These downloadable documents provide general coverage and reimbursement information for a variety of ENT healthcare services.
Currently we offer the following information regarding coding and reimbursement.
The documents listed below provide general reimbursement information to assist in obtaining coverage and reimbursement for healthcare services.
HCPCS codes are provided in the coding documents below when applicable. Most ENT devices, supplies and other items used by hospitals and physicians do not have applicable HCPCS II codes. Therefore, hospitals should report these charges in the general revenue code for the item (i.e. revenue code 270 for Medical-Surgical Supplies). Please contact us for additional assistance as needed.
Intraoperative Nerve Monitoring Coding Guide (PDF, 140 KB)
Coding and reimbursement information for intraoperative nerve monitoring.
Nasal and Sinus Endoscopy Procedures Coding Guide (PDF, 203 KB)
Coding and reimbursement information for balloon sinus dilation and endoscopic sinus surgery for the physician office and facility.
Medtronic provides this information for your convenience only. It does not constitute legal advice or a recommendation regarding clinical practice. Information provided is gathered from third-party sources and is subject to change without notice due to frequently changing laws, rules and regulations. The provider has the responsibility to determine medical necessity and to submit appropriate codes and charges for care provided. Medtronic makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicare or other payers as to the correct form of billing or the amount that will be paid to providers of service. Please contact your Medicare contractor, other payers, reimbursement specialists and/or legal counsel for interpretation of coding, coverage and payment policies. This document provides assistance for FDA approved or cleared indications. Where reimbursement is sought for use of a product that may be inconsistent with, or not expressly specified in, the FDA cleared or approved labeling (e.g., instructions for use, operator’s manual or package insert), consult with your billing advisors or payers on handling such billing issues. Some payers may have policies that make it inappropriate to submit claims for such items or related service.