AMA CPT® Assistant - 2023 Issue 12 (December)
Posterior Nasal Nerve Ablation (30117, 30118, 31242, 31243) (December 2023)
December 2023 page 23 Posterior Nasal Nerve Ablation (30117, 30118, 31242, 31243) For the CPT 2024 code set, two new Category I codes (31242, 31243) have been established for reporting endoscopic energy-based neurolysis of the posterior nasal nerve. Two cross-reference parenthetical notes also have been added following codes 30117 and 30118 to reflect these changes. This article provides an overview of the intent and use of these new codes. Respiratory System Nose 30117 Excision or destruction (eg, laser), intranasal lesion; internal approach 30118 external approach (lateral rhinotomy) (For surgical nasal/sinus endoscopy with destruction by radiofrequency ablation of posterior nasal...
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Article Overview
This premium CPT Assistant article covers new and related CPT 2024 coding updates for posterior nasal nerve ablation in the nose and nasal/sinus endoscopy context. It is relevant for coders, billing staff, and clinical documentation teams working in otolaryngology and respiratory system procedures. The article discusses the scope of the new code additions, related cross-references, applicable exclusions, and illustrative clinical procedure scenarios.
Why This Topic Matters
The article helps readers understand how a CPT 2024 update affects reporting of posterior nasal nerve ablation and how the new guidance fits within broader nasal and sinus procedure coding. It is useful for identifying whether the service falls within the updated CPT framework and for reviewing the surrounding documentation and parenthetical guidance.
Article Sections
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December 2023 page 23
A brief issue header identifying the publication location and date. It frames the coding update that follows.
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Posterior Nasal Nerve Ablation (30117, 30118, 31242, 31243)
An overview of the CPT 2024 update for posterior nasal nerve ablation within the respiratory system. This section introduces the new codes and their relationship to existing nasal procedure coding.
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Coding Tip
General coding guidance accompanying the update, including references to how the new material is presented and the related parenthetical notes. It provides context for the procedural examples that follow.
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Clinical Example (31242)
A representative clinical scenario associated with the radiofrequency-based posterior nasal nerve ablation code. It is paired with a procedure description illustrating the type of service addressed in the article.
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Description of Procedure (31242)
A procedural narrative that outlines the steps of the example service at a broad level. It shows the general endoscopic setting and bilateral nature of the scenario.
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Clinical Example (31243)
A representative clinical scenario associated with the cryoablation-based posterior nasal nerve ablation code. It is paired with a procedure description illustrating the type of service addressed in the article.
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Description of Procedure (31243)
A procedural narrative that outlines the steps of the second example service at a broad level. It shows the general endoscopic setting and bilateral nature of the scenario.
What You Will Learn
- How the article situates posterior nasal nerve ablation within CPT 2024 updates.
- What kinds of nasal and nasal/sinus endoscopic services are discussed.
- How the article uses clinical examples and procedural narratives to illustrate the update.
- What general documentation and cross-reference considerations accompany the new guidance.
Who Should Read This
- CPT coders
- otolaryngology billing staff
- medical coding auditors
- provider documentation specialists
- revenue cycle teams
Codes Discussed
Modifiers Discussed
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