tci Outpatient Facility Coding Alert - 2019 Issue 5

You Be the Coder: Know What to Report for Septal Spur Excision

Question: I’m working on a functional endoscopic sinus surgery (FESS) involving a left maxillary antrostomy, endoscopic submucous bilateral inferior turbinate ablation, and the removal of a left septal bone spur. For the bone spur removal, the physician documents “a mucosal flap elevating the bone of the spur was detached using an osteotome with removal of the contents and good coaptation of flaps following removal.” How should I code these services? South Carolina Subscriber Answer: You’ve got to consider codes for three distinct services — the maxillary antrostomy, the bilateral inferior turbinate reduction via ablation (submucosal)...

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