AMA CPT® Assistant - 2016 Issue 2 (February)

Drug-Eluting Sinus Implant (Codes 0406T, 0407T) (February 2016)

February 2016 pages 10-11 Drug-Eluting Sinus Implant (Codes 0406T, 0407T) For the 2016 CPT® code set, two new Category III codes were established to describe the placement of a drug-eluting ethmoid sinus implant. This article will address the appropriate reporting of these procedures. New codes 0406TNasal endoscopy, surgical, ethmoid sinus, placement of drug eluting implant; 0407Twith biopsy, polypectomy or debridement (Do not report 0406T, 0407T in conjunction with 31200, 31201, 31205, 31231, 31237, 31240, 31254, 31255, 31288, 31290 when performed on the same side) (Do not report 0407T in conjunction with 0406T if performed on the same side) Codes...

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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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