MSP Billing Codes

Specialty: Otolaryngology

Code Description Fee
2430 Micro-surgery w co2 laser for removal of-1st procedure $445.46
2435 Microsurgery w c02 laser for ..-subsequent proc $445.46
2420 Dilation of trachea $152.64
2421 Dilation of trachea - repeat within one month $152.43
2422 Broncho or microlaryngoscopy w f b removal- <3 yrs $380.57
2450 Broncho or microlaryngoscopy w removal of foreign body $255.15
2437 Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist $1,233.76
717 Micro-laryngoscopy $75.39
907 Endoscopic flexible or rigid examination of the nose and nasopharynx - procedure only $33.07
908 - procedure and biopsy $52.89

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

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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