ENT Billing Services

Your ENT practice gets
paid more than one way.

Most billing companies learn one set of rules and apply it everywhere. In an ENT practice, that habit is expensive, because surgery, audiology, and allergy care do not share a single rule between them. Our ENT billing services are built around all three, not just the one that looks most like a typical office visit.

96%avg. net collection rate across TruCare clients

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Results across TruCare clients

96%

average net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R

Figures reflect TruCare client results across specialties, trailing twelve months.

Why ENT practices choose our ENT medical billing services

Rated 4.8 / 5

Based on 180+ client reviews

Verified client reviews

Dec 09, 2026

Our balloon sinuplasty claims stopped getting cut

We were billing balloon and FESS together on the same sinus and losing one of them every time. Once they explained when it is actually separate, the denials stopped.

Dr. Garrick Alston, otolaryngologist

2 weeks ago

The hearing aid code overhaul did not touch us

The old codes got deleted at the start of the year and we switched over without a single rejected claim.

Priya Anand, audiology practice manager

Nov 04, 2026

Our ASC claims finally leave with the physician’s

We built an in-office procedure suite and had no idea the facility side needed its own claim entirely. That gap is closed now.

Marcus Villanueva, practice administrator

Sep 22, 2026

Allergy authorizations stopped holding up testing

We used to schedule panels and find out afterward the plan wanted approval first. Now that step happens before the appointment, not after.

Dr. Leah Okonkwo, otolaryngologist and allergist

Aug 10, 2026

One picture across surgery, audiology, and allergy

Three completely different businesses used to mean three different reports. Now it is one screen.

Teodora Blaise, billing manager

What we handle across all three lines

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We get your clinicians and your facility enrolled

TruCred files Medicare, Medicaid, and commercial enrollments for your physicians, your audiologists, and your in-office suite or ASC if you own one. Revalidation dates are tracked so nobody lapses.

Provider enrollmentFacility enrollmentRevalidation

Surgery, audiology, allergy. One practice, three rulebooks

An ENT practice is rarely just one thing. The same group that performs sinus surgery often runs a hearing clinic down the hall and an allergy program in the same suite. Each of those is billed on its own code family, with its own bundling logic and its own documentation standard, and almost none of that overlaps with the others.

Surgical coding in ENT turns on fine distinctions that look identical to a layperson: whether balloon dilation was the only thing done to a sinus, or whether it happened alongside a more extensive procedure on that same sinus, changes whether it can be billed at all. Audiology just went through a complete code overhaul, replacing a flat set of hearing aid codes with a time-based family that has to match exactly what was done, down to the minutes. Allergy testing carries its own authorization requirements that have tightened independently of everything else in the practice.

On top of all three sits a facility question most general billing companies never ask: if the practice owns its procedure suite or an ASC, every case is two claims, not one, and the two rarely move at the same speed unless someone is actively keeping them together.

A billing company that treats ENT as one specialty billed one way will get the office visits right and quietly lose pieces of all three other businesses living inside the same practice.

Six places ENT revenue goes missing

Balloon sinuplasty billed alongside FESS on the same sinus

When both are performed on the same sinus, one is bundled into the other. Billed as two separate services, one of them is cut, and the pattern draws attention.

A retired hearing aid code was still being used

The old code family was deleted at the start of 2026. Any claim still using it fails automatically, regardless of the work performed.

The facility claim was never built

A practice that owns its own procedure suite or an ASC and bills only the physician side is giving away the facility revenue from every case performed there.

No authorization before a sinus or sleep procedure

Balloon sinuplasty, FESS, and sleep apnea surgery commonly require documented failed medical management before a payer will approve them. Skip that step and the claim is denied regardless of the outcome.

The same-day visit and procedure were not separated

An office visit billed alongside a procedure needs its own modifier and documentation, or the visit is absorbed into the procedure and lost.

Allergy testing exceeded what was authorized

Panels run beyond what a plan approved, or without an approval at all, are a routine and avoidable denial given how closely this category is now reviewed.

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Our service offerings

Every service your practice actually performs

Nasal and sinus surgery

Diagnostic and surgical endoscopy, FESS, balloon sinuplasty, and septoplasty, coded to the specific sinuses treated and how they were treated.

