tci Outpatient Facility Coding Alert - 2014 Issue 1

Reader Question: Code 31240 Suffices for Both Antrostomy and Resection of Concha Bullosa

Question: The surgeon did a right middle meatus antrostomy and resection of concha bullosa. He documented the procedure as “Polypoid tissue was removed from the middle meatus area on the right side. An uncinectomy was performed in the usual fashion. Inflammatory tissue was removed from within and around the sinus cavity opening. A sickle knife was used to bivalve the middle turbinate. The medial portion was removed with the concha bullosa.” Could you please advise what code we should use for the antrostomy?Chicago Subscriber Answer: The code 31240 (Nasal/sinus endoscopy, surgical; with concha bullosa resection) is...

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