	$51.03
2318	Electrocoagulation of turbinates - both sides	3	$76.53
2319	Trephining frontal sinus	3	$255.15
2321	Sinus sphenoidotomy (intranasal)	3	$267.90
2322	Removal of nasal polypi- unilateral	3	$102.06
2323	Removal of nasal polypi- bilateral	3	$165.83
2324	Antral lavage - unilateral	3	$33.58
2325	Antral lavage - bilateral	3	$50.35
2326	Choanal atresia; definitive repair of - unilateral	3	$484.78
2327	Choanal atresia ; definitive repair of - bilateral	4	$676.13
2328	Choanal atresia; perforation of - unilateral	3	$165.83
2329	Choanal atresia perforation of - bilateral	4	$229.62
2330	Submucous turbinectomy - unilateral	3	$165.83
2331	Submucous turbinectomy - bilateral	3	$255.15
2332	Lateral rhinotomy and excision of tumour - benign	3	$586.86
2333	Lat rhinotomy/medial maxillectomy for exis tumour	3	$625.11
2334	Transantral ethmoidectomy	3	$484.78
2335	Transantral ligation, internal maxillary artery	6	$510.30
2336	Laser revision of choanal stenosis	4	$132.68
2337	Ligation of anterior and posterior ethmoid arterie	6	$318.91
2338	Removal of angiofibroma - nasal pharynx	6	$739.92
2339	Palatal fenestration	3	$257.82
2341	Posterior nasal packing - (operation only)	3	$63.76
2342	Maxillectomy with exenteration of ethmoid	5	$803.71
2343	Septal reconstruction	3	$382.72
2345	Drainage of abscess or haematoma of septum	3	$114.81
2346	Posterior nasal packing-- with trans-oral gauze pack, under local, topical, or general anesthesiology (operation only)	3	$99.49
2347	External osteoplastic frontal flap operation	4	$931.30
2348	Operative closure of oral nasal fistula	3	$357.19
2349	Operative closure of nasal septal perforation	3	$510.30
2357	Sinus surgery- functional - endoscopic - <14 years	0	$318.93
2358	Revision endoscopic frontal sinusotomy, with or without c arm	3	$464.38
2359	Revision endoscopic intranasal spheno-ethmoidotomy (anterior, middle and posterior cells including sphenoid)	3	$530.69
2360	Ethmoidotomy-intranasal-posterior-unilateral	3	$357.19
2361	Ethmoidotomy-intranasal-posterior-bilateral	3	$548.56
2362	Ethmoidotomy -intranasal - anterior - unilateral	3	$191.35
2363	Ethmoidotomy-intranasal-anterior- bilateral	3	$318.91
25100	Laser photocoagulation of hht lesions nasal cavity	6	$446.09
25300	Endoscopic stereotactic resection of intranasal or sinus tumour - up to 7 hours operating time	6	$1,046.36
25301	Endoscopic stereotactic resection of intranasal or sinus tumour - additional payment after 7 hours operating time	0	$261.58
25305	Endoscopic ligation - sphenopalatine artery	6	$418.55
25310	Endoscop trans-nasal repair csf leak frm ant skull base	8	$976.07
25315	Primary frontal sinusotomy	3	$232.29
2298	Cryosurgical treatment of turbinates - unilateral	3	$153.09
2299	Cryosurgical treatment of turbinates - bilateral	3	$191.35
2306	Submucous resection of septum	3	$165.83
2364	Nasal fracture - simple reduction	3	$63.76
2365	Nasal fracture - reduction and splinting	3	$127.57
6123	Nasal fracture- comminuted nasal fractures transosseous wire plate fixation	3	$307.05
2351	Nasal refracture requiring lateral osteotomies	3	$357.19
2352	Reconstruction of nasal tip, ala and columella	3	$420.98
2353	External reconstruction of nasal tip, ala and columella (such as for cleft lip or open trauma)	3	$563.88
2354	Complete rhinoplasty with s.m.r. to include nasal hump removal, nasal refracture, and reconstruction of nasal tip, without skin grafting	3	$612.35
2355	Complete rhinoplasty with smr to include nasal hump removal, nasal refracture and external reconstruction of nasal tip without skin grafting	3	$776.17
2473	Laryngo-pharyngo-oesophagectomy - primary excision	6	$1,900.00
2449	Rigid oesophagoscopy for removal of foreign body	4	$191.35
2407	Tracheotomy	5	$390.00
2476	Pharyngoesophageal anastomosis - re-establishment in neck by neck surgeon	5	$637.88
2459	Excision cystic hygroma	4	$548.56
2399	Cryotherapy of tonsils and oral lesions	3	$114.81
2403	Tonsillectomy - under la	4	$257.70
2413	Operative control of post-tonsillectomy or post-adenoidectomy haemorrhage requiring local or general anesthetic	6	$263.45
2442	Adenoidectomy - adult or child over 14 years	4	$128.81
2444	Incision of peritonsillar abscess-general anaesthe	6	$128.81
2445	Tonsillectomy - over 14 years of age	4	$250.73
2446	Tonsillectomy -14 years and under(includes neonate	4	$224.46
2447	Incision of peritonsillar abscess-local anaestheti	4	$95.00
