What is the CPT code for frontal sinus removal?
The phrase "when performed" after including removal of tissue from the frontal sinus confirms that you cannot code a separate CPT for any tissue removed in the frontal sinus (it is included in 31276 when tissue removal occurs), but tissue removal is not a requirement to report the code. You must log in or register to reply here.
What is the ICD 10 code for 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: Chronic pansinusitis (J32.4) — when all four sinus cavities have chronic sinusitis.
What is the CPT code for sinusotomy?
Endoscopic Frontal Sinus Exploration for Code 31276 (Coders’ Desk Reference for Procedures 2019) A sinusotomy of the frontal sinus ostium is performed. If diseased or abnormal tissue is present within the frontal sinus, a scalpel or biting forceps is introduced parallel to the endoscope and is used to remove the tissue.
What is a unilateral CPT code for sinus surgery?
The following CPT codes are considered unilateral: 30130 and 30140. It is also important to note that the Medicare global period is 90 days whereas the global period for most endoscopic sinus surgery codes is 0 days (that is, the only services associated with the codes are those provided on the day of the procedure).
What is the CPT code 31256?
CPT® Code 31256 in section: Nasal/sinus endoscopy, surgical, with maxillary antrostomy.
What is procedure code 31296?
Nasal/sinus endoscopyCPT 31296 – Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium), and, CPT 31297 – Nasal/sinusendoscopy, surgical; with dilation of sphenoid sinus ostium).
What is procedure code 31267?
CPT® Code 31267 in section: Nasal/sinus endoscopy, surgical, with maxillary antrostomy.
What is procedure code 61782?
CPT® 61782, Under Stereotaxis Procedures on the Skull, Meninges, and Brain. The Current Procedural Terminology (CPT®) code 61782 as maintained by American Medical Association, is a medical procedural code under the range - Stereotaxis Procedures on the Skull, Meninges, and Brain.
What is the CPT code 31231?
Diagnostic Nasal EndoscopyDiagnostic Nasal Endoscopy - CPT 31231.
What is procedure code 30140?
A: You should code this service with CPT code 30140 – Submucous resection inferior turbinate, partial or complete, any method with modifier 50- Bilateral procedures.
What is the CPT code 31253?
Nasal/sinus endoscopy31253 - 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 31255?
Nasal/sinus endoscopy, surgicalEndoscopic Sinus Surgery CodesCPT CodeDescription31255Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior)31256Nasal/sinus endoscopy, surgical; with maxillary antrostomy31267Nasal/sinus endoscopy, surgical; with maxillary antrostomy; with removal of tissue from maxillary sinus10 more rows•Dec 1, 2008
What is the CPT code for frontal sinusotomy?
frontal sinusotomy – new code 31253.
What is the CPT code 69990?
Code Description 69990 Microsurgical techniques, requiring use of operating microscope (List separately in. addition to code for primary procedure)
When do you use CPT code 69990?
Otolaryngologists commonly use the operating microscope while performing a variety of microsurgical procedures. CPT +69990, Use of operating microscope (list separately in addition to code for primary procedure), is a billable CPT code.
Is CPT 20985 covered by Medicare?
Documentation/operative report must identify and describe the procedures performed. Codes 20985, 0054T, or 0055T are not covered services and are not separately reimbursable.
Which modifier is required for nasal cavity surgery?
Modifier 59 Distinct procedural service may be required with 31231 and 31237.
What is the CPT code for brainlab?
According to CPT® code book, the Brainlab navigation system may be used to facilitate the performance of endoscopic sinus surgery , and is reported with 61782 Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) when the procedure is performed in conjunction with endoscopic sinus surgery.
What is the paranasal sinus?
One explanation for use of this system is that the paranasal sinuses share a common thin wall with the eye socket (or orbit) and cranial cavity. When performing surgery in a highly delicate region, the surgeon relies on the system to navigate the area through the identification of anatomical landmarks.
How to select correct code?
To select the correct code, read the body of the operative report to ensure that documentation supports the procedure listed under the Procedures heading. Specific terminology or a sufficient description of the procedure must be documented. Here are examples of the work involved in specific procedure codes:
What is the purpose of a nasal surgeon?
During surgery, the surgeon will perform diagnostics on the internal anatomy of the nasal/sinus cavities with the assistance of an endoscope for increased visualization and magnification. The surgeon inspects the interior nasal cavity, the middle and superior meatuses, the turbinates, and the sphenoethmoid recess.
Where are the sinuses located?
They are: Maxillary (antrum). These air-filled sinuses are located below the eye, behind the cheek. Ethmoid. The ethmoid sinuses are between the eye and the nasal cavity.
What is FESS surgery?
Functional endoscopic sinus surgery (FESS) is a surgical procedure performed endoscopically on the nasal/sinus cavities. The purpose of the surgery is to reduce the symptoms of chronic sinusitis such as congestion, drainage, post-nasal drip, headaches, and facial pain. FESS Coding can be unnerving because there are multiple codes associated ...
What is closed treatment of clavicular fracture?
Closed treatment of clavicular fracture; without manipulationOpen treatment of clavicular fracture, includes internal fixation, when performedClosed treatment of sternoclavicular dislocation; without manipulationOpen treatment of sternoclavicular dislocation, acute or chronic;Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)Closed treatment of acromioclavicular dislocation; without manipulationOpen treatment of acromioclavicular dislocation, acute or chronic;2357023585
What is the suture of a digital nerve?
Suture of digital nerve, hand or foot; 1 nerveSuture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)Suture of 1 nerve; hand or foot, common sensory nerveSuture of 1 nerve; median motor thenar64837
What is acne surgery?
Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleIncision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multipleIncision and drainage of pilonidal cyst; simpleIncision and drainage of pilonidal cyst; complicatedIncision and removal of foreign body, subcutaneous tissues; simpleIncision and removal of foreign body, subcutaneous tissues; complicatedIncision and drainage of hematoma, seroma or fluid collectionPuncture aspiration of abscess, hematoma, bulla, or cystIncision and drainage, complex, postoperative wound infectionDebridement of extensive eczematous or infected skin; up to 10% of body surfaceDebridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissuesDebridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscleDebridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and boneDebridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or lessDebridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or lessDebridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or lessBiopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesionBiopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure)Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesionsRemoval of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)11301
What is a percutaneous sacral augmentation?
Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, when performedPercutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performedPosterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spinePlacement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervicalPlacement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracicPlacement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbarPlacement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List separately in addition to code for primary procedure)Unlisted procedure, spinePercutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes