CPT code 31708 is used for the procedure of instilling contrast dye into the airway for diagnostic purposes.
CPT code 31708 is used to describe the procedure of instilling contrast dye into a patient's airway. This procedure is typically performed to enhance imaging studies, such as X-rays or CT scans, allowing healthcare providers to better visualize the structures within the airway. The contrast dye helps to highlight areas of interest, making it easier to diagnose conditions or assess the effectiveness of treatments. This code is essential for accurate billing and documentation of the procedure within the healthcare revenue cycle.
When using CPT code 31708 for instilling airway contrast dye, several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers and their purposes:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly more effort or time than typically expected. Documentation must support the increased complexity.
2. Modifier 26 - Professional Component: This modifier is used when only the professional component of the service is being billed, typically applicable if the provider is only responsible for the interpretation of the procedure.
3. Modifier 52 - Reduced Services: Apply this modifier if the procedure was partially reduced or eliminated at the discretion of the physician. Documentation should clearly indicate the reason for the reduction.
4. Modifier 59 - Distinct Procedural Service: Use this modifier to indicate that the procedure was distinct or independent from other services performed on the same day. This is often used to bypass National Correct Coding Initiative (NCCI) edits.
5. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: This modifier is used when the same procedure is repeated on the same day by the same provider.
6. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional: Use this modifier if the procedure is repeated on the same day by a different provider.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is applicable if the patient needs to return to the operating room for a related procedure during the postoperative period.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if the procedure is unrelated to the original procedure and occurs during the postoperative period.
9. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
10. Modifier 81 - Minimum Assistant Surgeon: Apply this modifier if a minimum assistant surgeon is necessary for the procedure.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Use this modifier when an assistant surgeon is required due to the unavailability of a qualified resident surgeon.
12. Modifier 99 - Multiple Modifiers: This modifier is used when two or more modifiers are necessary to describe the service provided accurately.
Each modifier should be used in accordance with payer guidelines and supported by appropriate documentation to ensure accurate billing and reimbursement.
The CPT code 31708, which involves the instillation of airway contrast dye, is subject to reimbursement considerations under Medicare. To determine if this specific CPT code is reimbursed by Medicare, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, along with their respective reimbursement rates.
Additionally, it is crucial to consult with the relevant Medicare Administrative Contractor (MAC) for your region. MACs are responsible for processing Medicare claims and can provide specific guidance on coverage and reimbursement for CPT code 31708. They may have local coverage determinations (LCDs) that affect whether this service is reimbursed and under what conditions.
Therefore, while the MPFS is a starting point for understanding potential reimbursement, the final determination often depends on the policies and guidelines set forth by the MAC overseeing your jurisdiction.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and identifying underpayments down to the CPT code level, including specific codes like 31708. Schedule a demo today to see how RevFind can help you maximize your reimbursements and streamline your financial operations.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
