AMA CPT® Assistant - 2018 Issue 4 (April)

Surgery: Respiratory System (Q&A) (April 2018)

April 2018 page 10c Surgery: Respiratory System Question: How should a total ethmoidectomy on the left side and a frontal sinusotomy on the right side be reported? Answer: The procedures described are distinct procedures performed on opposite sides, which should be reported with codes 31276, Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed, and 31255, Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), with the appropriate modifiers appended. It would be inappropriate to report code 31253, Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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