Surgery: Respiratory System (Q&A) (April 2019)

April 2019 page 10b Surgery: Respiratory System Question: How should the insertion of a drug-eluting sinus implant be reported in 2019 now that codes 0406T and 0407T have been deleted? If a physician performs a debridement, polypectomy, or biopsy along with insertion of a drug-eluting sinus implant, how should this be reported? Answer: To report the endoscopic placement of a drug-eluting implant in the ethmoid sinus without any other nasal/sinus endoscopic surgical service, use code 31299, Unlisted procedure, accessory sinuses. To report the endoscopic placement of a drug-eluting implant in the ethmoid sinus in conjunction with biopsy, polypectomy, or...

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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 about how to report a drug-eluting sinus implant in 2019 after certain Category III codes were deleted. It is aimed at coding professionals who work with sinonasal endoscopy and related surgical reporting. The discussion covers the general reporting approach, the relationship to other endoscopic sinus procedures, and the need for supporting documentation when an unlisted code is used.

Why This Topic Matters

It helps coders interpret a specific CPT® update affecting sinonasal implant reporting and understand where the service may fall within broader endoscopic sinus surgery coding. The article is relevant for avoiding missed reporting issues and for documenting cases that require an unlisted procedure code.

What You Will Learn

  • How this respiratory system coding question is framed in CPT® Assistant
  • The general reporting context for a drug-eluting sinus implant after code deletion
  • How documentation support is discussed when an unlisted procedure code is used
  • How the implant service is described in relation to other endoscopic sinus surgery procedures

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician practices
  • Revenue cycle staff
  • ENT coding specialists

Codes Discussed

Code Ranges Discussed


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