Epistaxis / Turbinate Reduction

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Epistaxis and Turbinate Reduction Procedures

The Epistaxis/Turbinate Reduction template enables you to document the procedures performed to treat epistaxis and turbinate reduction. The Type of Procedure (Epistaxis) and Turbinate Reduction are the two main sections that you can use independently, if only one of them is performed, or together, if both are performed. While the Otolaryngologists can use both the sections of this template, the Family Physician, Urgent Care Provider, and/or Pediatrician can use the epistaxis section when a simple control of bleeding is performed. Based on the procedure performed and the usage of scope, the application can include the correct Current Procedural Terminology (CPT) code for submitting to superbill. For example, when you select the ‘Control of anterior nosebleed, simple’ procedure and the ‘In conjunction with control’ usage, the application includes 31238 CPT code for billing, by default. Access the Epistaxis and Turbinate Reduction Template Document the Pre-Procedure Care Document the Epis

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Access the Epistaxis and Turbinate Reduction Template

You can access the epistaxis and turbinate reduction template to document the procedures. Do one of the following: From the left Navigation bar, click Procedures. From the Intake, History, or SOAP templates, click the Procedures link. The Procedures template opens. In the ENMT section, click Epistaxis/Turbinate Reduction to access the template. Parent topic: Epistaxis and Turbinate Reduction Procedures

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Document Turbinate Reduction

You can document the turbinate reducation procedure. Access the Epistaxis/Turbinate Reduction template. Select Despite these measures bleeding could not be controlled. Select Submucosa reduction of turbinate performed. Note: The application fills the default CPT code and modifiers. Click the Diagnosis 1 field, select a diagnosis from the resulting diagnosis search window, and then click Select. Select a Side such as RT for right; LT for left; and BIL for bilateral where the reduction of turbinate performed. In the Location section, select the location where the turbinate reduction was performed. In Comments, enter any additional comments. Click Submit to Superbill and then click Save & Close. CPT Code 30140 is submitted to the Superbill module. Parent topic: Epistaxis and Turbinate Reduction Procedures

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Schedule a Follow-up Visit

When you have performed an epistaxis or turbinate reduction, you can schedule a follow-up visit for removal of any packing or if symptoms persist. Access the Epistaxis/Turbinate Reduction template. In the Follow up section, click the Return for follow up field. In the Days field, enter the number of days after when the patient must return for a follow-up and click OK. Select If symptoms persist if the patient must return for a follow-up if the symptoms persist. Select PRN if the patient needs to return when necessary. Click the Return for packing removal field, select the number of Days after which the patient must return for removing the packing and then click OK. In Comments, enter any additional comments. Click Save & Close. Parent topic: Epistaxis and Turbinate Reduction Procedures

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Document the Epistaxis Procedure

An epistaxis procedure is the control of anterior nosebleed simple or complex, and/or posterior nosebleed initial or subsequent. When you document an epistaxis procedure, the application can include the appropriate CPT codes for billing based on the procedure and the usage of scope. Access the Epistaxis/Turbinate Reduction template. In the Pre-Procedure Care section, select the pre-procedure actions that you have completed. In the Type of Procedure section, select an anterior and/or a posterior procedure you have performed, and then select the location of the bleed from the resulting list. Note: Based on the procedure and usage selected, the application fills the CPT codes and modifiers automatically. Click the Status field and then select a status. Click the Location of the bleed field and then select a location. Select a bleeding Side such as RT for right; LT for left; and BIL for bilateral, and then select a treatment technique Cautery, Simply packing, or Anterior/posterior packing.

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Document the Pre-Procedure Care

Under the Pre-Procedure Care section, review and select the activities that have been completed. The activities that you can select are: Consent was obtained Procedure/risks were explained Questions were answered Correct Patient Identified Correct side and site confirmed Parent topic: Epistaxis and Turbinate Reduction Procedures

Epistaxis / Turbinate Reduction

Recommendations

Epistaxis and Turbinate Reduction Procedures

Access the Epistaxis and Turbinate Reduction Template

Document Turbinate Reduction

Schedule a Follow-up Visit

Document the Epistaxis Procedure

Document the Pre-Procedure Care

Epistaxis and Turbinate Reduction Procedures

Access the Epistaxis and Turbinate Reduction Template

Document Turbinate Reduction

Schedule a Follow-up Visit

Document the Epistaxis Procedure

Document the Pre-Procedure Care