What is the CPT code for balloon dilation?

What is the CPT code for balloon dilation?

31297
Balloon Dilatation Codes 31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (e.g., balloon dilation)

What is procedure code 31237?

31237 – nasal/sinus endoscopy, surgical with biopsy, polypectomy, or debridement (separate procedure).

What is procedure code 31267?

Codes 31254, 31255, 31256 and 31267 include uncinate process removal. The reference to “tissue” such as in code 31267 (endoscopic maxillary sinus antrostomy with removal of tissue) can include polyps, mucous membrane, bony partitions or massive fungal concretions or debris.

What does CPT code 31231 include?

Diagnostic Nasal Endoscopy
Diagnostic Nasal Endoscopy – CPT 31231 Evaluation of chronic sinonasal symptoms; Assessment of interval response to medical or surgical therapy.

Is CPT 30520 covered by Medicare?

The ASC billed Medicare for the procedures under CPT code 30520 (septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft); 31267 (nasal/sinus endoscopy, surgical, with maxillary antrostomy, with removal or tissue from maxillary sinus); and 30999 (unlisted procedure.

What is the CPT code for Perineogram?

CPT Code 76098 Radiological Examination, Surgical Specimen.

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.

Can CPT code 31237 be billed bilaterally?

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 CPT code 31253 and 31259 be billed together?

It makes sense that a partial and total ethmoidectomy are bundled with the new codes, 31253, 31257, and 31259 since each of the new codes includes a total ethmoidectomy.

What is the CPT code for adenotonsillectomy?

If you are asking for the CPT code that would describe an adenotonsillectomy it is 42820-42821.

What is the CPT code for balloon sinus?

1. 31295 — Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa (Do not report 31295 in conjunction with 31233, 31256, 31267 when performed on the same sinus)

What are the new CPT codes for balloon dilatation?

Balloon Dilatation Codes. The 2011 edition of CPT introduced three new codes: 31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (e.g., balloon dilation), transnasal or via canine fossa. 31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (e.g., balloon dilation)

Is there a national coverage determination for balloon sinuplasty?

Medicare does not have a National Coverage Determination for Balloon Sinuplasty, however does allow coverage and payment for services considered medically reasonable and necessary. Balloon Sinuplasty coverage by Medicare is subject to standard medical necessity guidelines, which should be supported by quality clinical notes.

When to report balloon dilatation of the frontal sinus?

For instance, if a surgeon performs balloon dilatation of the frontal sinus, then CPT 31296 would be reported; however, if the surgeon performed balloon dilatation of the frontal sinus ostium during dissection in the frontal recess, then CPT 31276 alone (without CPT 31296) would be reported.