ENT

Billing for a new ENT practice: every service line has its own credentialing clock, what outsourcing costs during the ramp, and the day-one setup order.

Rhinoplasty (30400-30420) and nasal valve repair (30465) are cosmetic by default. A documented collapse, a positive Cottle, and a failed drug trial move them to covered.

Nasal valve repair has two codes — spreader graft (30465) vs lateral-wall implant (30468) — and a positive Cottle sign with failed medical therapy is what makes it covered.

Turbinate reduction (CPT 30140) bundles into septoplasty under NCCI — but the edit’s modifier indicator lets you report both. Get the modifier and bilateral right.

Ten ENT billing options ranked for 2026: two specialists sold inside five months, the EHR bundles, the boutiques, and the factor matrix.

Does your EMR’s AI actually exist yet? A vendor-by-vendor 2026 scorecard of specialty EMR/EHR AI — what shipped, what’s roadmap, and what to ask.

Septoplasty (30520) is covered for functional nasal obstruction, not for a deviated septum on its own. The line is documented obstruction plus failed medical therapy.

THE ANSWER: How many patients who come to you for a “septoplasty” have zero desire for a positive aesthetic outcome?  Like they care 0% about how they look after surgery and are seeing you solely because their deviated septum has robbed them of their ability to breathe?   None.  They might say they don’t care, but […]