ENT Case Pricer

CY2026 CMS PFS · NCCI PTP edits for every pair of these codes · pick what you did, see the credited work, the wording forks, and what the note must say

Reference only. Work RVU estimates from the published CMS national fee schedule, not a payment quote or a coding determination. Multi-procedure reduction, bilateral, and endoscopy-family rules follow the CMS indicators; payer contracts, local coverage rules, and modifier requirements differ. Where two code sets can describe the same operation the page shows the wording each one needs and says so — those are positions, not determinations. Verify every case against your own contracts and coding staff — the certified coder’s review is final. No patient information is entered, stored, or transmitted by this page; the case lives only in the URL.

Ablation — surgeon A (department-observed counts)

Reconstruction — surgeon B (adds to the ablation above)