Verify Insurance Coverage

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Can I verify my insurance coverage for office visits and procedures?

Below are some of the common billing codes (also known as CPT codes) that are used by our office for different types of visits.

We encourage you to contact your insurance provider to get a better understanding of what your personal out-of-pocket costs could be, based on the health coverage you have. Your medical provider will advise which services you need during your appointment, as you may not need all of the items under the visit category below or you may need additional procedures based on your complaints and your exam.

It is important to understand whether you have a copay, coinsurance, or deductible to be met, and the date that your deductible resets. Sometimes your office visit may be covered by a copay, but your procedure may be applied to your deductible.

We do NOT set the prices for services if you want to use your insurance coverage – this is done by your insurance company. We do offer self pay pricing – please let us know if you would like to be self pay and we can offer you discounted pricing for paying in full at the time of service. In this case we would not submit any claims to insurance on your behalf.

As every insurance plan is different, is the responsibility of the patient to verify insurance coverage and any out-of-pocket costs prior to each visit. We do our best to provide an estimate, but sometimes we are given inaccurate information by your insurance company. In addition, insurance companies have a disclaimer that “Benefits are NOT guaranteed until the claim is submitted”. Should our estimate differ from the actual costs, you are still responsible for payment of all services rendered.

Practice Information

Physician Names:
Dr. Brett Scotch, Dr. Hope Bueller, Dr. Andrew Agnew

Billing group:
ENT & Allergy Associates of Florida (Tax ID: 65-0790741)

NPI: 1164473120

Visit for nose issue

Procedure Code Service Quantity Billed
99204/99214 New/Established Patient Office Visit 1
31231 Nasal Endoscopy (looking into your nose/sinuses with a camera) – often listed under surgical codes with insurance 1
31237 Nasal Debridement (after surgery) – often under surgical codes with insurance 1

Visit for Ear issue

Procedure Code Service Quantity Billed
99204/99214 New/Established Patient Office Visit 1
92504 Ear microscopy (examining your ear with the microscope) 1
69210 Ear wax removal, per ear 1-2
92550, 92557, 92588 Comprehensive audiology testing (hearing test) 1
69200 Foreign body removal from ear 1

Visit for Throat issue

Procedure Code Service Quantity Billed
99204/99214 New/Established Patient Office Visit 1
31575 Fiberoptic laryngoscopy (looking at your throat with a camera) often under surgical codes with insurance 1

Visit for Allergy issue

Procedure Code Service Quantity Billed
99214 Established Patient Office Visit 1
95004 Allergy skin testing Up to 64
95024 Intradermal testing Up to 40
94375 Respiratory test 1

Visit for Dizziness

Procedure Code Service Quantity Billed
99204/99214 New/Established Patient Office Visit 1
92504 Ear microscopy (examining your ear with the microscope) 1
69210 Ear wax removal, per ear 1-2
92550, 92557, 92588 Comprehensive audiology testing 1
95992 Epley Maneuver 1

Visit for Voice/Speech/Balance

Procedure Code Service Quantity Billed
31579, 92520, 92524 Voice Evaluation 1
92610, 92612 Speech Evaluation 1
92519, 92540, 92537,  92567, 92584, 92653 VNG (balance test) 1

We're Ready to Assist You

Relief from ear, nose, and throat disorders is closer than you may think!

If you’d like to schedule an appointment, contact our office by phone or reserve an appointment online. Our practice locations are in the Trinity and Wesley Chapel areas of Pasco County, making quality care easily accessible. To meet the evolving needs of our community, we’re also pleased to offer convenient ENT telehealth appointments that allow patients to consult with our professionals from the comfort and safety of home.

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You and your family are in excellent hands with us.

Hours

M - F: 8:30am – 5pm
Closed: 12pm – 1pm