AHA Coding Clinic® for HCPCS - 2025 Issue 3; Ask the Editor

Nasal Endoscopy With Hemorrhage Control

A patient with a history of recurrent posterior epistaxis underwent nasal endoscopy. Multiple telangiectasias were observed throughout the nasal cavity, including a prominent telangiectasia protruding from the mucosa of the posterior nasal cavity overlying the hard palate. Bipolar cautery was used to cauterize the telangiectasias, which began to bleed during the procedure. The area was packed, and suction cautery was applied to achieve hemostasis.Given that the patient was not actively bleeding at the time of presentation, how should the endoscopic cauterization of the nasal telangiectasia be coded? ...

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