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Guides

Staying Compliant with AAO-HNS Guidelines

Navigating the complexities of AAO-HNS billing and coding standards can be overwhelming for ENT practices. Stay current with the latest updates in otolaryngology billing procedures and documentation requirements. Protect your practice, ensure accurate reimbursements, and deliver better patient care by exploring these essential insights.

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Complying With Coding Guidelines
Billing Codes

Common ENT CPT Codes

Understand the most frequently used ENT billing codes to ensure accurate claims and maximize reimbursement. These essential CPT codes reflect the core procedures performed in otolaryngology practices.

31231

2024 usage:

~120K claims

2024 lost revenue:

$20–30M in denied claims

Common Error:

Bundling & documentation
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31575

2024 usage:

~90K claims

2024 lost revenue:

$15–20M in denied claims

Common Error:

Modifier -25 misuse
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69436

2024 usage:

~150K claims

2024 lost revenue:

$20–25M in denied claims

Common Error:

Anesthesia spec/prior auth
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92557

2024 usage:

~200K claims

2024 lost revenue:

$20M in denied claims

Common Error:

Missing referrals
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Billing Codes

Common ENT ICD‑10 Codes

Stay informed with the most frequently used ICD‑10 diagnostic codes in ENT billing. These codes help accurately capture patient conditions, support medical necessity, and ensure cleaner claims with fewer denials.

J01.90

2024 usage:

1.5M – 1.8M claims

2024 lost revenue:

$22M–30M in denied claims

Common Error:

Unspecified sinus site
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J32.9

2024 usage:

2.4M–2.8M claims

2024 lost revenue:

$35M–45M in denied claims

Common Error:

Incomplete documentation
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J34.2

2024 usage:

240K–280K claims

2024 lost revenue:

$28M–35M in denied claims

Common Error:

Cosmetic misclassification
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J35.3

2024 usage:

450K–550K claims

2024 lost revenue:

$45M–55M in denied claims

Common Error:

Missing clinical criteria
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ENT Billing Insights

ENT Medical Billing Tips & Resources

Network, Learn, Grow

ENT Conferences 2025

Stay at the forefront of ENT by attending the most impactful conferences of 2025. Check out the updated list of the 2025 ENT Conferences nationwide in the U.S.
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Have questions about ENT billing solutions? Our team is here to help you streamline your revenue cycle and reduce claim denials.

Phone Number

407-783-8805

Email

info@entbillingservices.com

Location

11468 US Highway 431 South #1003, Guntersville, AL 35976

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