I have been given the ENT clinic as an auditing responsibility. Please help me understand if certain separate procedures are part of the global package. The patient had a Functional Endoscopic Sinus Surgery and presents 1 week postop. The physician performs a nasal endoscopy to help remove crusting from all patent sinuses. My feeling is that this procedure should be included during the postop period. The diagnosis used is nasal congestion.
This procedure 31231 and 92511 appear to be used quite frequently and would like to get a better handle on when this can be billed.
Please opine.
Thanks!