Audiology and hearing devices

Diagnostic hearing tests, the full 2026 hearing device code family from candidacy through verification, and postoperative evaluation of auditory implants.

Allergy testing and immunotherapy

Testing panels and ongoing immunotherapy, billed under their own authorization rules and their own frequency limits.

Sleep surgery

UPPP and hypoglossal nerve stimulation, with physician and facility claims following different code sets entirely when performed in a hospital outpatient setting.

Head and neck surgery

Procedures on the thyroid, parotid, and neck, including the newer thyroid radiofrequency ablation codes.

Pediatric ENT

Tonsillectomy and adenoidectomy, tympanostomy, and the pediatric-specific codes and age distinctions that change how these procedures are billed.

In-office procedures

Laryngoscopy, cerumen removal, and other services performed during a standard visit, billed alongside the E/M when the documentation supports both.

Facility billing for your own suite or ASC

The hospital or surgery center side of every case performed on your own equipment, billed as its own claim alongside the physician’s.

What we bring to each side of your practice

Coders who know all three businesses, not just one

Certified billers and coders on your account work surgical, audiology, and allergy claims as the distinct categories they are, not as variations on the same template.

The 2026 audiology overhaul, already built in

The retired hearing aid codes and their time-based replacements are already part of how we code, so your practice is not the one finding out the hard way.

No disruption to how your practice already charts

We work from the system your physicians, audiologists, and allergy staff already use. Nobody learns a second one.

What causes ENT claims to fail

ENT denials rarely argue about whether care was needed. They argue about a bundling rule, a retired code, or an authorization that should have existed before the procedure happened.

Here is what we see most, and how each one is prevented before it becomes routine.

Curious what your denials are actually costing you?

Send us 90 days of claims, and we will show you the pattern.

Request a billing audit

The recurring six:

Doctor checking a man's ear with an otoscope

Balloon and FESS billed on the same sinus, unbundled

The pairing rule is specific: separate billing only applies when balloon was the sole procedure on that sinus. Billed otherwise, one code is cut.

A deleted hearing aid code submitted after retirement

The 2026 replacement family is mandatory. Claims still using the old codes are rejected as invalid, not reviewed and reduced.

Missing prior authorization on a sinus or sleep procedure

Several of the highest-value procedures in ENT require documented failed medical management before approval. Without it, the claim does not get a fair hearing.

Facility and professional claims mismatched or missing

A facility claim that never went out, or one that does not match the physician’s version of the same case, draws denials on both sides.

Allergy panel exceeding authorization

Testing beyond what was approved, or performed with no approval on file, is one of the more scrutinized denial categories in the specialty right now.

Same-day visit absorbed into the procedure

Without the right modifier and a note that stands on its own, an office visit performed alongside a procedure is paid as if it never happened separately.

The details that decide whether a code holds

Our ENT billing and coding services run across three code families that rarely overlap with each other. Getting the procedure right matters less than getting the pairing, the timing, and the component split right, since those are what most ENT denials actually turn on.

Walk through your coding with us

The ones that matter most:

31295–31298the FESS family

Balloon sinuplasty pairing

Separate billing applies only when balloon dilation is the sole procedure performed on a given sinus. Performed alongside a more extensive procedure on that same sinus, it is bundled rather than billed on its own.

Your charting does not change to make this work

Surgery, audiology, and allergy care are rarely recorded in exactly the same way, so we do not ask a practice to make them match. Whether your practice runs on Epic, athenahealth, or ModMed, TruCare pulls from whatever system each part of your practice already charts in.

What changes is what gets caught before it becomes a denial. A balloon and FESS pairing about to be billed incorrectly. A hearing device claim still using a retired code. A facility claim that never got built for a case in your own suite. Each one surfaces while it can still be fixed.

Check for your systems

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Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What 2026 changed for ENT

The hearing aid code family was fully replaced

CPT codes 92590 through 92595 were retired effective January 1, 2026, replaced by a twelve-code, time-based family covering candidacy, selection, fitting, follow-up, and verification separately.

