I visited the ENT doctor twice to have a hematoma drained from my ear using a syringe. All they did was stick a syringe into the outer part of my ear and drain the small hematoma that was present. The procedure was quick, lasting only a few minutes each time. However, I was surprised to see that I was billed for both an office visit and a procedure on each occasion.
I wasn’t informed that this would be billed as a surgical procedure, and the claim description even references it as such, which seems inaccurate given the nature of the treatment.
The copay for the office visit is $50, while the copay for the procedure is $226, with a total of $276 for each visit. Given the simplicity and brevity of the procedure—a quick syringe drainage of the outer ear—I expected it to be covered under the office visit fee. It seems excessive to bill it as a separate procedure, especially considering that the entire process took just a few minutes.
What can I even do at this point? I contacted both the doctor and insurance company. The insurance company said they put some sort of claim through, but I'm assuming it won't do anything. The doctor's office and insurance company are both saying that it was charged correctly, and maybe that's the case, but it just seems so excessive for that little procedure they did to not come under an office visit, but rather under it's own charge code.
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