Following are some common mistakes pediatric practices make when reporting certain procedures:
Using Current Procedural Terminology (CPT®) code 31720 to report nasal aspiration
There is no CPT code for this procedure because it is considered inherent to an evaluation and management (E/M) service. Code 31720 (catheter aspiration; nasotracheal) is reported when a physician aspirates sputum from the lungs using a nasal tracheal catheter.
Reporting CPT code 99172 (visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity) when performing a screening test for visual acuity
Code 99173 (screening test of visual acuity, quantitative, bilateral) is reported when vision screening is performed in association with a preventive medicine visit or when it is performed to evaluate a condition or problem (eg, headaches, learning disability). The vision screen must use graduated visual acuity stimuli that allow a quantitative estimate of visual acuity. Medical record documentation must include a...