Otolaryngology (ENT)
Healthcare IT and billing built for an ENT practice
In-office procedures, audiology integration and allergy testing billing for ENT practices.
Why otolaryngology (ent) is different
ENT practices operate several distinct service lines: office procedures, audiology, allergy and surgery, and each is billed under different rules, often on the same patient in the same week.
Healthcare SBC unifies them: endoscopy and in-office procedure coding, audiology testing and hearing aid dispensing, allergy testing and immunotherapy antigen billing, and surgical global management.
Common challenges
Where otolaryngology (ent) practices lose revenue
The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.
In-office procedure bundling
Nasal endoscopy and related procedures are frequently bundled with E/M unless documented and modified correctly.
Audiology and hearing aids
Hearing aids are non-covered by most plans, requiring self-pay workflows alongside covered diagnostic testing.
Allergy immunotherapy units
Antigen preparation and injection billing depends on dose counts and vial documentation that are easy to get wrong.
Sinus surgery complexity
Multiple sinus procedures with navigation and balloon technology involve intricate bundling rules.
How we address it
Built for otolaryngology (ent) workflows
- Endoscopy and office procedure documentation with modifier 25 support
- Integrated audiology testing with audiogram capture
- Hearing aid dispensing, self-pay and warranty tracking
- Allergy testing and immunotherapy dose and antigen tracking
- Sinus surgery coding with navigation and balloon documentation
Commonly billed codes in otolaryngology (ent)
A sample of the codes our otolaryngology (ent) coders work with daily.
- 31231Nasal endoscopy, diagnostic
- 92557Comprehensive audiometry threshold evaluation
- 95004Percutaneous allergy tests, immediate reaction
- 95165Allergen immunotherapy, single or multiple antigens
- 31237Nasal/sinus endoscopy with biopsy or debridement
Codes shown for reference only. Verify against current code sets and payer policy.
Other surgical specialties
Orthopedics
Surgical global periods, DME, imaging and therapy billing unified for orthopedic groups.
General Surgery
Surgical scheduling, global period management and multi-facility coordination for surgical practices.
Podiatry
Routine foot care coverage rules, DME dispensing and wound care documentation for podiatric practices.
FAQ
Otolaryngology (ENT), frequently asked questions questions
- Can we bill a nasal endoscopy with an office visit?
- Yes, when the E/M service is significant and separately identifiable from the procedure, documented accordingly and reported with modifier 25. This is a heavily scrutinized pattern in ENT, so our scrubbing validates it before submission.
- Do you handle hearing aid sales?
- Yes. Hearing aid dispensing runs as a self-pay retail workflow with device inventory, trial periods, warranty tracking and payment plans, kept separate from covered audiology diagnostic billing.
- How is allergy immunotherapy billed?
- Antigen preparation and injection are billed separately with accurate dose counts and vial documentation, and the platform tracks each patient's schedule and remaining doses to prevent both underbilling and duplicate charges.
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