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Reader Question: Bank on This Criteria for 31267 Reporting
Question: I’m coding a maxillary antrostomy. The doctor documents a small amount of tissue removed from the maxillary sinus. Can I bill as 31267?
Virginia Subscriber
Answer: An operative report is necessary in order to reach a definitive answer. You will need to provide further documentation of what constitutes a “small amount of tissue” in order to decide between codes 31267 (Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus) and 31256 (Nasal/sinus endoscopy, surgical, with maxillary antrostomy).
In order to report code 31267, the surgeon must remove tissue from within the maxillary...
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