Balloon Dilation Sinuplasty and Balloon Dilation with Functional Endoscopic Sinus Surgery

Event Information
Product Format
Prerecorded Event
Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow
60 minutes
Product Description

Correct Coding for Balloon Dilation Sinuplasty Services with/without Functional Endoscopic Sinus Surgery

Balloon dilation is a relatively new technology which requires new coding. Do you know, what are the proper ways to code for and get reimbursed for balloon Sinuplasty services? What do you do when you receive resistance to payment from your payer?

Learn all this and more in this session with expert speaker, Barbara J. Cobuzzi, MBA, CPC, COC, CPC-P, CPC-I, CENTC, CPCO. By attending this session, you will get a better understanding of coding for balloon dilation sinuplasty and balloon dilation with functional endoscopic sinus surgery (FESS), as well learn how to code for other FESS. Also, explore the opportunities for performing dilation in the office versus in the ASC, or outpatient facility, and what are the reimbursement differentials?

Session Highlights:

  • Update to the new codes for 2016 CPT® for endoscopic sinus surgery applicable to Balloon Sinus dilation.
  • How to code balloon dilation Sinuplasty services, with functional sinus surgery and without functional surgery (dilation only).
  • What terminology is needed in the documentation and how does the terminology in the documentation affect the coding and reimbursement?
  • Is fluoroscopy billable in additional to balloon Sinuplasty?
  • What steps should be taken when denials are received and how should these denials be denied?
  • What are the benefits for your patients, which is reason enough to get pre-certification and approval from third party payers?

Session Snapshot:

  • Balloon sinus ostial dilation – How does one code this procedure?
  • Overview of Balloon catheter technology
  • Revised introductory guidelines
  • AAO/HNS coding instructions
  • New Medicare sinus surgery CPT® codes
  • New exclusionary parenthetical notes
  • Proper use of endoscopy codes
  • Important info on sinus surgery codes
  • Modifiers for multiple procedures
  • Determining the correct code based on procedure performed

Who Should Attend

  • Physicians
  • Physician Assistants
  • Office Managers / Administrators
  • Billing Managers
  • Billing Supervisors
  • Coders

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About Our Speaker

Barbara J. Cobuzzi - Healthcare Compliance Training Expert

Barbara J. Cobuzzi owns CRN Healthcare Solutions which provides value added provider consulting services. She holds a B.S. in industrial engineering from Rensselaer Polytechnic Institute and an MBA from New York University. She holds certifications from the AAPC as a CPC (certified physician coder), COC (certified hospital outpatient coder), CPC-P (certified payer coder) a CPC-I (certified coding instructor) and a CPCO (certified professional compliance officer). She also holds...   More Info
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