Surgery: Respiratory System (Q&A) (June 2013)

June 2013 page 13b Surgery: Respiratory System Question: The patient had a maxillary antrostomy (31256) with endoscopic insertion of a stent to allow for drainage of the maxillary sinus and ongoing access to the sinus. What is the appropriate CPT code to report for the stent placement? Answer: There is no specific CPT code to describe endoscopic stent placement at the time of endoscopic sinus surgery. Therefore, code 31299, Unlisted procedure, accessory sinuses, should be reported irrespective of the type of stent inserted (ie, drug-eluting or non-drug eluting). Code 31299 may be reported in addition to the appropriate endoscopic...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a respiratory system coding question from CPT Assistant and focuses on how an endoscopic sinus stent placement is discussed in relation to endoscopic sinus surgery. It is aimed at medical coders and billing professionals who work with CPT reporting for sinonasal procedures and unlisted procedure reporting. The article also notes the need for supporting documentation when an unlisted code is used.

Why This Topic Matters

It helps readers understand the coding topic and the type of supporting documentation discussed for an unlisted respiratory system procedure service.

Article Sections

  1. June 2013 page 13b

    A brief Q&A item from CPT Assistant covering a respiratory system coding scenario and the associated reporting discussion.

What You Will Learn

  • How the article frames an endoscopic sinus surgery-related coding question
  • What general documentation considerations are discussed for an unlisted procedure report
  • How the topic relates to respiratory system coding guidance in CPT Assistant
  • The kind of coding issue addressed for sinonasal endoscopic services

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Practice management staff
  • Revenue cycle professionals

Codes Discussed


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