AMA CPT® Assistant - 2014 Issue 4 (April)

Evaluation and Management: Office or Other Outpatient Services (Q&A) (April 2014)

April 2014 page 10 Evaluation and Management: Office or Other Outpatient Services Question: Is it appropriate to report code 31000, Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium), when performing a nasal irrigation (and nothing else) with a Neti pot? Would nasal irrigation with a Neti pot be considered a component of the E/M service? Answer: Unless there is specific documentation to indicate that cannulation of the maxillary sinus was performed, code 31000 should not be reported. If a simple lavage (eg, Neti pot) was performed in the office, it may be considered part of the appropriate...

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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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