Otolaryngology (ENT) Billing That Pays What You Earn
ENT billing spans in-office procedures, endoscopic sinus surgery, hearing testing, allergy services, and head and neck oncology — all within a single specialty. Endoscopic sinus surgery coding has complex bundling rules that change based on which sinuses are treated and what additional procedures are performed. Allergy testing and immunotherapy billing is frequently undercoded. 360Solutions provides ENT billing specialists who maximise procedure revenue while navigating NCCI bundles and allergy program billing.
Where Otolaryngology (ENT) Practices Lose Revenue
These are the coding and billing pitfalls that cost otolaryngology (ent) practices the most — and where our specialised billers add the most value.
Endoscopic Sinus Surgery Coding
FESS codes (31254–31298) are billed based on which sinuses are treated (maxillary, ethmoid, frontal, sphenoid) and whether additional procedures (septoplasty, turbinectomy, polypectomy) are performed. Each sinus has separate unilateral and bilateral codes.
Allergy Testing & Immunotherapy
Allergy skin testing codes (95004/95024/95044) are billed per test — but only up to the maximum units payers allow per date. Immunotherapy mixing (95165) and injection (95115/95117) billing requires correct antigen count and injection documentation.
In-Office Procedure Bundling
Cerumen removal, nasal endoscopy, laryngoscopy, and foreign body removal performed on the same day as an E&M visit face aggressive payer bundling. We apply modifier -25 on E&M and -59 on procedures with supporting documentation.
Hearing Testing Coordination
Audiometry (92551–92588) includes multiple code variants by age and testing type. Pure tone, speech, tympanometry, and OAE testing must each be coded separately. We coordinate with audiology billing when services are split between ENT and audiologist.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Otolaryngology (ENT).
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
FESS code used for wrong sinus (maxillary vs. ethmoid) based on operative report
Septoplasty bundled into FESS claim without separate code and modifier
Allergy test units exceed payer maximum per date of service
Cerumen removal billed same day as E&M without modifier -25
Prior auth not obtained for sinus surgery or tonsillectomy
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Otolaryngology (ENT) Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in otolaryngology (ent) coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Otolaryngology (ENT) Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified otolaryngology (ent) billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.