AMA CPT® Assistant - 2011 Issue 12 (December)

Coding Clarification: Post-Endoscopic Sinus Surgery Debridements (December 2011)

December 2011 page 13 Coding Clarification: Post-Endoscopic Sinus Surgery Debridements Individualized endoscopic debridements following routine functional endoscopic sinus surgery (FESS) provide improved long-term outcomes and may prevent future, more extensive revision procedures. While their limited use will likely suffice in the majority of cases, there are situations in which a patient may require more frequent, very long-term debridements. Clinically, these include, but are not limited to, persistent crusting within the surgical bed, adhesion formation noted upon examination, more extensive surgery (eg, complex frontal sinusotomies, neoplasm resections), underlying immunologic disorders, diffuse polyposis, revision FESS, mucociliary disorders, allergic fungal sinusitis, and...

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