2215	Pre-operative assessment - otolaryngology	0	$77.84
2505	Emergency visit - otolaryngology	0	$122.35
2507	Subsequent office visit - otolaryngology	0	$36.97
2508	Subsequent hospital visit - otolaryngology	0	$24.41
2509	Subsequent home visit - otolaryngology	0	$48.92
2510	Consultation - otolaryngology	0	$77.84
2511	Consultation: with pure tone audiogram	0	$93.45
2512	Consultation, special for dizziness	0	$166.27
2513	Malignancy management-consultation	0	$108.85
2514	Repeat or limited consultation - otolaryngology	0	$45.81
2515	Allergy consultation - otolaryngology	0	$145.14
2517	Consult, management of complex laryngeal disorder	0	$137.56
2471	Subtotal parotidectomy w facial nerve dissection	4	$842.01
2472	Total parotidectomy - with nerve dissection for malignancy or deep lobe tumour	4	$969.55
2452	Sialolithotomy - simple in duct	3	$63.76
2453	Sialolithotomy - complicated in gland	3	$191.35
2455	Excision of submandibular gland	4	$318.91
2456	Fistula - salivary -plastic to stenson's duct	4	$420.98
2262	Translabyrinthine approach for neurosurgical access exposure, closure with microscope	8	$2,429.48
2610	Middle cranial fossa approach without petrosectomy - for trauma, neoplasm resection, nerve section/decompression	8	$1,440.32
2612	Middle cranial fossa approach - petrosectomy	8	$1,929.76
2613	Middle cranial fossa approach- petrosectomy - procedure lasting longer than 8 hours	8	$2,412.08
2614	Retrolabyrinthine approach for neurosurgical access - exposure, closure with microscope	8	$2,206.00
2618	Repair of csf leak following skull base approach with mastoid obliteration - to include exposure, dissection and closure with microscope	8	$1,400.00
2622	Infra-temporal fossa approach to skull base - otolaryngology fee	8	$2,224.40
2623	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	8	$2,582.14
2878	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$29.92
2879	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$40.00
2880	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$20.00
2881	Infra-temporal fossa approach to skull base - otolaryngology fee for procedure lasting longer than 8 hours	0	$12.50
2520	Audiogram - pure tone (ac and bc)	0	$15.44
2521	Audiogram - speech (srt, pb, mcl)	0	$16.85
2525	Impedance test	0	$9.04
2526	Cold calorics test	0	$11.11
2527	Bithermal test	0	$24.10
2528	Electronystagmography - e.n.g.	0	$47.54
2530	Functional tests - stenger	0	$24.10
2531	Impedance test,including contralateral reflex	0	$17.79
2532	Pi-pb test	0	$6.24
2533	Play audiometry	0	$24.10
2534	Free field audiometry	0	$24.10
2535	Maxillary sinus endoscopy via canine fossa w/ or w/out biospy	3	$116.87
2536	Brain stem evoked response audiometry	0	$47.21
2538	Laryngostroboscopy	0	$84.80
2539	Brain stem evoked response audiometry w/ electrocochleography	0	$68.22
2540	Flexible nasopharyngoscopy with video fluoroscopy	3	$62.83
2541	Electrocochleography	0	$51.42
2542	Measurement of autoacoustic emissions	0	$32.14
10762	Rigid esophagoscopy, including collection of specimens by brushing or washing, - procedural fee	3	$74.74
745	Peripheral or subcutaneous lymph node biopsy	2	$49.15
701	Direct laryngoscopy	5	$37.70
2406	Retropharyngeal abscess or hematoma - requiring lateral pharyngotomy	6	$315.73
2408	Removal of tumor from larynx or trachea	5	$191.35
2409	Uvulo-palato-pharyngoplasty for obstructive sleep apnea confirmed by polysomnogram, with or without tonsillectomy	5	$420.98
2410	Thyrotomy	5	$510.30
2414	Repair laryngo-tracheal stenosis - to include skin grafting, stenting, and associated endoscopy	8	$1,441.57
2418	Repair of fractured larynx external approach	8	$829.22
2424	Tracheoesophageal puncture and insertion of voice prosthesis following laryngectomy	5	$357.19
2425	Arytenoidectomy	5	$637.88
2433	Vocal cord implant - injection	5	$318.91
2434	Vocal cord implant - external approach	5	$637.88
2436	Arytenoid adduction	5	$812.06
2438	Trans-oral cricopharyngeal myotomy	5	$420.98
2440	Bilateral micro-transposition of submandibular salivary ducts when done with or without a microscope	4	$338.35
2441	Standby fee- ent	11	$298.53
2443	Adenoidectomy - 14 years and under	4	$158.22
2448	Retropharyngeal abscess or hematoma-drainage under local anesthetic	4	$127.57
2451	Congenital cyst/fistula - excision, neck	4	$420.98
2454	Alveolectomy	3	$191.35
2431	Hemilaryngectomy	6	$1,447.59
2432	Supraglottic laryngectomy	6	$1,575.30

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