What does CPT code 31231 include?
Nasal endoscopy
CPT 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure), is the base code for this family of endoscopic surgeries. This base code is considered integral to the other endoscopic sinus surgeries. It is never paid separately when performed with other endoscopic services in the family.
What is procedure code 31237?
sinus endoscopy
31237 – nasal/sinus endoscopy, surgical with biopsy, polypectomy, or debridement (separate procedure).
What is procedure code 31267?
Endoscopy
CPT® 31267, Under Endoscopy Procedures on the Accessory Sinuses. The Current Procedural Terminology (CPT®) code 31267 as maintained by American Medical Association, is a medical procedural code under the range – Endoscopy Procedures on the Accessory Sinuses.
Is CPT code 31237 a bilateral code?
The CPT codes in questions were 31237 and 31237-50. The “-50” is the bilateral modifier, signifying the procedure was performed bilaterally and by appending this modifier the reimbursement is increased. Debridement is the removal of unhealthy tissue and, when performed, warrants use of the debridement code.
Can 31575 and 31231 be billed together?
The combination of 31575 with 31231 would similarly call for separate, sufficient medical indications and the medically indicated use of separate endoscopes, says Levinson.
What is a sinus debridement?
Debridement is performed after sinus surgery to remove post-operative issues that may be causing discomfort and impairing the healing process, such as crust, blood clots and scarring.
What is the CPT code 31255?
| Endoscopic Sinus Surgery Codes | |
|---|---|
| CPT Code | Description |
| 31255 | Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) |
| 31256 | Nasal/sinus endoscopy, surgical; with maxillary antrostomy |
| 31267 | Nasal/sinus endoscopy, surgical; with maxillary antrostomy; with removal of tissue from maxillary sinus |
What is the CPT code for sinusotomy four sinuses unilateral?
Procedure codes 31233-31294 are unilateral. When performed on both the right and left sinus cavity, append modifier 50 Bilateral procedure to the procedure code. CPT® code 31231 is listed as unilateral or bilateral, making it inappropriate to append modifier 50 to this code.
What is a bilateral Ethmoidectomy?
Specialty. Otorhinolaryngology. Ethmoidectomy is the medical name for a procedure that involves removing the partitions between the ethmoid sinuses in order to create larger sinus cavities. This procedure treats sinus infections and sinus obstructions that have been the cause of chronic sinus problems.
Can CPT 31231 be billed bilaterally?
CMS has set the base code for this family of endoscopic surgeries as CPT® 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure). This code cannot be billed with other endoscopic sinus surgeries. The work involved in 31231 is considered integral to the other endoscopic sinus surgeries.
What are the new CPT codes for sinus surgery?
Let’s take a look at these new codes: CPT 31253: Nasal/sinus endoscopy, surgical, with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed
What is the CPT code for ethmoid sinus surgery?
Because ethmoid sinuses are divided into anterior and posterior regions, CPT® has defined two separate codes for reporting these procedures. For drainage of infected mucous and removal of inflamed tissue confined to the anterior ethmoid cells, report 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior).
What is the CPT code for percutaneous endoscopic sinus dissection?
Destruction of sinus, percutaneous endoscopic approach [accessory, maxillary, frontal ethmoid or sphenoid; includes codes 095P4ZZ, 095Q4ZZ, 095R4ZZ, 095S4ZZ, 095T4ZZ, 095U4ZZ, 095V4ZZ, 095W4ZZ, 095X4ZZ]
What are the indications for endoscopic nasal/sinus surgery?
The most common indications for endoscopic nasal/sinus surgery are rhinosinusitis (sinusitis), polyp, cyst, neoplasm, and polypoid sinus degeneration. Common diagnoses and associated ICD-10-CM codes include:
