Surgical In-Office Procedures Posted on June 10, 2026 by PDX ENT Surgical In-Office Procedures May go towards deductible Please be aware that certain procedures performed in our office are not included in the standard office visit. These procedures will be billed separately and in addition to the office visit charges. We have become aware that some insurance carriers are classifying these procedures as “surgery”. The result may be insurance payment for an office visit but NOT a procedure. In such cases, the insurance may apply the charges to your calendar year deductible and payment for the procedure will be due from the patient. Be assured that we are following accepted billing and coding guidelines. The physicians of PDX ENT & Audiology Medical Group only perform these procedures when deemed medically necessary to best diagnose and treat our patients. If you are presenting with a sinus or throat/voice complaint, there is a good chance the surgeon will need to perform one of these procedures to diagnose and treat your condition. Examples of in-office procedures include: – Flexible Scope – Rigid Scope – Lip/Tongue Tie – Nasal Cauterization (nose bleeds) – Biopsy/Fine Needle Aspiration – Ear Tubes – Steroid Injections – Trache Change Please speak to your insurance carrier if you would like to know what they will allow for these procedures prior to their completion. Please sign below to acknowledge that you have read and understood this information. Patient First Name(Required) Patient Last Name(Required) Email(Required) Patient/Guardian Signature(Required) Date(Required)