Laterality and scope findings are the exam
Which side, which meatus, and what the scope showed have to be in the note or 31231 looks like a flashlight exam.
Otolaryngology
Nasal endoscopy, laryngoscopy, and clinic visits — laterality, CPT 31231-level detail, and medical-necessity letters drafted from the exam.
The problem
Which side, which meatus, and what the scope showed have to be in the note or 31231 looks like a flashlight exam.
Cerumen removal, endoscopy, and a medical visit all happen in one slot. Merging them into one SOAP is how the E/M or the procedure gets denied.
Failed medical therapy, endoscopic findings, and Lund-Mackay context have to be in the medical-necessity letter, not implied.
How Augustun fits
Otology, rhinology, and laryngology visits capture laterality, duration, and red-flag symptoms from the conversation.
Diagnostic nasal endoscopy and flexible laryngoscopy findings are structured separately from the clinic SOAP.
Sinus, ear, and larynx codes plus endoscopy CPTs are proposed from documented scope use and findings.
Nasal endoscopy, laryngoscopy, cerumen removal, and letters of medical necessity for procedures and imaging.
Outcomes
1.5+
Hours saved per ENT per day on clinic and endoscopy notes
31231
Nasal endoscopy documented as a procedure, not a clinic aside
400+
EHRs via browser extension (Epic, ModMed, athena)
FAQ
Yes. Laterality, landmarks, and findings are structured into a diagnostic nasal endoscopy procedure note.
Yes. Cerumen removal can use a procedure template alongside the medical visit note.
Yes. Failed medical therapy and exam/scope findings discussed in clinic are drafted into a letter you review.
Free templates
Ready-to-use SOAP, BIRP, and specialty note templates you can copy into your workflow today.
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