ENT (Ear, Nose, and Throat) billing involves a wide range of services, including office procedures, surgeries, diagnostic testing, and allergy treatment. These diverse services require accurate coding, proper modifier use, and compliance with payer rules to ensure full reimbursement.
👂 ENT (Otolaryngology) Medical Billing Services
At Smart RCM Solutions, we provide comprehensive billing services for ENT practices, reducing claim denials and improving revenue through specialty-trained coding and aggressive follow-up.
🧠 Why ENT Billing Is Complex
ENT practices perform a mix of E/M visits, in-office procedures, audiology, endoscopy, and surgical interventions. Many services are time-sensitive, require prior authorization, or are bundled under payer rules—making billing a high-stakes process.
Common ENT Billing Challenges:
🔄 Bundled procedures requiring modifier separation (e.g., -59, -XS)
🔍 Incorrect use of endoscopy codes
🎧 Audiology and hearing test denials
💉 Allergy immunotherapy coding (CPT & HCPCS)
📄 Surgery global periods and post-op visits
📋 High documentation standards for Medicare & private insurers
✅ Our ENT Billing Services Include:
Accurate CPT, ICD-10 & HCPCS Coding
For nasal endoscopies, laryngoscopies, ear tubes, sinus surgery, and more.
Modifier Optimization
Proper use of -25, -59, -LT/RT, -76, and others to avoid denials for bundled services.
Pre-Authorization Management
For procedures like septoplasty, tonsillectomy, allergy shots, and audiology testing.
Audiology & Allergy Billing Support
We bill for hearing exams, tympanometry, and allergy testing/immunotherapy with correct global periods.
Surgical Billing with Global Period Tracking
Ensure your post-op visits and complications are coded properly within or beyond global periods.
Claim Scrubbing, Submission & AR Follow-Up
Clean claim submission within 24–48 hours and relentless denial management.
🩺 Common ENT CPT Codes
| CPT Code | Description |
|---|---|
| 31231 | Nasal endoscopy |
| 99213–99215 | E/M office visits |
| 30140 | Submucous resection of inferior turbinate |
| 69436 | Tympanostomy (ear tubes) with general anesthesia |
| 92567 | Tympanometry (impedance testing) |
| 30520 | Septoplasty |
| 95165 | Allergen immunotherapy |
🏥 Who We Serve
👨⚕️ Independent ENT Specialists
🏥 Multi-provider ENT Clinics
🧠 ENT + Audiology Hybrid Practices
🎧 Audiologists & Allergy Specialists
🧬 Pediatric & Surgical ENT Practices
Whether you’re performing in-office scopes or advanced surgeries, we support your billing for maximum compliance and revenue.
💡 Why Choose Smart RCM Solutions?
✅ ENT-Certified Billing Experts
We understand complex ENT coding—including surgery, allergy, and audiology rules.
✅ Pre-Authorization & Eligibility Verification
No more surprise denials—we verify everything in advance.
✅ Integrated with Top ENT EHRs
We work with systems like Modernizing Medicine (EMA), eClinicalWorks, Kareo, and NextGen.
✅ Detailed Revenue Reporting
Track denials, CPT trends, payer performance, and reimbursement rates.
✅ HIPAA-Compliant & U.S.-Focused
We meet all federal privacy and security standards for your practice.
🙋♂️ ENT Billing FAQs
Q1: Can you help with both surgical and office-based ENT billing?
Yes! We manage full-spectrum ENT billing including surgery centers, clinics, and audiology.
Q2: How do you handle multiple procedures on the same day?
We apply the correct modifiers (e.g., -59, -51) and ensure documentation supports all services.
Q3: Do you manage allergy testing and shots billing?
Yes. We accurately code and track series (e.g., CPT 95004, 95165) and manage injection schedules.
Q4: Can you help with claim denials for bundled procedures?
Absolutely. We identify bundling issues, correct modifiers, and refile or appeal denials quickly.
📈 Optimize Your ENT Revenue Cycle with Experts
At Smart RCM Solutions, we help ENT providers simplify their billing process, reduce denials, and get paid faster — all while staying compliant with industry guidelines.
📞 Call Us: +1-725-245-5971
📧 Email: [email protected]
🌐 Visit: www.SmartRCMSolutions.com