Endoscopy with E/M denials
Endoscopy denied as inclusive of the visit. Modifier 25 with distinct documentation.
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Otolaryngology medical billing services
ENT bills office procedures — endoscopy, audiology, allergy — alongside sinus and ear surgery with heavy bundling rules and global periods. Balloon sinus procedures, nasal endoscopy and audiology component billing need specialty-specific handling.
What makes otolaryngology billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether otolaryngology claims pay the first time.
- Nasal and laryngeal endoscopy (31231–31579) codes bundle with many office visits; modifier 25 and documentation decide whether both are paid.
- Sinus surgery (31254–31298) codes bundle by sinus; balloon dilation has its own codes and medical-necessity policies.
- Audiology testing has component billing and provider-type rules; some payers require the audiologist to bill directly.
- Allergy services in ENT follow the allergy testing and immunotherapy rules.
Denials we see most in otolaryngology
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Sinus surgery bundling
Multiple sinus codes denied. Coded per sinus under current edits.
Audiology billing
Tests denied for provider type. Billed under the right provider per payer.
How Core MB bills for otolaryngology
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new otolaryngology providers runs in the same system, tracked live in your client portal.
- Endoscopy and visit billing with correct modifier use.
- Sinus and ear surgery coding with NCCI edits and global tracking.
- Audiology and allergy billing under their own rules.
Everything in the service
The full revenue cycle as standard for otolaryngology practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Otolaryngology billing questions
Can we bill a nasal endoscopy with the office visit?
Yes, when the visit addresses a separately identifiable problem and that is documented. Modifier 25 is what makes it payable.
How is sinus surgery coded?
Per sinus, with codes that bundle certain procedures together. Balloon dilation has its own codes and payer policies.
Do you bill audiology services?
Yes, under each payer's rules on who may bill and the component split between technical and professional work.
How do we get started with Core MB for otolaryngology billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new otolaryngology providers can start at the same time.
More in surgical and procedural
Find out what your otolaryngology billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.