Two audiology codes joined the telehealth list

CPT 92622 and 92623, covering auditory osseointegrated sound processor services, were added to the Medicare Telehealth Services List for 2026.

Thyroid got its own ablation codes

New codes for single-lobe and additional-lobe radiofrequency ablation were finalized, giving this growing procedure a precise match in the code set for the first time.

New facility codes arrived for hypoglossal nerve stimulators

Effective retroactively to January 1, 2026, new HCPCS codes cover implantation, revision, and removal of certain hypoglossal nerve neurostimulators, but only for hospital outpatient facility billing, not for the physician’s own claim.

The standard efficiency adjustment applied, with exceptions

Most non-time-based ENT diagnostic and procedural codes saw a 2.5 percent reduction in work value, though codes on the telehealth services list, including comprehensive audiometry, were exempted.

Prior authorization scrutiny increased, including early AI-based review

Several high-cost ENT procedures are beginning to see AI-assisted prior authorization review, on top of already-tightening requirements for allergy testing panels.

Someone has to track three different rulebooks at once

Surgical coding, audiology coding, and allergy coding each change on their own schedule, for their own reasons. Nobody running a practice has time to track three separate sets of annual updates.

We do, and we turn each change into a check your claims pass through automatically, whichever part of the practice they came from.

In-house vs. outsourced

What one biller cannot reasonably cover

A general biller can learn one code family well. ENT asks for three, each updating on its own schedule, plus a facility side most practices do not realize is a separate job entirely. Outsourcing ENT billing services puts people on this who specialize in exactly that range.

The question	One in-house biller	TruCare
Balloon and FESS pairing	Billed from habit	Checked against the same-sinus rule every time
Audiology coding	Learning the new 2026 family as claims fail	Already built around the current code set
Facility claims	Often not built at all	Submitted alongside the physician’s claim
Prior authorization	Filed close to the procedure date	Filed early, tracked to a decision
Allergy panel limits	Checked after a denial explains it	Checked against the authorization before testing
Same-day visits	Absorbed into the procedure	Billed separately when supported
Cost shape	Salary, benefits, training, software	A percentage of collections, so it scales with volume
Staff absence	Billing slows across all three lines	Coverage is handled without disruption
Regulatory change	Discovered through denials	Built into process before it affects a claim
Visibility	Three separate reports, if any	One view across surgery, audiology, and allergy

Compare against your numbersCurious where your practice actually stands? Send us 90 days of denials and aging A/R.

Hover a state to see coverage

Where we serve

ENT billing in every state

We work with general ENT practices, combined surgery-audiology-allergy groups, pediatric ENT, and practices that own their own procedure suite or ASC. As an otolaryngology billing services provider, we handle all three service lines and the facility side the same way, regardless of which one makes up the largest share of your revenue.

Surgical and audiology coding

Allergy authorization

Facility and ASC billing

Multi-provider reporting

Multi-state enrollment

A named account contact

Who we bill every day

Medicare Part B

Surgical, audiology, and the 2026 code changes

Medicare facility billing

Hospital outpatient and ASC claims for procedures performed there

Medicare Advantage

Authorization rules that differ plan by plan

Medicaid and managed Medicaid

State programs and MCO plans

BCBS and Anthem

Coverage policies that vary by plan, especially for sinus and sleep procedures

Centene family

Molina, WellCare, Amerigroup

We bill whatever plans your practice is contracted with. If you are not contracted yet, TruCred handles the enrollment.

ENT billing saver guide

A practice collecting $1.45 million saves up to $36,955 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$36,105	—
Total annual cost	$73,060	$36,105	$36,955

Example: a practice collecting $1.45 million a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by practice and are not counted. We do not replace your front desk, we take the claims work off it. Larger groups are quoted on volume rather than at the starting rate, so a bigger practice should not scale this example up.

Want this run on your own numbers?

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What practices find once all three lines are actually watched

“We always treated our audiology and allergy programs as smaller parts of the practice, billed however they happened to get billed. Once someone actually looked at all three lines with the same attention, the audiology side alone was collecting far less than it should have, for work we were already doing every week.”

Dr. Leah Okonkwo

Otolaryngologist and allergist, combined practice

Your ENT practice getspaid more than one way.